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Senate bill · S. 4472 (119th Congress)

Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026

U.S. Senate

Latest action Aug 10, 2026

Sponsor: Lisa Murkowski (U.S. Senator for Alaska, Republican)

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From Congress.gov and official rosters. This record was last updated Sep 23, 2026. About our data

Summary

Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026 This bill reauthorizes through FY2031 and revises programs that support research and development of drugs and other therapies to address amyotrophic lateral sclerosis (also known as ALS or Lou Gehrig's disease) and other neurodegenerative diseases. The bill reauthorizes grants from the National Institutes of Health (NIH) for scientific research on investigational drugs to prevent or treat ALS for individuals not otherwise eligible for clinical trials, grants from the Food and Drug Administration (FDA) for research and development of therapies to prevent and treat ALS and other neurodegenerative diseases, and a Public-Private Partnership including the FDA and NIH that supports development and regulatory review of treatments for neurodegenerative diseases. Also, the bill revises the NIH grants to require (1) the NIH, in considering grant renewal, to assess available information on the safety and efficacy of the investigational drugs; (2) grantees to promptly report available safety data from ongoing clinical trials; and (3) the NIH to determine the timeframe for enrollment in clinical trials for the investigational drugs. Additionally, every five years, the FDA must publish a plan describing actions it will take over a five-year period to foster development of safe and effective drugs, and facilitate access to investigational drugs, for ALS and other rare neurodegenerative diseases. Each plan must include the FDA's previous actions and recommendations for improvements. Finally, the Government Accountability Office and the Department of Health and Human Services must report on the impacts of these grants.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Senate Committee on Health, Education, Labor, and Pensions · U.S. Senate

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Cosponsors

15

Cosponsors listed on Congress.gov, shown A to Z.

  • Democratic8
  • Republican7

This bill has cosponsors from more than one party.

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As identified by Congress.gov.

Full history

  1. Aug 10, 2026

    Held at the desk.

  2. Aug 10, 2026

    Held at the desk.

  3. Aug 10, 2026

    Message on Senate Action Sent to the House.

    Message on Senate action sent to the House.

    U.S. Senate

  4. Aug 10, 2026

    Sent to the executive

    Received in the House.

    U.S. House of Representatives

  5. Aug 4, 2026

    Passed a chamber

    Passed Senate with an amendment by Voice Vote. (consideration: CR S4425-4426; text: CR S4425-4426)

    U.S. Senate

Show full history (13 earlier events)
  1. Jul 16, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  2. Jul 16, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  3. Jul 16, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  4. Jul 16, 2026

    Placed on Senate Legislative Calendar Under General Orders. Calendar No. 461.

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 461.

    U.S. Senate

  5. Jun 17, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  6. Jun 17, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  7. Jun 17, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  8. Jun 17, 2026

    In committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

    U.S. Senate

  9. Jun 16, 2026

    Introduced

    Introduced in U.S. Senate

    U.S. Senate

  10. Apr 30, 2026

    Introduced

    Introduced in Senate

    U.S. Senate

  11. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  12. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  13. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Read the record