Senate bill · S. 4472 (119th Congress)
Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026
U.S. Senate
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.
- Introduced
- In committee
- Up for a vote
- Passed one chamber
- Passed
- 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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Related bills
As identified by Congress.gov.
Full history
- Aug 10, 2026
Held at the desk.
- Aug 10, 2026
Held at the desk.
- Aug 10, 2026
Message on Senate Action Sent to the House.
Message on Senate action sent to the House.
U.S. Senate
- Aug 10, 2026
Sent to the executive
Received in the House.
U.S. House of Representatives
- 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)Show less history
- 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.
- 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.
- 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.
- 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
- 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.
- 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.
- 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.
- 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
- Jun 16, 2026
Introduced
Introduced in U.S. Senate
U.S. Senate
- Apr 30, 2026
Introduced
Introduced in Senate
U.S. Senate
- Apr 30, 2026
Referred to committee
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Apr 30, 2026
Referred to committee
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Apr 30, 2026
Referred to committee
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Read the record
- Read on Congress.gov (opens in a new tab) The official record on Congress.gov.