S. 4472

119th Congress

Introduced

Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026

Sponsored byRepublican:Sen. Murkowski, Lisa [R-AK]AK· Introduced 30 avril 2026

15

Cosponsors

11

Actions

0

Amendments

1

Committees

Since introduced

Introduced
Committee
Passed Chamber
Passed Both
Enacted
Step 0 of 0
Latest action

Held at the desk.

10 août 2026·2 days ago

Summary

Reported to Senate · Updated 27 juillet 2026

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. 

Timeline

11 actions

  1. Received in the House.

    10 août 2026 · Floor

  2. Held at the desk.

    10 août 2026 · Floor

  3. Message on Senate action sent to the House.

    10 août 2026 · Floor

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

    4 août 2026 · Floor

  5. Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

    4 août 2026 · Floor

  6. Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

    4 août 2026 · Floor

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

    4 août 2026 · Floor

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

    16 juillet 2026 · Committee

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

    16 juillet 2026 · Committee

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

    16 juillet 2026 · Committee

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

    16 juillet 2026 · Committee

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

    16 juillet 2026 · Calendars

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

    16 juillet 2026 · Committee

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

    16 juillet 2026 · Calendars

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

    16 juillet 2026 · Committee

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

    17 juin 2026 · Committee

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

    17 juin 2026 · Committee

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

    17 juin 2026 · Committee

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

    17 juin 2026 · Committee

  20. Introduced in Senate

    30 avril 2026 · IntroReferral

Sponsorship

15 cosponsors

Sponsor

Republican:Sen. Murkowski, Lisa [R-AK]AK

Cosponsors

  • Democrat853%
  • Republican747%

Classification

Policy area

Health

Committees

1

  • Health, Education, Labor, and Pensions Committee

    Senate · Standing

    • Referred To30 Apr 2026
    • Markup By17 Jun 2026
    • Reported By16 Jul 2026

Cosponsor momentum

Cumulative over time

Cosponsors grew from 1 on 30 avril 2026 to 15 on 23 juillet 2026.

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