[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8205 Introduced in House (IH)]

<DOC>






119th CONGRESS
  2d Session
                                H. R. 8205

 To amend the Accelerating Access to Critical Therapies for ALS Act to 
 reauthorize the provisions of such Act through fiscal year 2031, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 6, 2026

  Mr. Quigley (for himself and Mr. Calvert) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the Accelerating Access to Critical Therapies for ALS Act to 
 reauthorize the provisions of such Act through fiscal year 2031, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Accelerating Access to Critical 
Therapies for ALS Reauthorization Act of 2026''.

SEC. 2. REAUTHORIZATION OF ACCELERATING ACCESS TO CRITICAL THERAPIES 
              FOR ALS ACT.

    (a) In General.--Section 7 of the Accelerating Access to Critical 
Therapies for ALS Act (Public Law 117-79) is amended by striking 
``2026'' and inserting ``2031''.
    (b) Grants for ALS Research.--Section 2(f) of the Accelerating 
Access to Critical Therapies for ALS Act (21 U.S.C. 360ee note) is 
amended by striking ``2026'' and inserting ``2031''.
    (c) Sense of Congress.--The Committee on Energy and Commerce of the 
House of Representatives expresses support for directly appropriating 
funds to carry out each section of the Accelerating Access to Critical 
Therapies for ALS Act (Public Law 117-79).

SEC. 3. IMPROVEMENTS TO PROGRAM FOR GRANTS FOR RESEARCH ON THERAPIES 
              FOR ALS.

    (a) Clinical Trial Status Review.--Section 2(b) of the Accelerating 
Access to Critical Therapies for ALS Act (21 U.S.C. 360ee note) is 
amended by adding at the end the following:
            ``(4) Clinical trial status review.--
                    ``(A) In general.--In reviewing applications for 
                renewals of a grant awarded under this section with 
                respect to an investigational drug, the Secretary shall 
                assess the status of a clinical trial carried out for 
                such drug with respect to data on enrollment of 
                patients in such clinical trial.
                    ``(B) Interim clinical trial data.--To enable the 
                Secretary to make the assessment under subparagraph (A) 
                with respect to an investigational drug, the Secretary 
                shall request that the manufacturer of the 
                investigational drug share interim clinical trial data 
                with respect to such drug with the Secretary.''.
    (b) Clarifying Participating Clinical Trial Definition.--Section 
2(e) of the Accelerating Access to Critical Therapies for ALS Act (21 
U.S.C. 360ee note) is amended by adding at the end the following:
            ``(4) The term `phase 3', with respect to a clinical trial, 
        includes a phase 2/3 combined trial and a planned phase 3 
        clinical trial that is not yet enrolling participants.''.

SEC. 4. REPORT ON ALS AND OTHER RARE NEURODEGENERATIVE DISEASE ACTION 
              PLANS.

    Section 4 of the Accelerating Access to Critical Therapies for ALS 
Act (21 U.S.C. 360aa note) is amended by adding at the end the 
following:
    ``(c) Report on ALS and Other Rare Neurodegenerative Disease Action 
Plans.--Not later than one year after the date of enactment of the 
Accelerating Access to Critical Therapies for ALS Reauthorization Act 
of 2026, the Commissioner of Food and Drugs shall publish on the 
website of the Food and Drug Administration a report that contains--
            ``(1) an updated action plan, including--
                    ``(A) a description of the actions the Food and 
                Drug Administration intends to take during the 5-year 
                period following publication of the plan with respect 
                to the program enhancements, policy development, 
                regulatory science initiatives, and other appropriate 
                initiatives described in subsection (a);
                    ``(B) a description of the resources necessary to 
                implement each section of the plan within such 5-year 
                period; and
                    ``(C) specific approaches the Commissioner will 
                take to improve coordination of implementation of the 
                plan with rare neurodegenerative disease communities 
                that are not specifically ALS communities; and
            ``(2) with respect to the Action Plan for Rare 
        Neurodegenerative Diseases including Amyotrophic Lateral 
        Sclerosis (ALS) published by the Food and Drug Administration 
        on June 23, 2022 (referred to in this section as the `2022 
        Action Plan'), a description of--
                    ``(A) the actions taken by the Food and Drug 
                Administration under the 2022 Action Plan;
                    ``(B) the effect of the implementation of the 2022 
                Action Plan on the development of therapies and 
                regulatory consideration of therapies for ALS and other 
                rare neurodegenerative diseases;
                    ``(C) any programs and initiatives that established 
                or carried out as part of the implementation of the 
                2022 Action Plan; and
                    ``(D) the extent to which the 2022 Action Plan was 
                implemented with respect to rare neurodegenerative 
                diseases that are not amyotrophic lateral sclerosis.''.

SEC. 5. GAO REPORT.

    Not later than 4 years after the date of enactment of this Act, the 
Comptroller General of the United States shall submit to the Committee 
on Energy and Commerce of the House of Representatives and the 
Committee on Health, Education, Labor, and Pensions of the Senate a 
report containing the analyses and data described in section 6 of the 
Accelerating Access to Critical Therapies for ALS Act (Public Law 117-
79) (as in effect on the date of enactment of this Act).
                                 <all>