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<dc:title>119 HR 8205 IH: Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2026-04-06</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 8205</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20260406">April 6, 2026</action-date><action-desc><sponsor name-id="Q000023">Mr. Quigley</sponsor> (for himself and <cosponsor name-id="C000059">Mr. Calvert</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">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.</official-title></form><legis-body id="H0AAD77FA6E20489F95FF066B9F1321E5" style="OLC"> 
<section id="HA3B4C45621684E14A0F35630BF4F51E8" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026</short-title></quote>.</text></section> <section id="HAF146467D1CA45B1B63DBE6A6334864E"><enum>2.</enum><header>Reauthorization of Accelerating Access to Critical Therapies for ALS Act</header> <subsection id="HEB2DE92A49E34E4280B312D0306D3490"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 7 of the Accelerating Access to Critical Therapies for ALS Act (<external-xref legal-doc="public-law" parsable-cite="pl/117/79">Public Law 117–79</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2031</quote>.</text></subsection> 
<subsection id="HE7635DB3994E4ED9B19AFC79320B046C"><enum>(b)</enum><header>Grants for ALS research</header><text display-inline="yes-display-inline">Section 2(f) of the Accelerating Access to Critical Therapies for ALS Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360ee">21 U.S.C. 360ee</external-xref> note) is amended by striking <quote>2026</quote> and inserting <quote>2031</quote>.</text></subsection> <subsection id="HFBF51063CFAC4DC99FE673DBF765399F" commented="no"><enum>(c)</enum><header>Sense of Congress</header><text display-inline="yes-display-inline">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 (<external-xref legal-doc="public-law" parsable-cite="pl/117/79">Public Law 117–79</external-xref>).</text></subsection></section> 
<section id="H0FC1F290F7FE497F81CC49BEB4921020"><enum>3.</enum><header>Improvements to program for grants for research on therapies for ALS</header> 
<subsection id="H5FDAA4759B534146B67F849DDC0DA881"><enum>(a)</enum><header>Clinical trial status review</header><text display-inline="yes-display-inline">Section 2(b) of the Accelerating Access to Critical Therapies for ALS Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360ee">21 U.S.C. 360ee</external-xref> note) is amended by adding at the end the following:</text> <quoted-block style="OLC" id="HD56631272EC344139004DBFF8DE7024C" display-inline="no-display-inline"> <paragraph id="H83B1747078DB4D8694B2C6460F2F0AA6"><enum>(4)</enum><header>Clinical trial status review</header> <subparagraph id="HBF53974BABA34C7A8E6B1812910C6305"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text></subparagraph> 
<subparagraph id="H50851FB02E54419D9AC19628048E1BB9"><enum>(B)</enum><header>Interim clinical trial data</header><text display-inline="yes-display-inline">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.</text> </subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection> <subsection id="H39F75638F7524B32BC913363C4482E61"><enum>(b)</enum><header>Clarifying participating clinical trial definition</header><text display-inline="yes-display-inline">Section 2(e) of the Accelerating Access to Critical Therapies for ALS Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360ee">21 U.S.C. 360ee</external-xref> note) is amended by adding at the end the following:</text> 
<quoted-block style="OLC" id="HA03CD4CB75CC4EA8AB927F135E3B24D8" display-inline="no-display-inline"> 
<paragraph id="HFBD85A00079847738F4D32981D7ADC72">
            <enum>(4)</enum>
 <text display-inline="yes-display-inline">The term <quote>phase 3</quote>, 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.</text>
          </paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section> 
<section id="H40FB42991AF64F24AEB10ABD7C825E32"><enum>4.</enum><header>Report on ALS and other rare neurodegenerative disease action plans</header><text display-inline="no-display-inline">Section 4 of the Accelerating Access to Critical Therapies for ALS Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360aa">21 U.S.C. 360aa</external-xref> note) is amended by adding at the end the following:</text> <quoted-block style="OLC" id="H1ED1A6185B6D48EB8D7C0AC2B0909787" display-inline="no-display-inline"> <subsection id="H14A3186BF7214131A4E356E07D9B0C31"><enum>(c)</enum><header>Report on ALS and other rare neurodegenerative disease action plans</header><text>Not later than one year after the date of enactment of the <short-title>Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026</short-title>, the Commissioner of Food and Drugs shall publish on the website of the Food and Drug Administration a report that contains—</text> 
<paragraph id="H0886C157B96D45A884C84B6A8880ABF9"><enum>(1)</enum><text>an updated action plan, including—</text> <subparagraph id="H53C5505C57C04A30BCBB29707F58718D"><enum>(A)</enum><text>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);</text></subparagraph> 
<subparagraph id="HE42553B524664C75B37E64C6D343B0E4"><enum>(B)</enum><text display-inline="yes-display-inline">a description of the resources necessary to implement each section of the plan within such 5-year period; and</text></subparagraph> <subparagraph id="HFE6FF326A9AC4F06A2D4A1A1CE273E8E"><enum>(C)</enum><text display-inline="yes-display-inline">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</text></subparagraph></paragraph> 
<paragraph id="H7D4668DC2DBE40D5B4E5B9268811243F"><enum>(2)</enum><text display-inline="yes-display-inline">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 <quote>2022 Action Plan</quote>), a description of—</text> <subparagraph id="H18C650E641084CD187842A9EE871C368"><enum>(A)</enum><text display-inline="yes-display-inline">the actions taken by the Food and Drug Administration under the 2022 Action Plan;</text></subparagraph> 
<subparagraph id="HF745B91BA7EB456A8F8EC3E3EEFD1C78" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">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;</text></subparagraph> <subparagraph id="HD4E8EF1098414040934CEF9044F1A0EF"><enum>(C)</enum><text display-inline="yes-display-inline">any programs and initiatives that established or carried out as part of the implementation of the 2022 Action Plan; and</text></subparagraph> 
<subparagraph id="H373389F3969540828C645A44CCCE1458"><enum>(D)</enum><text display-inline="yes-display-inline">the extent to which the 2022 Action Plan was implemented with respect to rare neurodegenerative diseases that are not amyotrophic lateral sclerosis.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section> <section id="HF0CAB19B30CD44DCA576B17C49A4A1EA" commented="no"><enum>5.</enum><header>GAO report</header><text display-inline="no-display-inline">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 (<external-xref legal-doc="public-law" parsable-cite="pl/117/79">Public Law 117–79</external-xref>) (as in effect on the date of enactment of this Act).</text></section> 
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