[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 3346 Introduced in Senate (IS)]

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119th CONGRESS
  1st Session
                                S. 3346

To establish a special registration under the Controlled Substances Act 
 for schedule I eligible investigational drugs under the Federal Right 
                              to Try law.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            December 4, 2025

 Mr. Booker (for himself and Mr. Paul) introduced the following bill; 
  which was read twice and referred to the Committee on the Judiciary

_______________________________________________________________________

                                 A BILL


 
To establish a special registration under the Controlled Substances Act 
 for schedule I eligible investigational drugs under the Federal Right 
                              to Try law.

    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 ``Freedom to Heal Act of 2025''.

SEC. 2. SPECIAL REGISTRATION REQUIREMENTS RELATED TO RIGHT TO TRY.

    Section 303 of the Controlled Substances Act (21 U.S.C. 823) is 
amended by adding at the end the following:
    ``(p) Special Registration for Schedule I Eligible Investigational 
Drugs Under Right to Try.--
            ``(1) Definitions.--In this subsection, the terms `eligible 
        investigational drug' and `eligible patient' have the meanings 
        given those terms in section 561B of the Federal Food, Drug, 
        and Cosmetic Act (21 U.S.C. 360bbb-0a).
            ``(2) Special registration process.--The Attorney General 
        shall register physicians to directly administer eligible 
        investigational drugs in schedule I to eligible patients under 
        section 561B of the Federal Food, Drug, and Cosmetic Act (21 
        U.S.C. 360bbb-0a) in accordance with paragraphs (3) through (8) 
        of this subsection.
            ``(3) Requirements.--
                    ``(A) Application.--A physician desiring a 
                registration to directly administer an eligible 
                investigational drug as described in paragraph (2) 
                shall submit to the Attorney General an application 
                containing--
                            ``(i) evidence of a valid registration to 
                        dispense or administer controlled substances in 
                        schedules II through V;
                            ``(ii) evidence of compliance with section 
                        561B of the Federal Food, Drug, and Cosmetic 
                        Act (21 U.S.C. 360bbb-0a), including--
                                    ``(I) documentation from the 
                                manufacturer or sponsor verifying the 
                                investigational drug in schedule I is 
                                an eligible investigational drug;
                                    ``(II) an agreement from the 
                                manufacturer or sponsor to supply the 
                                eligible investigational drug, along 
                                with guidance on its administration, to 
                                the requesting physician for the 
                                treatment of eligible patients; and
                                    ``(III) an affirmation that the 
                                physician will only directly administer 
                                the eligible investigational drug to 
                                treat eligible patients in a manner 
                                consistent with the guidance provided 
                                by the manufacturer or sponsor;
                            ``(iii) the quantity of the eligible 
                        investigational drug to be supplied by the 
                        manufacturer or sponsor to the physician to 
                        treat eligible patients;
                            ``(iv) evidence that the physician may 
                        treat eligible patients with eligible 
                        investigational drugs under the laws of the 
                        State in which the treatment will take place;
                            ``(v) evidence of training, credentials, or 
                        experience relevant to treating patients with 
                        the eligible investigational drug;
                            ``(vi) a description of the site at which 
                        the physician intends to store and administer 
                        the eligible investigational drug; and
                            ``(vii) any additional information the 
                        Attorney General determines necessary to 
                        prevent diversion.
                    ``(B) Approval.--Not later than 45 days after 
                receiving an application containing the information 
                required under subparagraph (A), the Attorney General 
                shall--
                            ``(i) register the applicant; or
                            ``(ii) serve an order to show cause upon 
                        the applicant in accordance with section 
                        304(c).
            ``(4) Electronic submissions.--The Attorney General shall 
        provide a means for a physician to submit an application under 
        paragraph (3)(A) electronically.
            ``(5) Limitation on amounts.--A physician treating eligible 
        patients with an eligible investigational drug in schedule I 
        under this subsection may only possess the amounts of the 
        eligible investigational drug identified in--
                    ``(A) the application submitted to the Attorney 
                General under paragraph (3)(A); or
                    ``(B) a supplemental notification that the 
                physician may submit to the Attorney General if the 
                physician needs additional amounts of the eligible 
                investigational drug for the treatment of eligible 
                patients, which supplemental notification--
                            ``(i) shall include--
                                    ``(I) the name of the physician;
                                    ``(II) the additional quantity of 
                                the eligible investigational drug 
                                needed; and
                                    ``(III) an attestation that the 
                                treatment with the eligible 
                                investigational drug is consistent with 
                                the scope of treatment that was the 
                                subject of the application under 
                                paragraph (3)(A); and
                            ``(ii) shall be deemed approved on the date 
                        that is 30 days after the date on which the 
                        physician submits the supplemental notification 
                        to the Attorney General, unless the Attorney 
                        General serves an order to show cause upon the 
                        applicant in accordance with section 304(c).
            ``(6) Single registration for related treatment sites.--A 
        physician may treat eligible patients with an eligible 
        investigational drug in schedule I under a single registration 
        under this subsection if--
                    ``(A) the treatment occurs exclusively on sites all 
                of which are--
                            ``(i) within the same city or county; and
                            ``(ii) under the control of the same 
                        institution, organization, or agency; and
                    ``(B) before commencing the treatment, the 
                physician notifies the Attorney General of each site 
                where the eligible investigational drug will be stored 
                or administered in accordance with paragraph 
                (3)(A)(vi).
            ``(7) Rulemaking.--Notwithstanding the requirements of 
        section 553 of title 5, United States Code, not later than 240 
        days after the date of enactment of this subsection, the 
        Attorney General shall issue an interim final rule to implement 
        this subsection, including with respect to--
                    ``(A) the manner in which an eligible 
                investigational drug may be delivered to an approved 
                registrant;
                    ``(B) the storage and security of an eligible 
                investigational drug;
                    ``(C) the maintenance of records for an approved 
                registrant;
                    ``(D) the process for renewal, suspension, or 
                revocation of a registration; and
                    ``(E) any other matters necessary to ensure 
                effective controls against diversion.
            ``(8) Final rule.--Not later than 2 years after issuing an 
        interim final rule under paragraph (7), the Attorney General 
        shall issue a final rule to implement this subsection in 
        accordance with section 553 of title 5, United States Code.''.
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