[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 4109 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 443
119th CONGRESS
  2d Session
                                S. 4109

To reauthorize the Stem Cell Therapeutic and Research Act of 2005, and 
                          for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 17, 2026

Mr. Reed (for himself, Mr. Scott of South Carolina, Ms. Smith, and Mr. 
   Lankford) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                             June 22, 2026

               Reported by Mr. Cassidy, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
To reauthorize the Stem Cell Therapeutic and Research Act of 2005, and 
                          for other purposes.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Stem Cell Therapeutic and 
Research Reauthorization Act of 2026''.</DELETED>

<DELETED>SEC. 2. REAUTHORIZATION OF THE C.W. BILL YOUNG CELL 
              TRANSPLANTATION PROGRAM.</DELETED>

<DELETED>    Section 379B of the Public Health Service Act (42 U.S.C. 
274m) is amended--</DELETED>
        <DELETED>    (1) by striking ``appropriated $31,009,000'' and 
        inserting the following: ``appropriated--</DELETED>
        <DELETED>    ``(1) $31,009,000'';</DELETED>
        <DELETED>    (2) in paragraph (1), as so inserted, by striking 
        the period at the end and inserting ``; and''; and</DELETED>
        <DELETED>    (3) by adding at the end the following:</DELETED>
        <DELETED>    ``(2) $33,009,000 for each of fiscal years 2027 
        through 2031.''.</DELETED>

<DELETED>SEC. 3. CORD BLOOD INVENTORY.</DELETED>

<DELETED>    Section 2(g) of the Stem Cell Therapeutic and Research Act 
of 2005 (42 U.S.C. 274k note) is amended by striking ``2026'' and 
inserting ``2031''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stem Cell Therapeutic and Research 
Reauthorization Act of 2026''.

SEC. 2. REAUTHORIZATION OF THE C.W. BILL YOUNG CELL TRANSPLANTATION 
              PROGRAM.

    Section 379B of the Public Health Service Act (42 U.S.C. 274m) is 
amended--
            (1) by striking ``appropriated $31,009,000'' and inserting 
        the following: ``appropriated--
            ``(1) $31,009,000'';
            (2) in paragraph (1), as so inserted, by striking the 
        period at the end and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(2) $33,009,000 for each of fiscal years 2027 through 
        2031.''.

SEC. 3. CORD BLOOD INVENTORY.

    Section 2 of the Stem Cell Therapeutic and Research Act of 2005 (42 
U.S.C. 274k note) is amended--
            (1) in subsection (a), by striking ``the inventory goal of 
        at least 150,000 new units of high-quality cord blood'' and 
        inserting ``a sufficient supply, as determined by the 
        Secretary, of high-quality cord blood units'';
            (2) in subsection (c)--
                    (A) in paragraph (2), by striking ``in perpetuity 
                or''; and
                    (B) by amending paragraph (5) to read as follows:
            ``(5) agree to the terms described in subsection (e).'';
            (3) in subsection (d)--
                    (A) in paragraph (1), by striking ``paragraph (2)'' 
                and inserting ``paragraphs (2) and (4)''; and
                    (B) in paragraph (4)--
                            (i) in the heading, by striking ``science'' 
                        and inserting ``available scientific and 
                        clinical evidence''; and
                            (ii) by striking ``the best scientific 
                        information available in order to maximize the 
                        number of cord blood units available'' and 
                        inserting ``current scientific and clinical 
                        information in order to maximize the 
                        availability of high-quality cord blood units 
                        meeting applicable clinical and quality 
                        standards'';
            (4) by redesignating subsections (e) through (g) as 
        subsections (g) through (i), respectively;
            (5) by inserting after subsection (d) the following:
    ``(e) Transfer of Units.--If the Secretary determines through an 
assessment, or through petition by a qualified cord blood bank, that a 
cord blood bank is no longer operational, does not meet clinical and 
quality standards informed by current scientific and clinical 
information, does not meet the requirements for an extension under 
subsection (d), or does not meet the requirements of section 379(d)(4) 
of the Public Health Service Act, and as a result may not distribute 
the units, the Secretary may transfer the units collected by such cord 
blood bank pursuant to this section to another qualified cord blood 
bank or entity approved by the Secretary to ensure continued 
availability of high-quality cord blood units.
    ``(f) Inventory Management.--
            ``(1) In general.--The Secretary, in consultation with the 
        Advisory Council on Blood Stem Cell Transplantation as 
        appropriate, shall manage the size and composition of the 
        National Cord Blood Inventory to maximize clinical utility, 
        ensure genetic diversity, and promote the efficient use of 
        Federal resources.
            ``(2) Considerations.--In carrying out paragraph (1), the 
        Secretary may--
                    ``(A) on the initiative of the Secretary or upon 
                petition by a qualified cord blood bank, make 
                determinations regarding the continued storage of cord 
                blood units based on the best available scientific and 
                clinical evidence; and
                    ``(B) prioritize the collection, retention, or 
                disposition of cord blood units based on scientific, 
                clinical, or operational considerations, as the 
                Secretary determines appropriate.'';
            (6) in subsection (h), as so redesignated--
                    (A) by redesignating paragraphs (4) and (5) as 
                paragraphs (5) and (6), respectively; and
                    (B) by inserting after paragraph (3) the following:
            ``(4) The term `high-quality cord blood unit' means a unit 
        of cord blood that meets current industry standards and 
        requirements of the Food and Drug Administration.''; and
            (7) in subsection (i), as so redesignated, by striking 
        ``2022 through 2026'' and inserting ``2027 through 2031''.

SEC. 4. PERIODIC REVIEW OF STATE OF SCIENCE UNDER THE NATIONAL PROGRAM.

    Section 379(o) of the Public Health Service Act (42 U.S.C. 274k(o)) 
is amended--
            (1) in paragraph (1)--
                    (A) by striking ``Not less'' and inserting 
                ``Beginning 1 year after the date of enactment of the 
                Stem Cell Therapeutic and Research Reauthorization Act 
                of 2026, not less''; and
                    (B) by striking ``and birthing tissues'' and 
                inserting ``, high-quality cord blood units (as defined 
                in section 2(h) of the Stem Cell Therapeutic and 
                Research Act of 2005), and other emergent 
                technologies''; and
            (2) in paragraph (2), by striking ``June 30, 2025'' and 
        inserting ``3 years after the date of enactment of the Stem 
        Cell Therapeutic and Research Reauthorization Act of 2026''.
                                                       Calendar No. 443

119th CONGRESS

  2d Session

                                S. 4109

_______________________________________________________________________

                                 A BILL

To reauthorize the Stem Cell Therapeutic and Research Act of 2005, and 
                          for other purposes.

_______________________________________________________________________

                             June 22, 2026

                       Reported with an amendment