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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-KEN26238-MTC-22-XY0"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 S4494 IS: American Cures Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2026-05-12</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">II</distribution-code><congress>119th CONGRESS</congress><session>2d Session</session><legis-num>S. 4494</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20260512">May 12, 2026</action-date><action-desc><sponsor name-id="S253">Mr. Durbin</sponsor> (for himself, <cosponsor name-id="S341">Mr. Blumenthal</cosponsor>, <cosponsor name-id="S386">Ms. Duckworth</cosponsor>, and <cosponsor name-id="S390">Mr. Van Hollen</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSAP00">Committee on Appropriations</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To prioritize funding for an expanded and sustained national investment in biomedical research.</official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="S1"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>American Cures Act</short-title></quote>.</text></section><section id="id3137835526ac44828dd8588a4430c52a"><enum>2.</enum><header>Appropriations for Innovation</header><subsection id="id2D6384734F7E4A8D81DCFB3CAA41CE1F"><enum>(a)</enum><header>In general</header><text>There are hereby authorized to be appropriated, and appropriated, out of any monies in the Treasury not otherwise appropriated, the following:</text><paragraph id="id3BF6EFE7F3B54F88A5AB5D5E32E72287"><enum>(1)</enum><header>National Institutes of Health</header><text>For the National Institutes of Health at the Department of Health and Human Services— </text><subparagraph id="id1F8F5961A0B3456BA8ED288404C9A590"><enum>(A)</enum><text>for fiscal year 2027, $52,467,132,000;</text></subparagraph><subparagraph id="idECEA70D436F541F5A8E3FECCDE748BB0"><enum>(B)</enum><text>for fiscal year 2028, $56,507,101,164;</text></subparagraph><subparagraph id="idDB095244021A4A78B22BCD226AEC51AB"><enum>(C)</enum><text>for fiscal year 2029, $60,858,147,954;</text></subparagraph><subparagraph id="idECD916B6ED954E739B2E026035711900"><enum>(D)</enum><text>for fiscal year 2030, $65,544,225,346;</text></subparagraph><subparagraph id="idB7A489A528D249B5BC9D66E300E4A698"><enum>(E)</enum><text>for fiscal year 2031, $70,591,130,698;</text></subparagraph><subparagraph id="id228D3377292E43AFAD3AC4B5D56CA8F6"><enum>(F)</enum><text>for fiscal year 2032, $76,026,647,762;</text></subparagraph><subparagraph id="id97B3E7C4D5DF4C35A30A7902B438F089"><enum>(G)</enum><text>for fiscal year 2033, $81,880,699,640;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id22b2b3bf69e54fbd9053bb3243d8cfb7"><enum>(H)</enum><text display-inline="yes-display-inline">for fiscal year 2034, $88,185,513,512;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idf1a7ea7adc2f4acf803fc1f99b469e71"><enum>(I)</enum><text display-inline="yes-display-inline">for fiscal year 2035, $94,975,798,052;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idccc2d4179ee141e2a08e93a82a579150"><enum>(J)</enum><text>for fiscal year 2036, $102,288,934,502; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC46B65D7B3CF49C3A9F23E6B7A385C65"><enum>(K)</enum><text>for fiscal year 2037 and each fiscal year thereafter, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase (if any), during the previous fiscal year, in the Consumer Price Index for all urban consumers published by the Bureau of Labor Statistics. </text></subparagraph></paragraph><paragraph id="id01F8B08586CB47C9B74590212182565E"><enum>(2)</enum><header>Centers for Disease Control and Prevention</header><text>For the Centers for Disease Control and Prevention at the Department of Health and Human Services— </text><subparagraph id="idFFD38AEA499F4335911B3362BBF097DE"><enum>(A)</enum><text>for fiscal year 2027,$ 9,911,621,307;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id092DFA08419D4FFDB769CAE7E106108A"><enum>(B)</enum><text>for fiscal year 2028, $10,674,816,148;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id0BBD7C46B8684CF2A73CA9DDEFBC639B"><enum>(C)</enum><text>for fiscal year 2029, $11,496,776,991;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id167484B308DE4616BF3C7158F3A9B38F"><enum>(D)</enum><text>for fiscal year 2030, $12,382,028,819;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id09B46D96BED14115A12E315450741C5F"><enum>(E)</enum><text>for fiscal year 2031, $13,335,445,038;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC4DF7FF3E8344521B5399551B4D0CFD9"><enum>(F)</enum><text>for fiscal year 2032, $14,362,274,306;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id038FEB50983C46F1BCE66C1E4769B003"><enum>(G)</enum><text>for fiscal year 2033, $15,468,169,428;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idf84da57ddcf04d3cba6a7c189afa9b9a"><enum>(H)</enum><text display-inline="yes-display-inline">for fiscal year 2034, $16,659,218,474;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id1b5a2a18acac4bac8b3abb2ffd049984"><enum>(I)</enum><text>for fiscal year 2035, $17,941,978,296;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5fdd469f98604307a62fbaecc1b300ee"><enum>(J)</enum><text>for fiscal year 2036, $19,323,510,625; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idF4819D1DC0014C949A4AD5A3A33B929D"><enum>(K)</enum><text>for fiscal year 2037 and each fiscal year thereafter, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase (if any), during the previous fiscal year, in the Consumer Price Index for all urban consumers published by the Bureau of Labor Statistics. </text></subparagraph></paragraph><paragraph id="id0978FABEE83443599ADBA840669E4980"><enum>(3)</enum><header>Research, development, test, and evaluation program of the Department of Defense health program</header><text>For the research, development, test, and evaluation program of the Department of Defense health program— </text><subparagraph id="id2A63BBDE1A3649528DF554E7C788CDBA"><enum>(A)</enum><text>for fiscal year 2027, $2,939,358,093;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id852D3D8DC9CB44849CFBF09CA8D67403"><enum>(B)</enum><text> for fiscal year 2028, $3,165,688,666;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id9C2E0525DEC644A2B32E4960D277B3E1"><enum>(C)</enum><text>for fiscal year 2029, $3,409,451,694;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id11807FC48825499FAC3AAF278AC041CB"><enum>(D)</enum><text>for fiscal year 2030, $3,671,979,474;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idA41C89FD04234519B9BF48FF8F937E2C"><enum>(E)</enum><text>for fiscal year 2031, $3,954,721,894;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id908E786E379149FBBD7C2DAB675CD9C3"><enum>(F)</enum><text>for fiscal year 2032, $4,259,235,480;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id75480C99C96D4DEB9A5FB0EF534606C7"><enum>(G)</enum><text>for fiscal year 2033, $4,587,196,612;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2a83f095ecae48cabc622cf33d53c529"><enum>(H)</enum><text display-inline="yes-display-inline">for fiscal year 2034, $4,940,412,751;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4cb8bf301df24e018eac07c9063bce22"><enum>(I)</enum><text>for fiscal year 2035, $5,320,824,534;</text></subparagraph><subparagraph id="id4626e2c6a069434f983ed01060ee89b5"><enum>(J)</enum><text>for fiscal year 2036, $5,730,508,023; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idBD6114AD2C8242D2B39FE0C776662ACD"><enum>(K)</enum><text>for fiscal year 2037 and each fiscal year thereafter, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase (if any), during the previous fiscal year, in the Consumer Price Index for all urban consumers published by the Bureau of Labor Statistics. </text></subparagraph></paragraph><paragraph id="idECD48ACF047142D0A79B2C9F47161D91"><enum>(4)</enum><header>Medical and prosthetics research program of the Department of Veterans Affairs</header><text>For the medical and prosthetics research program of the Department of Veterans Affairs— </text><subparagraph id="id74EA91BC120243C0B5061ABE260983CD"><enum>(A)</enum><text>for fiscal year 2027, $1,071,765,000;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id20F80ACA75C4429C8267E115241D7DE4"><enum>(B)</enum><text>for fiscal year 2028, $1,096,132,905;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3043D07FAFA649D798F67FCC52F6689A"><enum>(C)</enum><text>for fiscal year 2029, $1,180,535,138;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idF355A55949E843D1A241FC36BDCAD0E0"><enum>(D)</enum><text>for fiscal year 2030, $1,271,436,344;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idAE4963E29BF34364929D2C0EE668902B"><enum>(E)</enum><text>for fiscal year 2031, $1,369,336,942;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idA52765F454E14A9AA1804BECB53C38FF"><enum>(F)</enum><text>for fiscal year 2032, $1,474,775,887;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idF99E175A85A2426DBF1126B2DBA5F63C"><enum>(G)</enum><text>for fiscal year 2033, $1,588,333,630;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id196a8f1981f9451bb357ee33b4dd267f"><enum>(H)</enum><text display-inline="yes-display-inline">for fiscal year 2034, $1,710,636,320;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id86737ba854d14ffb8499b4f1dbe0c083"><enum>(I)</enum><text>for fiscal year 2035, $1,842,355,321;</text></subparagraph><subparagraph id="id5bf5bad115e84a40b21ac019ab688c80"><enum>(J)</enum><text>for fiscal year 2036, $1,984,218,681; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC0A55C880C5F4CD5B6819E204BE7EC38"><enum>(K)</enum><text>for fiscal year 2037 and each fiscal year thereafter, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase (if any), during the previous fiscal year, in the Consumer Price Index for all urban consumers published by the Bureau of Labor Statistics. </text></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idADDD0F8685754456B978A9C06308894F"><enum>(b)</enum><header>Availability</header><text>Amounts appropriated under subsection (a) shall remain available until expended. </text></subsection><subsection commented="no" display-inline="no-display-inline" id="id18E46A2488BC49DAAB18AA54BED30D38"><enum>(c)</enum><header>Definitions</header><text>In this section:</text><paragraph commented="no" display-inline="no-display-inline" id="id8CA651FB2C924C04AA201185D783AAA2"><enum>(1)</enum><header display-inline="yes-display-inline">Centers for Disease Control and Prevention</header><text display-inline="yes-display-inline">The term <term>Centers for Disease Control and Prevention</term> means the appropriations accounts that support the various institutes, offices, and centers that make up the Centers for Disease Control and Prevention.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2415DF47AE3C45CE9E3F8E1E46038740"><enum>(2)</enum><header display-inline="yes-display-inline">Research, development, test, and evaluation program of the Department of Defense health program</header><text display-inline="yes-display-inline">The term <term>research, development, test, and evaluation program of the Department of Defense health program</term> means the appropriations accounts that support the various institutes, offices, and centers that make up the research, development, test, and evaluation program of the Department of Defense health program.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id728706BF154E4F7AA0C038AA8FF1B789"><enum>(3)</enum><header display-inline="yes-display-inline">Medical and prosthetics research program of the Department of Veterans Affairs</header><text display-inline="yes-display-inline">The term <term>medical and prosthetics research program of the Department of Veterans Affairs</term> means the appropriations accounts that support the various institutes, offices, and centers that make up the medical and prosthetics research program of the Department of Veterans Affairs.</text></paragraph><paragraph id="id3f58576ee3db4302b08e3fc9eecef044"><enum>(4)</enum><header>National Institutes of Health</header><text>The term <term>National Institutes of Health</term> means the appropriations accounts that support the various institutes, offices, and centers that make up the National Institutes of Health.</text></paragraph></subsection><subsection id="id1294BCCBEBC44AA2B868C31EFB66C1FE"><enum>(d)</enum><header>Exemption of certain appropriations from sequestration</header><paragraph id="id1C124A3B413C4D408CD45DBD78D3E3FE"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Section 255(g)(1)(A) of the Balanced Budget and Emergency Deficit Control Act (<external-xref legal-doc="usc" parsable-cite="usc/2/905">2 U.S.C. 905(g)(1)(A)</external-xref>) is amended by inserting after <quote>Advances to the Unemployment Trust Fund and Other Funds (16–0327–0–1–600).</quote> the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id3FA09EFBFE3A4F1DA66617B6038E8426"><clause id="id32E0854CB1004EA4B46AD6E504BE876F"><enum/><text>Appropriations under the <short-title>American Cures Act</short-title>.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB268DDF8F2664157AEA6D9887BBD89B2"><enum>(2)</enum><header>Applicability</header><text>The amendment made by this section shall apply to any sequestration order issued under the Balanced Budget and Emergency Deficit Control Act of 1985 (<external-xref legal-doc="usc" parsable-cite="usc/2/900">2 U.S.C. 900 et seq.</external-xref>) on or after the date of enactment of this Act.</text></paragraph></subsection><subsection id="id28ac3f86eea74777b86caa6373bc0978"><enum>(e)</enum><header>Budgetary effects</header><paragraph id="idaebef87de93443cfbb1fd04fbbab090b"><enum>(1)</enum><header>Statutory paygo scorecards</header><text>The budgetary effects of this section shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010 (<external-xref legal-doc="usc" parsable-cite="usc/2/933">2 U.S.C. 933(d)</external-xref>).</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id27e41f9626b34f9b940e50e99ac3d34e"><enum>(2)</enum><header>Senate paygo scorecards</header><text>The budgetary effects of this section shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). </text></paragraph></subsection></section></legis-body></bill> 

