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CIVIC HERALD
HR 8205 · 119th Congress · HouseOther

Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026

In plain language: This bill extends federal funding through 2031 for research grants that give ALS patients access to investigational treatments. It strengthens oversight by requiring grant recipients to promptly report serious unexpected side effects and submit patient safety and effectiveness data when applying for grant renewals. It also makes combined phase 2 and 3 trials eligible for funding and requires the Food and Drug Administration to publish a five-year plan to advance treatments for rare neurodegenerative diseases.

Provisional: our plain-language summary, pending review.

Provisionalunreviewed: impact, issue tags, provisions, stakeholders, summary
People affectedThe bill targets federal agencies, research grant applicants, and clinical trial sponsors, but does not identify a specific count of individuals or patients affected.
Fiscal magnitudeno CBO estimate published
Reach28provisional · pending reviewrigor: heuristic llm
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Issues

What this bill touches.

Spending vs. restraint+25Public R&D+35

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Who it helps

  • ALS and neurodegenerative disease researchers and clinical trial sponsorsExtends federal grant funding authorizations for ALS and neurodegenerative disease research through 2031, and expands trial eligibility to include combined phase 2 and phase 3 clinical trials (Sec. 2, Sec. 3(c)).provisional

Who it burdens

  • ALS drug manufacturers and grant recipientsMust provide enrollment, safety, and efficacy data when applying for grant renewals and are required to promptly report unexpected, serious adverse events from phase 3 trials directly to the grant-making agency (Sec. 3(a), Sec. 3(b)).provisional
  • Food and Drug Administration (FDA)Must publish a five-year action plan for rare neurodegenerative diseases on its website within 18 months of enactment, followed by a progress report within five years (Sec. 4).provisional
  • Department of Health and Human ServicesMust request and assess patient enrollment, safety, and efficacy data from manufacturers or sponsors before renewing experimental ALS drug research grants (Sec. 3(a)).provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

  1. Extends funding authorizations for federal ALS research grants and related neurodegenerative disease programs through 2031.

    Sec. 2provisional
  2. Requires the Department of Health and Human Services to request and review patient enrollment, safety, and available efficacy data before approving grant renewals for experimental ALS drugs.

    Sec. 3(a)provisional
  3. Requires grant recipients to promptly report any unexpected, serious adverse health events from phase 3 trials directly to the grant-making agency.

    Sec. 3(b)provisional
  4. Expands grant eligibility to include combined phase 2 and phase 3 clinical trials that begin patient enrollment within a timeframe set by federal officials.

    Sec. 3(c)provisional
  5. Requires the Food and Drug Administration to publish a five-year action plan for rare neurodegenerative diseases within 18 months, followed by a progress report within five years.

    Sec. 4provisional

How your members of Congress line up

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Timeline

How it moved.

  1. Jul 23, 2026Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 466.
  2. Jul 22, 2026Motion to reconsider laid on the table Agreed to without objection.
  3. Jul 22, 2026On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
  4. Jul 22, 2026Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
  5. Jul 9, 2026Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-733.
  6. Jul 9, 2026Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-733.
  7. May 21, 2026Ordered to be Reported (Amended) by the Yeas and Nays: 46 - 0.
  8. Apr 6, 2026Introduced in House
  9. Apr 6, 2026Introduced in House

The original text

Read it for yourself.

Sources & provenance

Congress.govrefreshed 17 days ago

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