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Right to Try for Individualized Treatments Act

Introduced Jun 8, 2026 · Last action Jun 8, 2026 Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

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Summary

This legislation is called the Right to Try for Individualized Treatments Act. It is being reviewed by a committee.

Full bill text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 4698 Introduced in Senate (IS)]

<DOC>

119th CONGRESS
  2d Session
                                S. 4698

To amend the Federal Food, Drug, and Cosmetic Act to authorize the use
   of investigational individualized medical treatments by patients
  diagnosed with a life-threatening disease or condition or severely
             debilitating illness, and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                              June 8, 2026

 Mr. Johnson (for himself and Mr. Tuberville) introduced the following
  bill; which was read twice and referred to the Committee on Health,
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

To amend the Federal Food, Drug, and Cosmetic Act to authorize the use
   of investigational individualized medical treatments by patients
  diagnosed with a life-threatening disease or condition or severely
             debilitating illness, and for other purposes.

    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 ``Right to Try for Individualized
Treatments Act''.

SEC. 2. USE OF INVESTIGATIONAL INDIVIDUALIZED MEDICAL TREATMENTS BY
              PATIENTS DIAGNOSED WITH A LIFE-THREATENING DISEASE OR
              CONDITION OR SEVERELY DEBILITATING ILLNESS.

    (a) Definitions.--Section 561B(a) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 360bbb-0a(a)) is amended--
            (1) by amending paragraph (1) to read as follows:
            ``(1) the term `eligible patient' means--
                    ``(A) in the case of a patient requesting an
                eligible investigational drug, a patient who has--
                            ``(i) been diagnosed with a life-
                        threatening disease or condition (as defined in
                        section 312.81 of title 21, Code of Federal
                        Regulations (or any successor regulations));
                            ``(ii) exhausted approved treatment options
                        and is unable to participate in a clinical
                        trial involving the eligible investigational
                        drug, as certified by a physician, who--
                                    ``(I) is in good standing with the
                                physician's licensing organization or
                                board; and
                                    ``(II) will not be compensated
                                directly by the manufacturer of such
                                drug for so certifying; and
                            ``(iii) provided to the treating physician
                        written informed consent regarding the eligible
                        investigational drug, or, as applicable, on
                        whose behalf a legally authorized
                        representative of the patient has provided such
                        consent; or
                    ``(B) in the case of a patient requesting an
                investigational individualized medical treatment, a
                patient who has--
                            ``(i) been diagnosed with a life-
                        threatening disease or condition or severely
                        debilitating illness (as such terms are defined
                        in section 312.81 of title 21, Code of Federal
                        Regulations (or any successor regulations));
                            ``(ii) considered approved treatment
                        options, as certified by a physician, who--
                                    ``(I) is in good standing with the
                                physician's licensing organization or
                                board;
                                    ``(II) will not be compensated
                                directly by the manufacturer of such
                                treatment for so certifying; and
                                    ``(III) attests to the patient's
                                life-threatening disease or condition
                                or severely debilitating illness; and
                            ``(iii) provided to the treating
                        physician--
                                    ``(I) written informed consent
                                regarding the eligible investigational
                                drug or, as applicable, on whose behalf
                                a legally authorized representative of
                                the patient has provided such consent;
                                or
                                    ``(II) as applicable, additional
                                informed consent, regarding the
                                investigational individualized medical
                                treatment, or, as applicable, on whose
                                behalf a legally authorized
                                representative of the patient has
                                provided such consent;'';
            (2) in paragraph (2)(D), by striking ``and'' at the end;
            (3) in paragraph (3), by striking the period at the end and
        inserting a semicolon; and
            (4) by adding at the end the following:
            ``(4) the term `eligible health care facility' means a
        health care facility that is operating under the Federal
        assurance for protection of human subjects pursuant to section
        491(a) of the Public Health Service Act;
            ``(5) the term `investigational individualized medical
        treatment' means a drug or biological product for the patient
        based on an analysis of the patient's unique genomic profile,
        including their genomic sequence, human chromosomes,
        deoxyribonucleic acid, genes, gene products (such as enzymes
        and other types of proteins), or metabolites; and
            ``(6) the term `additional informed consent' means consent
        attested to in writing by the patient's physician and a witness
        for an investigational individualized medical treatment that
        includes--
                    ``(A) an explanation of the currently approved
                treatments for the patient's disease or condition;
                    ``(B) the patient's attestation that the patient
                concurs with the assessment of their physician that all
                currently approved and conventionally recognized
                treatments are unlikely to prolong or improve their
                life;
                    ``(C) clear identification of the specific proposed
                investigational individualized medical treatment the
                patient's physician recommends; and
                    ``(D) a description, based on the physician's
                knowledge of the proposed treatment and the patient's
                disease, of the potential outcomes of the treatment.''.
    (b) Eligibility for Investigational Individualized Medical
Treatment.--Section 561B of such Act (21 U.S.C. 360bbb-0a) is amended--
            (1) by redesignating subsections (b) through (d) as
        subsections (c) through (e), respectively; and
            (2) by inserting after subsection (a) the following:
    ``(b) Eligibility for Investigational Individualized Medical
Treatment.--A manufacturer of an investigational individualized medical
treatment that is in compliance with all applicable Federal assurance
laws and regulations and is operating within an eligible health care
facility may make available such investigational individualized medical
treatment, and an eligible patient may request access to such treatment
from the eligible health care facility or manufacturer of such
treatment, consistent with the requirements of this section. A
manufacturer of an investigational individualized medical treatment is
not required to make available such treatment to any patient.''.
    (c) Exemptions.--Section 561B(c) of such Act (21 U.S.C. 360bbb-
0a(c)), as redesignated by subsection (b)(1) of this section, is
amended--
            (1) by inserting ``and investigational individualized
        medical treatments'' after ``Eligible investigational drugs'';
            (2) by inserting ``or investigational individualized
        medical treatment'' after ``such eligible investigational
        drug'';
            (3) by inserting ``or investigational individualized
        medical treatment'' after ``an eligible investigational drug'';
        and
            (4) by inserting ``or investigational individualized
        medical treatments'' after ``investigational drugs''.
    (d) Conforming Amendments.--Section 561B of such Act (21 U.S.C.
360bbb-0a) is amended--
            (1) in the section heading, by inserting ``and
        investigational individualized medical treatments'' after
        ``drugs''; and
            (2) in subsection (e)(2), as redesignated by subsection
        (b)(1) of this section--
                    (A) in subparagraph (A), by striking ``subsection
                (c)(1)(A)'' and inserting ``subsection (d)(1)(A)''; and
                    (B) in subparagraph (B), by striking ``subsection
                (c)(1)(B)'' and inserting ``subsection (d)(1)(B)''.
                                 <all>

Official legislative text sourced from the public record (cached on CivicsHQ).

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Status

In Committee

  1. 1Introduced
  2. 2Committee
  3. 3Floor
  4. 4Passed
  5. 5Signed

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