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Dying patients get faster access to experimental genetic treatments—if manufacturers agree

H.R. 9190 — Right to Try for Individualized Treatments Act · Filed by Diana Harshbarger (R-TN) · 3 cosponsors · Introduced Jun 8, 2026 · Referred to committee

65%
Transparency
Typical bill: 85%
18/100
Hidden-provision risk
Typical bill: 15/100
Right to Try Expansion for Genomic Medicine

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What it does

This bill expands the FDA's 'Right to Try' law to allow terminally ill or severely debilitated patients to access experimental treatments tailored to their individual genetic profile (genomic-based drugs) without waiting for full FDA approval, provided their doctor certifies they have exhausted approved options and consent in writing. Manufacturers are not required to provide these treatments but may do so if operating in a certified health care facility.

Why we flagged it

The bill's core function is to extend existing Right to Try protections to a new category of experimental treatments—individualized genomic-based drugs—for terminally ill patients. It is a patient-access measure, not a deregulation or industry carve-out.

What the text implies

  • Manufacturers retain absolute discretion to refuse treatment access even if a patient qualifies; the bill creates a right to request, not a right to receive, potentially limiting real-world access.
  • The definition of 'investigational individualized medical treatment' is broad (any drug based on genomic analysis) and could encompass treatments at very early stages of development, increasing safety uncertainty.
  • No requirement for post-treatment data collection or reporting to FDA; individual access pathways may not generate safety signals that would inform broader regulatory decisions.
  • Physicians certifying eligibility face no liability or oversight mechanism if they misrepresent a patient's exhaustion of approved options or prognosis.

Section numbers refer to the bill text the analysis read — linked under Primary records below.

Who it affects

Patients with life-threatening or severely debilitating conditions gain a new pathway to potentially life-saving treatments when standard options have failed, with informed consent and physician oversight. The bill does not weaken FDA oversight of approved drugs or clinical trials—it creates a narrow exception for individualized genomic treatments in terminal cases.

Who stands to gain

  • genomic medicine companies
  • personalized medicine manufacturers
  • biotech firms developing individualized treatments

Named in the bill

FDA, Federal Food, Drug, and Cosmetic Act, Section 561B, Public Health Service Act, eligible health care facilities, manufacturers of investigalized individualized medical treatments

Where it stands

3 cosponsors: 3 Republicans.

  • Jun 8, 2026 — Introduced · Congress.gov: “Introduced in House”
  • Jun 8, 2026 — Referred to House Committee on Energy and Commerce · Congress.gov: “Referred to the House Committee on Energy and Commerce”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

How this was measured

Analysis — Quorum's AI read the bill text published by Congress.gov (5,628 characters) on Aug 17, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.

Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.

As of — page rendered 2026-10-20.

“Dying patients get faster access to experimental genetic treatments—if manufacturers agree” QuorumCivic. https://share.quorumcivic.app/bill/119/hr9190 Report an error

Correlative observation from public records — not evidence of coordination or wrongdoing, and not financial advice.
This page is the record as of today. The app tells you when it changes.
Quorum analysis of the full bill text · 119th Congress · public record

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