United States · Bill · HR
H.R. 4408 (118th)
Promising Pathway Act
Introduced
30 June 2023
Last action
7 July 2023 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Mike Gallagher, Rep. Quigley, Mike [D-IL-5], Rep. Westerman, Bruce [R-AR-4], Eric Swalwell, Rep. Fitzpatrick, Brian K. [R-PA-1], Anthony D'Esposito, Dean Phillips, Rep. Wilson, Joe [R-SC-2], Rep. Gottheimer, Josh [D-NJ-5], Rep. Frankel, Lois [D-FL-22], Mike Garcia
Subjects
Healthcare
Source updated
5 December 2025
Summary
Promising Pathway Act This bill provides for expedited, provisional approval of drugs for serious or life-threatening diseases or conditions. Specifically, the bill allows for provisional approval of drugs that are used to treat, prevent, or diagnose a serious or life-threatening disease or condition for which premature death is likely without early medical intervention. The Food and Drug Administration (FDA) must evaluate applications within 90 days of receipt. The FDA may approve applications if there is early evidence, including real-world and real-time evidence, of the drug's efficacy, as well as substantial evidence of the drug's safety. Provisional approval is valid for two years and may be renewed for up to eight years. The FDA may withdraw provisional approval in the event of serious adverse health effects. Drug sponsors that receive provisional approval must require all patients receiving the drug to participate in an observational registry, through which the drug sponsor may collect and submit data relating to the drug until it is fully approved. Registries may be operated by the drug sponsor or another entity. The FDA must annually review these registries; sponsors of registries that fail to meet the bill's requirements are subject to civil penalties.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
30 June 2023
Introduced
Introduced in House
Source: IntroReferral
30 June 2023
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
30 June 2023
Introduced
Introduced in House
Source: IntroReferral
7 July 2023
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 30 June 2023 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 30 June 2023
Introduced in House (PDF)
Introduced in House · EN · 30 June 2023
Introduced in House
summary · EN · 30 June 2023
Sponsors
- Mike Gallagher · R · Sponsor
- Rep. Quigley, Mike [D-IL-5] · D · Sponsor
- Rep. Westerman, Bruce [R-AR-4] · R · Sponsor
- Eric Swalwell · D · Sponsor
- Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Sponsor
- Anthony D'Esposito · R · Cosponsor
- Dean Phillips · D · Cosponsor
- Rep. Wilson, Joe [R-SC-2] · R · Cosponsor
- Rep. Gottheimer, Josh [D-NJ-5] · D · Cosponsor
- Rep. Frankel, Lois [D-FL-22] · D · Cosponsor
- Mike Garcia · R · Cosponsor
- · hsif00 · Standing
Related records
- related to → Promising Pathway Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/house-bill/4408
- Open data entity: https://api.congress.gov/v3/bill/118/hr/4408
- us · 118-hr-4408 · source updated 5 December 2025