PASTEUR Act of 2026
Sponsored By: Representative Rep. Carter, Earl L. "Buddy" [R-GA-1]
Introduced
Summary
Guarantee commercial supply of critical new antimicrobials. This bill creates a federal subscription-style program that pays makers of qualifying antibiotics and antifungals to keep them available in the U.S. while requiring stewardship, reporting, and postmarket studies.
Show full summary
- Patients and families: Improves access to drugs that treat pathogens on the CDC's urgent or serious threat list and pushes better diagnostic use and public reporting so treatments match infections.
- Hospitals, clinics, and public health: Funds grants and pilots for antimicrobial stewardship and resistance surveillance, with priority for rural, critical access, tribal-serving, and safety-net sites and an outpatient pilot focused on urgent care and retail clinics.
- Drug developers and sponsors: Offers annual contract payments ranging from $75 million to $300 million, adjusted for inflation and reduced by U.S. sales, with contracts lasting up to 10 years and tied to approval, scoring, and compliance rules.
*Provides $6.0 billion in federal funding for fiscal year 2026 to support contracts, grants, and surveillance.*
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Federal contracts to secure key drugs
If enacted, HHS would be able to sign long-term contracts with drug makers to keep important antibiotics and antifungals available in the U.S. Contracts would run up to 10 years after approval or end earlier if a related marketed product appears. Each contract would trigger annual payments to the sponsor between $75 million and $300 million, adjusted by inflation, and those payments would be reduced by the sponsor's net U.S. sales in the prior 12 months. Sponsors would need to apply within two years of FDA approval, meet postmarket obligations, and risk payment termination for market withdrawal or material noncompliance. The bill would also provide $6.0 billion to HHS for fiscal year 2026 to run these programs, with up to 6.5 percent usable for stewardship and surveillance grants.
Grants and data to improve antibiotic use
If enacted, CDC would set up grants and programs to improve antibiotic and antifungal use and tracking. Within one year the CDC would offer facility grants to hospitals, nursing homes, and other care sites, prioritizing places without stewardship programs and rural, critical-access, Tribal-serving, and safety-net hospitals. Within two years the Secretary would start a pilot grant program for outpatient settings like urgent care and retail clinics, with a report to Congress within five years. The bill would also expand surveillance using the NHSN and other systems to collect data on infections, drug use, and resistance to help public-health response.
New expert advisory group for antimicrobials
If enacted, HHS would create a 15-member Critical Need Antimicrobial Advisory Group within 60 days to advise on eligible drugs and related rules. The group would include infectious disease doctors, experts, and patient advocates. Members could not take pay from for-profit antimicrobial developers while serving and must be recused from matters that affect their financial interests. The group would follow the Federal Advisory Committee Act rules, with one statutory termination rule excluded.
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Sponsors & CoSponsors
Sponsor
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Cosponsors
Peters
CA • D
Sponsored 2/4/2026
Langworthy
NY • R
Sponsored 2/4/2026
Rep. Levin, Mike [D-CA-49]
CA • D
Sponsored 2/4/2026
Rep. Carey, Mike [R-OH-15]
OH • R
Sponsored 2/4/2026
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 2/9/2026
Rep. Ross, Deborah K. [D-NC-2]
NC • D
Sponsored 2/9/2026
Rep. Sewell, Terri A. [D-AL-7]
AL • D
Sponsored 2/9/2026
Smith (NJ)
NJ • R
Sponsored 2/9/2026
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 2/10/2026
Rep. Houlahan, Chrissy [D-PA-6]
PA • D
Sponsored 2/10/2026
Rep. Auchincloss, Jake [D-MA-4]
MA • D
Sponsored 2/24/2026
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 3/5/2026
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 3/12/2026
Valadao
CA • R
Sponsored 3/12/2026
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 3/24/2026
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 3/24/2026
Roll Call Votes
No roll call votes available for this bill.
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