Provisions

• Negotiations on stablecoin yield provisions in the Senate crypto market structure bill have reached 99% resolution, with remaining friction being political rather than technical, according to Senator Cynthia Lummis. • The Senate Banking Committee markup is expected in late April, which creates a narrow window for the bill to complete all five sequential steps before the midterm election cycle begins dominating the floor calendar. • Senator Bernie Moreno warned that if the bill does not advance by May, digital asset legislation may not receive serious consideration again for years, creating urgency for passage.

• U.S. Senate passed its 2026 spending bill including the Mikaela Naylon Give Kids a Chance Act to advance pediatric cancer combination therapies. • Bill features Accelerating Kids Access to Care Act streamlining out-of-state Medicaid/CHIP provider approvals for children and five-year reauthorization of FDA Rare Pediatric Disease Priority Review Voucher Program. • Allocates $7.35 billion to National Cancer Institute, up $128 million from 2025, with $30 million for Childhood Cancer STAR Act and $50 million for Childhood Cancer Data Initiative.

• The U.S. Senate passed its 2026 spending bill containing multiple landmark pediatric cancer provisions, including the Mikaela Naylon Give Kids a Chance Act to advance combination therapy research and the Accelerating Kids Access to Care Act to streamline Medicaid provider approvals. • The bill allocates $7.35 billion for the National Cancer Institute (a $128 million increase from 2025), with $30 million designated for the Childhood Cancer STAR Act and $50 million for the Childhood Cancer Data Initiative, plus $12.6 million for the Gabriella Miller Kids First Research Program. • These provisions represent a significant recovery for the pediatric cancer community after 2025's devastating federal funding cuts, including removal of key provisions from the previous year's spending bill and a 15% cap on NIH grant indirect cost reimbursements.