IT HAPPENED! Pediatric Cancer Bill To Become Law

Summary

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Bulwark Takes – Episode Summary

Podcast: Bulwark Takes
Episode: IT HAPPENED! Pediatric Cancer Bill To Become Law
Host: Sam Stein, Managing Editor at The Bulwark
Date: February 4, 2026

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Episode Overview

This episode, led by Sam Stein, celebrates a rare legislative victory: the passage of the Give Kids a Chance Act, a long-awaited bill aimed at advancing pediatric cancer research, finally set to become law. Stein not only details the specifics and intended impact of the bill, but also delivers a candid look at the political hurdles that have stymied its passage for over a year. Against the backdrop of recent political infighting and gridlock, Stein highlights this as a moment of genuine progress, both for children with cancer and for incremental policymaking in Congress.

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Key Discussion Points and Insights

1. What the Give Kids a Chance Act Actually Does

• Combination Therapy Research:
  • The bill enables the FDA to approve studies of combination drug therapies for children with cancer, an essential step because such treatment options are currently very limited.
  • "This bill would allow for the study of combination drug therapies for kids suffering with cancer. Right now, that's really not an option for many of these kids." (03:00)
• Research Funding and Bureaucratic Streamlining:
  • More funding channels for pediatric cancer research will be opened.
  • The legislation lessens administrative red tape around research funding and grant applications.

2. Why Pediatric Cancer Research Is Underfunded

• Market Realities:
  • Though tragic, pediatric cancer is relatively rare, which makes pharmaceutical companies less willing to invest in research and trials.
  • This law attempts to bypass some of these market-driven obstacles and address the chronic underfunding of such research.

3. A Political Saga: The Bill’s Bumpy Road Through Congress

• Initial Hopes and Obstacles:
  • First introduced in 2021, it gained broad bipartisan support and was often among the most co-sponsored bills, "with no one actually objecting" (04:15), but repeatedly stalled for inexplicable reasons.
  • Stein recounts how, in December 2024, the bill was part of a government funding package that failed after Elon Musk "threw a temper tantrum because he didn't like any of the extra funding... and demanded that Republicans torpedo the legislation. And they did." (06:00)
• Senate Disappointment and Bernie Sanders’ Objection:
  • In December, after making it to the Senate, the measure was blocked by Bernie Sanders, who objected not out of opposition to the bill itself but because he wanted a group of other health-related provisions (also previously nixed at Musk’s urging) added back as well.
  • "And then at the very last minute, Senator Bernie Sanders of Vermont objected...not just the Give Kids Chance Act." (09:30)
• Months of Frustration and Gridlock:
  • Despite vast support, the bill lingered due to lack of floor time and logistical complexity—described as a Sisyphean ordeal for its advocates.

4. How The Bill Finally Became Law

• New Appropriations Tactic:
  • This year, appropriators bundled the bill into a health-focused appropriations bill.
  • After ICE enforcement controversies muddied the process, Senate Democrats split off the contentious Homeland Security elements from the overall package, enabling most funding—including the Give Kids a Chance Act—to pass.
• Final Vote and Passage:
  • The House passed the bill 217 to 214, with bipartisan support after Democrats agreed to fund everything except DHS. The act thus became law.
  • "Provisions like the Give Kids a Chance act also passed and now become law. It's kind of thrilling to see this happen, to be honest." (12:54)

5. Broader Political and Human Lessons

• Persistence Pays Off:
  • The advocates—parents, researchers, and children—remained persistent even as repeated setbacks left them in despair:
    • "They'd sort of resigned themselves to just this Sisyphus-like, struggle where they'd push the boulder up the hill and then it just roll back down." (13:15)
• Incremental Progress Matters:
  • Stein urges listeners to value tangible policy wins, even if government action is often slow, imperfect, and incremental.
  • "Incremental progress is progress. ...it's easier sometimes to say what you're against than to argue for what you're for." (14:00)
• Other Wins Within the Bill:
  • Additional funding for the NIH, opioid treatment, community health centers, ALS research, and K-12 programs are all present in the broader funding package.
  • Some language in the bill is designed to curb Trump administration efforts to backdoor funding cuts.

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Notable Quotes & Memorable Moments

• On the emotional impact:
  • "This priority that they've been working on for five years is going to become law. It is a remarkable thing." (13:10)
• On incremental progress:
  • "Incremental progress is progress. Oftentimes people get caught up with the stuff they don't like and the stuff they oppose and the stuff they want stopped. And I'm not trying to discount that. That's obviously deeply important. But it's easier sometimes to say what you're against than to argue for what you're for." (14:00)
• On the legislative journey:
  • "We spend a lot of time focusing on all the shit that is going horribly wrong in this country… I wanted to do a video now to tell you about something that went incredibly right today." (15:05)
• On advocacy and hope:
  • "Nancy Goodman, who is the executive director for Kids vs. Cancer, said… the ability to study the combination therapy treatments can create the infrastructure to actually cure cancer for kids." (13:43)
• On what’s next:
  • "This is obviously not the end point for this topic. There’s plenty more legislation that needs passage. But it is… a different type of article that I’m writing than I’ve written in the past 12 months. And that feels good." (15:15)

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Timestamps for Key Segments

• [01:14] – Sam Stein introduces the episode and frames the importance of the Give Kids a Chance Act.
• [03:00] – Layperson’s explanation of the act's scientific and practical impact.
• [06:00] – Breakdown of the bill’s December 2024 failure and Elon Musk’s influence.
• [09:30] – Sanders’ Senate objection and the emotional moment for child advocates.
• [12:54] – How the bill was finally passed via split appropriations maneuver.
• [13:10] – Reflections on the emotional toll and significance for advocates.
• [14:00] – Commentary on incremental progress and the broader view of political wins.
• [15:05] – Concluding thoughts on hope, advocacy, and gratitude.

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Episode Tone & Takeaway

Sam Stein’s tone is a blend of weary realism and genuine relief, infused with empathy for the sufferers and advocates, and resignation at the dysfunctionality of Congress. The episode’s core message: despite the grinding difficulties of policy change and the disheartening regularity of political gridlock, real and meaningful progress is possible—and worth celebrating.

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Transcript

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Hey everybody, it's me, Sam Stein, managing editor at the Bull Work and I am here on Tuesday afternoon. I'm going to be talking about something that I've talked about a couple times with you all, a bill that's been something that I've taken on as a hobby horse in terms of my coverage that I've written about several times and that's kind of been central to a few of these videos that we've done. It's called the Give Kids a Chance Act. You might remember this is sort of a monumental piece of pediatric cancer legislation. It's been considered by Congress at several junctures throughout the past three, 13 or so months and for some reason or other it has never passed. It's had these gut wrenching, awful defeats, sometimes inexplicable defeats, despite being like the third most co sponsored bill in Congress with no one actually objecting to, never made it into law. And then today it made it into law. It actually passed. And as I am doing this, the bill is likely to be signed into law by President Trump. It's a pretty remarkable moment in this field of pediatric cancer research. And I Want to take a moment to reflect on it. So you might be saying, well, what does the bill do? I'm not a doctor, I'm not a scientist. I've confessed that on these programs before. But this bill would allow for the study of combination drug therapies for kids suffering with cancer. Right now, that's really not an option for many of these kids. This would make it so that the FDA would allow for those combination drug therapy treatments to be studied. In addition, it would open up some funnels of money for pediatric cancer research, and there would be some lessening of the bureaucratic red tape around pediatric cancer research and grant applications as well. These might seem like small things, but you have to understand pediatric cancer research is chronically underfunded. The reason it's underfunded is that, thankfully, although still tragically, very few kids have cancer and pharmaceutical companies are reluctant to make major investments in treatments and therapies for a relatively small portion of the populace. This is an effort to try to at least get around some of the issues that confront families who have to deal with this horrific diagnosis. And for years, this has been the top priority for people who advocate in the pediatric cancer community. But it's also a political story, and it really is a story about how horrible and coarse and ineffective and frankly, damaging our politics can become, how paralyzed it can become amidst all this infighting. And so I'm going to go back and do a little bit of history for you. So December 2024, this bill, the Give kids a chance act, was part of a government funding bill at the tail end of the Biden presidency. The bill had been introduced in 2021. It had been considered a couple times, but this seemed to be when it was going to pass. And then Elon Musk threw a temper tantrum because he didn't like any of the extra funding that was part of that government funding deal. And he demanded that Republicans torpedo the legislation. And they did. And the Give kids a chance act was one of many provisions that were taken out and that didn't get voted in subsequently, and the government went on its way. The government was funded, but this provision was left on the side of the road. Months and months and months passed, and again, this bill had to be reconsidered. It got more than enough co authors and co sponsors in the house, more than enough support in the senate. But because congress works in this weird byzantine way, and because you have to have enough floor time to have these things considered, no one was ever bringing it up. And so eight or nine months Went by and you just had this piece of legislation that everybody loves, that no one objects to, just lingering out there in the ether. And then in September, I started hearing from congressional sources that this thing actually was gaining a little momentum. They weren't sure why, no one was quite aware of what was going on, but they told me to keep an eye out. And then in October, I was flagged again. Hey, this thing might actually have a chance. It's got through the House. And then in December, it was up for consideration in the Senate. Once again, we're about 12 months removed from when Elon Musk had killed the bill that had included this. And now we're going to get consideration again. And so the United States Senate put it up for consideration by unanimous consent. That means that all 100 senators have to be willing to just support it, or at least put it another way, they can't object to it. And the people in the pediatric cancer research community were optimistic. They actually had several children who are advocates for them. Cancer stricken children go to the Hill and sit in the Senate gallery and watch the vote, hoping that no one would object and that it would become law. And then at the very last minute, Senator Bernie Sanders of Vermont objected. Now, the reason he objected is because he wanted all those provisions that Elon Musk had demanded be cut 12 months ago, all those provisions related to health, he wanted all of them restored, not just the Give Kids Chance Act. And he thought it was unfair that some other priorities, which on the merits were important too, would not begin in consideration. But the bill didn't pass. And so we were left with this current situation where once again, people in this community were left to wonder what else they would have to do to get this damn thing through. Bulwark Takes is sponsored by Zocdoc. We all know health issues don't follow a 9 to 5 schedule. With Zocdoc, having no time to book a doctor's appointment is actually no problem at all. So let's say you don't have time for yourself until 11pm or cut your finger making a midnight snack, or you tweak your back on the dance floor at a family wedding, or you doom scroll and panic about your symptoms at 3am Been there. Or you binge watch a medical drama and you unlock a new health fear. Definitely been there. Go to Zocdoc anytime, 24 hours a day, 7 days a week, and find a doctor you love to make your health plan happen. Yep, even if it's way after hours, Zocdoc is a free app and website that helps you find and book high quality in network doctors so you can find someone you love. We're talking about booking in network appointments with more than 150,000 providers across all 50 states. Whether you're looking for dermatology, dentistry, primary care, eye care, or one of the other 200 plus specialists offered on Zocdoc, you can easily search by by specialty or by symptom to build the care team that's right for you. Stop putting off those doctor's appointments and go to zocdoc.com bulwarktakes to find and instantly book a doctor that you love today. That's Zocdoc.com BulwarkTakes Zocdoc.com Bulwarktakes Thanks Zocdoc for sponsoring this message. Fast forward to this past week and the appropriators, the people who are in charge of money in Congress, put together a series of bills, each dealing with different parts of the government. And one of them was on health again. And in that bill they included the Give Kids Chance Act. And we got back to a similar situation where they were going to pass these appropriations bills. They made it through the House and then it got to the Senate again. And of course everything got a little muddied because of what's happening with ICE in Minneapolis. And Democrats said, well, why would we fund the government, specifically the Department of Homeland Security, if what ICE is doing is so horrific, if we obviously morally object to it, we cannot do this. And so at that moment, it became a little bit uncertain whether they were going to pass anything at all. And people in the pediatric cancer community were wondering, are we going to experience heartache yet again? And then Senate Democrats decided to do something clever. I suppose they cleaved off the homeland Security elements of these funding bills and they said, we'll pass everything else and we'll just do the DHS stuff for two weeks so that we could revisit the situation. And that's what they did. And it passed in the Senate. And then today it went to the House. And there was a lot of Democrats in the House who said, we don't like this. We should use the leverage we have right now and demand that everything get shut down unless we get changes to ice. And enough Democrats, along with many, many Republicans decided we were going to fund, or they were going to fund almost all of those appropriations except for the DHS one. They were going to do what the Senate did. And so it passed 217 to 214, which meant that Provisions like the Give Kids a Chance act also passed and now become law. It's kind of thrilling to see this happen to, to be honest, because I've talked to people in and around it for so long, and they had grown so filled with despair about it. But also, you know, they kept at it. Obviously, they kept up the work, but they'd sort of resigned themselves to just this Sisyphus like, struggle where they'd push the boulder up the hill and then it just roll back down. And now this priority that they've been working on for five years is going to become law. It is a remarkable thing. I talked to Nancy Goodman, who is the executive director for Kids vs. Cancer, and she said, look like the ability to study the combination therapy treatments can create the infrastructure to actually cure cancer for kids. This is real stuff. There's also a larger political story to be told here, too. Incremental progress is progress. Oftentimes people get caught up with the stuff they don't like and the stuff they oppose and the stuff they want stopped. And I'm not trying to discount that. That's obviously deeply important. But it's easier sometimes to say what you're against than to argue for what you're for. And I would just caution people as they consider how to think about this government funding deal that was struck by Democrats in the Senate with the White House, and that was begrudgingly passed by some Democrats in the House, like 21, but mostly Republicans as they consider it, consider the fact that real good was actually put into place here, that kids who are suffering from horrific cancer diagnoses now we'll have a modicum of hope that some treatments can be tested out or that they might have more research funding. There's other ways that this bill actually does address progressive priorities. There's funding for the NIH in this bill. There's funding for opioid treatment in this bill. There's funding for the community health centers that Bernie Sanders really wanted. The same issue that he decided to stop the Give Kids a Chance act over, that's in this bill, too. There's funding for ALS research. There's funding through K through 12 elementary schools. I mean, all these things, these are things that the Trump administration has been trying to cut and in some cases successfully cut over the past year. These are things that were the target of doge. There's language in this bill that at least Democrats think might, you know, prevent the Trump administration from trying to do backdoor cutting, because it's very specific about what. Specific about what gets funded. And, you know, look, the administration is going to do what it does, and I'm sure they will try to make more cuts going forward. I'm sure they're going to try to pursue their agenda with vigor. But one thing that they're not going to do, I'm pretty damn confident of they're not going to undo the Give Kids a Chance act that is now law of the land. Something tangibly good happened today, and it happened through regular congressional procedure. And we spend a lot of time focusing on all the shit that is going horribly wrong in this country that I wanted to do a video now to tell you about something that went incredibly right today. So, anyways, I hope you enjoy this video. I want to thank those of you who've been following my coverage of this story. I'm thrilled that it ended the way it did. I'm happy for Nancy Goodman and for the kids who are arguing and advocating on behalf of this. This is obviously not the end point for this topic. There's plenty more legislation that needs passage. But it is, you know, this is a different type of video and a different type of article that I'm writing than I've written in the past 12 months. And that feels good. So thank you for subscribing and supporting this type of work. If you're not a subscriber, please consider becoming one. Your support, your financial support for the Bulwark allows us to cover all this stuff, including the weighty stuff. And we appreciate that. Talk to you soon.

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