The 2st Century Cures Act, a nearly 1,000 page bill that details changes for the Food and Drug Administration (FDA) and National Institute of Health (NIH), passed by a vote of 392-26 today in in the House of Representatives. A Senate vote could come as soon as next week.

Assuming the bill prevails in the Senate, the NIH will be the recipient of $4.8 billion in funding over the next 10 years, though money allocation must be reauthorized each year. This money is “earmarked for the three landmark big science initiatives of President Obama’s time in office: the cancer moonshot, the BRAIN Initiative, and the Precision Medicine Initiative” (FierceBiotech).

The passing vote of 392-26 came as a shock to some critics of the bill, “showing a bipartisan spirit that has been rare in recent years” (statnews.com). If the bill passes, it would also “gives states $1 billion to fight the opioid crisis, and deliver an additional $500 million to the FDA.”