H.R. 4624 — what changed

changed This Act may be cited as the “Muhammad Ali American Boxing Revival Act”.Act of 2026”.

“24. Unified boxing organizations

changed “(a) Alternative system for compliance with the requirements of this Act—A unified boxing organization (in this section referred to as a “UBO”) shall be deemed to be in compliance with the requirements of this Act if the UBO meets the requirements of section 5 and the conditions of this section with respect to—

“(1) each boxer under contract with the UBO; and

“(2) each professional boxing match organized by the UBO (in this section referred to as a “covered match”).

changed “(b) Safety and industry standards—A condition of this section is that a UBO meets the requirements of section 5.standards; medical examinations

changed “(c) Medical examinations“(1) In general—A condition of this section is that a UBO meets the requirements of paragraphs (2) and (3) of this subsection, in addition to the requirements of section 5.

changed “(1) Annual examinations“(2) Special rule relating to knockouts—In the case of a boxer who suffers a knockout during a covered match, a UBO shall require that (in addition to the examinations required for such boxer pursuant to section 5(a)(1)(B)(iii)) the boxer undergo the applicable examinations described in section 5(a)(1)(B)(iii) relating to brain health prior to participating in the boxer’s next covered match.

changed “(A) In general—A condition of this section is that a UBO ensures that each boxer “(3) Supplemental physical examinations for boxers who participates in a covered match undergoes a medical examination conducted by a licensed physician that measures the overall health condition of the boxer and affirms the fitness are 40 years of the boxer to safely participate in a covered match.age or older

changed “(B) Elements—A medical examination under subparagraph (A) “(A) In general—A UBO shall include ensure that a boxer who participates in a covered match at the following:age of 40 or older undergoes (in addition to the physical examinations required pursuant to section 5(a)(1)(B)(iii) and paragraph (2) of this subsection, as applicable) a supplemental physical examination conducted by a licensed physician that affirms the fitness of the boxer to safely participate in a covered match.

changed “(i) A “(B) Elements—A supplemental physical examination.examination under subparagraph (A) shall include each of the following:

removed “(ii) An eye examination.

removed “(iii) A human immunodeficiency virus test.

removed “(iv) A hepatitis B surface antigen test.

removed “(v) A hepatitis C antibody test.

removed “(C) Frequency—A medical examination of a boxer under subparagraph (A) shall occur—

removed “(i) on or before the date on which the boxer participates in the first covered match of the boxer; and

removed “(ii) at least annually thereafter.

removed “(2) Pregnancy tests

removed “(A) In general—A condition of this section is that a UBO ensures that a female boxer who participates in a covered match undergoes, for each such match, a blood test that affirms that the boxer is not pregnant.

removed “(B) Timing—A pregnancy test conducted under subparagraph (A) with respect to a covered match shall be carried out during the 14-day period preceding the date of the match.

removed “(3) Magnetic resonance imaging tests

removed “(A) In general—A condition of this section is that a UBO ensures that each boxer who participates in a covered match undergoes the following tests that measure any abnormality in the brain of the boxer and affirm the fitness of the boxer to safely participate in a covered match:

removed “(i) A magnetic resonance imaging test of the brain.

removed “(ii) A magnetic resonance angiography test of the brain.

removed “(B) Frequency—Except as provided under subparagraph (C), the tests to be conducted under subparagraph (A) shall occur—

removed “(i) on or before the date on which the boxer participates in the first covered match of the boxer; and

removed “(ii) at least every three years thereafter.

removed “(C) Special rule

removed “(i) In general—Notwithstanding subparagraph (B), in the case of a boxer who suffers a knockout during a covered match, a UBO shall require more frequent tests under this paragraph.

removed “(ii) Cost—The cost of a test under this subparagraph shall be the financial responsibility of the UBO concerned.

removed “(4) Supplemental medical examination for boxers who are 40 years of age or older

removed “(A) In general—A condition of this section is that a UBO ensures that a boxer who participates in a covered match at the age of 40 or older undergoes, in additional to the medical examination required under this subsection, a supplemental medical examination conducted by a licensed physician that affirms the fitness of the boxer to safely participate in a covered match.

removed “(B) Elements—A supplemental medical examination under subparagraph (A) shall include the following:

“(i) A chest X-ray.

added “(ii) A comprehensive metabolic panel blood test.

removed “(ii) An electrocardiogram.

“(iii) A urinalysis to measure the overall health condition of the boxer.

added “(C) Frequency—The supplemental physical examination to be conducted under subparagraph (A) shall occur at least annually, except that the chest X-ray required under subparagraph (B)(i) shall occur at least once every 6 years.

added “(c) Provision of medical care during matches

added “(1) Ambulances—A condition of this section is that a UBO provides (in addition to the ambulance required to be provided by such UBO pursuant to section 5(a)(2)) for at least 1 additional ambulance to be continuously present on site of a covered match.

added “(2) Ringside presence

added “(A) In general—A condition of this section is that a UBO provides (in addition to the licensed physician required to be provided by such UBO pursuant to section 5(a)(3)) for at least 1 additional licensed physician to be continuously present at ringside during a covered match.

added “(B) Certification requirement—Beginning on the date that is 2 years after the date of enactment of the Muhammad Ali American Boxing Revival Act of 2026, each physician required to be provided by a UBO shall have a certification obtained through a certification program administered by the Association of Boxing Commissions in partnership with the Association of Ring-side Physicians (or any successor organization).

added “(d) Support services for boxers under contract with a UBO—A condition of this section is that, during the period in which a boxer is under contract with a UBO, the UBO shall ensure such boxer has each of the following:

added “(1) Equipment and facilities for training and rehabilitation—The boxer has access to equipment and facilities that are operated by the UBO for training and rehabilitation.

added “(2) Insurance policy—In addition to the health insurance provided to the boxer pursuant to section 5(a)(4), the boxer has in effect an insurance policy that provides medical coverage for any injury sustained by the boxer during the period of training for a covered match.

added “(3) Medical coordinator—A medical coordinator is assigned to the boxer to assist the boxer with satisfying medical and licensing requirements related to the participation of the boxer in a covered match.

added “(e) Comprehensive anti-doping program

added “(1) Requirement

added “(A) In general—A condition of this section is that a UBO has in effect a comprehensive anti-doping program that includes the testing and requirements related to such testing under this subsection.

added “(B) List of prohibited substances and penalties—A UBO shall, on an annual basis, publish, and make available to the public, a list that identifies, with respect to the preceding year—

added “(i) each substance tested for under the comprehensive anti-doping program of the UBO; and

added “(ii) each penalty imposed on a boxer under paragraph (6).

added “(2) In-competition testing

added “(A) In general—The UBO shall ensure that testing is conducted, in accordance with paragraph (5), for at least half the boxers participating in each covered match organized by such UBO for an event.

added “(B) Timing—Testing required under subparagraph (A) shall—

added “(i) occur during the period beginning on the date of a weigh-in for a covered match and ending on the date of the match; and

added “(ii) determine whether a boxer is positive or negative for each substance prohibited by—

added “(I) the boxing commission of the State in which the match is held; or

added “(II) in the case of a covered match held within a reservation (as defined by section 21), the tribal organization (as defined by section 21 and that meets the requirements of section 21) regulating the match.

changed “(iv) A comprehensive metabolic panel blood test.“(3) No-notice testing—In addition to the testing required under paragraph (2), during the period in which a boxer is under contract with a UBO, the UBO may conduct testing, with no advance notice to the boxer and in accordance with paragraph (5), to determine whether such boxer is positive or negative for each substance prohibited by the UBO.

changed “(C) Frequency—The tests to be conducted under subparagraph (B) “(4) Substances prohibited by UBO—The UBO shall occur at least annually, prohibit any substance described in section 7(a)(2)(C)(ii), except that the UBO may elect to not test a chest X-ray under subparagraph (B)(i) shall occur at least once every six years.boxer participating in a covered match for any substance that is not prohibited by the boxing commission of the State in which the match is being held or the tribal organization described in paragraph (2)(B)(ii)(II) that is regulating the match.

changed “(d) Provision “(5) Administration of medical care during matchestests—An independent third-party shall conduct the testing under paragraphs (2) and (3), which shall include—

changed “(1) Ambulances“(A) carrying out each such test;

changed “(A) In general—A condition of this section is that, as a prerequisite for a covered match, a UBO provides, at a minimum, two ambulances present on site of the match, throughout the duration of the match, in addition to “(B) determining the ambulance required to be present on site result of the match under section 5(a)(2).each such test; and

changed “(B) Use of ambulances—An ambulance provided for “(C) reporting a match under subparagraph (A) shall be for the exclusive use positive result of any boxer participating in the match.such a test to—

changed “(C) Replacement ambulance—If an ambulance provided for a match under subparagraph (A) leaves the site of the match, “(i) the UBO shall replace the unit with another ambulance.concerned;

changed “(2) Ringside presence—A condition “(ii) the boxing commission of this section is that, as a prerequisite for a covered match, a UBO provides, at a minimum, three licensed physicians, who shall be continuously present at ringside during the match, State in addition to which a covered match is held or the licensed physician required to be present at ringside during tribal organization regulating the match under section 5(a)(3).match; and

changed “(3) Cost—The cost of satisfying the conditions of this subsection shall be “(iii) the financial responsibility Association of the UBO concerned.Boxing Commissions.

changed “(e) Support services for boxers under contract with a UBO“(6) Penalties

removed “(1) Equipment and facilities for training and rehabilitation—A condition of this section is that, during the period in which a boxer is under contract with a UBO, the UBO ensures that the boxer has access to equipment and facilities that are operated by the UBO for training and rehabilitation.

removed “(2) Insurance policy—In addition to providing health insurance under section 5(a)(4), a condition of this section is that, during the period in which a boxer is under contract with a UBO, the UBO ensures that the boxer has in effect an insurance policy that provides medical coverage for any injury sustained by the boxer during the period of training for a covered match.

removed “(3) Medical coordinator—A condition of this section is that, during the period in which a boxer is under contract with a UBO, the UBO assigns a medical coordinator to the boxer to assist the boxer with satisfying medical and licensing requirements related to the participation of the boxer in a covered match.

removed “(4) Cost—The cost of satisfying the conditions of this subsection shall be the financial responsibility of the UBO concerned, except the cost of any deductible for health insurance under paragraph (2) shall be the financial responsibility of the boxer concerned.

removed “(f) Anti-Doping program

removed “(1) In general—A condition of this section is that a UBO has in effect a comprehensive anti-doping program that includes the testing and requirements related to such testing under this subsection.

removed “(2) In-competition testing—As a prerequisite for a covered match, the UBO shall ensure that testing is conducted for at least half the boxers participating in the matches organized by the UBO for an event that—

removed “(A) occurs during the period beginning on the date of a weigh-in for the match and ending on the date of the match; and

removed “(B) determines whether a boxer is positive or negative for each substance prohibited by—

removed “(i) the boxing commission of the State in which the match is held; or

removed “(ii) in the case of a covered match held within a reservation (as defined by section 21), the tribal organization (as defined by section 21 and that meets the requirements of section 21) regulating the match.

removed “(3) No-notice testing—During the period in which a boxer is under contract with a UBO, the UBO may conduct testing—

removed “(A) with no advance notice to the boxer; and

removed “(B) that determines whether a boxer is positive or negative for each substance prohibited by the UBO.

removed “(4) Administration of tests—An independent third-party shall conduct the testing under paragraphs (2) and (3), including with respect to—

removed “(A) carrying out each test;

removed “(B) determining the result of each test; and

removed “(C) reporting a positive result of a test to—

removed “(i) the UBO concerned; and

removed “(ii) if applicable—

removed “(I) the boxing commission of the State in which a covered match is held; or

removed “(II) the Association of Boxing Commissions.

removed “(5) Penalties

“(A) In general—A UBO shall implement any penalty decided—

added “(i) with respect to a positive test result related to the testing conducted under paragraph (2), by—

added “(I) the boxing commission of the State in which a covered match is held or the tribal organization regulating the match; or

removed “(i) with respect to a positive test result received under paragraph (4) related to the testing conducted under paragraph (2), by—

removed “(I) the boxing commission of the State in which a covered match is held; or

“(II) the Association of Boxing Commissions; and

added “(ii) with respect to a positive test result related to the testing conducted under paragraph (3), by the independent third-party conducting such testing.

added “(B) Assessment for penalties—In imposing a penalty on a boxer for whom the independent third-party reports a positive test result under paragraph (2) or (3), the boxing commission, the Association of Boxing Commissions, or the independent third-party described in subparagraph (A) shall consider—

removed “(ii) with respect to a positive test result reported by an independent third-party under paragraph (4) related to the testing conducted under paragraph (3), by the independent third-party.

removed “(B) Assessment for penalties—In imposing a penalty on a boxer for whom the independent third-party reports a positive test result under paragraph (4), the boxing commission, the Association of Boxing Commissions, or the independent third-party described in subparagraph (A) should assess—

“(i) the seriousness of the positive test result in relation to the participation of the boxer in a covered match; and

“(ii) the degree to which the boxer is at fault for the positive test result.

removed “(6) List of prohibited substances and penalties—A UBO shall publish, and make available to the public on an on-going basis, a list that identifies—

removed “(A) each substance tested for under the anti-doping program of the UBO; and

removed “(B) each penalty imposed on a boxer under paragraph (5).

“(7) Contract requirement—A UBO shall include in any contract entered into between the UBO and a boxer regarding participation in covered matches such terms and conditions as may be necessary to require the boxer to submit to testing under this subsection during the period of the contract.

added “(f) Required contract provisions—In addition to the requirements described in subsection (e)(7), a contract between a UBO and a boxer shall meet each of the following requirements:

added “(1) During the 30-day period ending on the last day of such contract, the boxer may not be prohibited from communicating with another UBO or a promoter.

added “(2) Such contract shall—

added “(A) specify the minimum payment that such boxer will receive for participating in a round of a boxing match, which shall be at least $200 per round; and

added “(B)

added “(i) arrange that such boxer fight in a minimum of 1 boxing match every 6 months; or

added “(ii) ensure that such boxer is paid an amount that is not less than 10 times the minimum payment for such boxer for 1 round as specified pursuant to subparagraph (A), except that this clause shall not apply if an injury prevents the boxer from fighting and the boxer is collecting insurance for such injury pursuant to subsection (d)(2), or the boxer refuses or is otherwise unable to fight for reasons beyond the control of the UBO, including inability of the boxer to travel or the boxer’s failure to maintain relevant licensure.

added “(3) Such contract may not exceed 6 years.

removed “(8) Cost—The cost of the anti-doping program may not be the financial responsibility of the boxer concerned.

“(g) Boxing conduct policy

“(1) In general—A condition of this section is that a UBO implements and ensures compliance with a comprehensive boxing conduct policy that prohibits a boxer, or any covered individual, who is directly involved with or participates in a covered match from—

“(A) placing a bet or wager, directly or through a third party, on the match; and

“(B) sharing non-public information with a third party that is material to the performance of a boxer participating in the match or the outcome of the match for the purpose of assisting the third party in placing a bet or wager on the match.

“(2) Compliance—A UBO shall implement and ensure compliance with procedures for monitoring and enforcing compliance with the boxing conduct policy implemented under paragraph (1).

“(3) Covered individual defined—In this subsection, the term covered individual means, with respect to a boxer who participates in a covered match, any of the following:

“(A) An adult living in the same household as the boxer.

“(B) A coach, manager, or athletic trainer of the boxer.

“(C) A physician or other medical professional who provides services to the boxer.

“(D) An employee, officer, or director of the UBO concerned.

“(E) An agent of any such person who is directly involved with or participates in a covered match.

added “(h) Conflicts of interest—A condition of this section is that a UBO implements prohibitions against the officers or employees of the UBO, or any representative of the UBO, engaging in any of the following:

removed “(h) Conflicts of interest—A condition of this section is that a UBO implements prohibitions against the following:

“(1) Any direct or indirect financial interest in the management of a boxer in relation to the participation of the boxer in a covered match.

“(2) Employment of, or making a payment to, a manager who represents a boxer who participates in a covered match, except—

added “(A) when the boxer acts as the boxer’s own manager; or

removed “(A) when the boxer acts as their own manager; or

“(B) for any consideration paid by the UBO to the manager under the contract between the manager and the boxer.

“(3) Receiving or requesting from a boxer the payment of a fee related to—

“(A) the ranking of the boxer; and

“(B) the participation of the boxer in a covered match—

“(i) including any fee related to a boxer participating in a covered match in which the boxer will be challenging a champion or defending a championship, including any award; and

“(ii) excluding any cost related to a boxer reimbursing a UBO for reasonable expenses incurred by the UBO on behalf of the boxer in relation to the participation of the boxer in a covered match, including any medical expense and travel expense.

“(i) Boxing commissions

“(1) Prohibition—A condition of this section is that a covered match may not be held—

“(A) in a State without a boxing commission; or

“(B) within a reservation (as defined by section 21) under the jurisdiction of a tribal organization (as defined by section 21) that does not meet the requirements of section 21.

“(2) Judges and referees—A condition of this section is that a UBO meets the requirements of section 16.

added “(j) Financial responsibility

added “(1) In general—Subject to paragraph (2), a condition of this section is that a UBO is financially responsible for the costs of meeting the requirements of section 5 and the conditions of this section.

added “(2) Cost of any deductible—The cost of any deductible for any health insurance required to be provided by the UBO for a boxer shall be the financial responsibility of the boxer.

added “(k) Federal trade commission filing

removed “(j) Federal trade commission filing

“(1) In general—A condition of this section is that, on the date in which a UBO intends to claim status as a UBO for purposes of this section, the UBO submits to the Federal Trade Commission and to the Association of Boxing Commissions information regarding the UBO, including the following:

“(A) The State in which the UBO is incorporated.

“(B) The business address of the UBO.

“(C) The website of the UBO.

“(2) Format; updates—To meet the condition of this subsection, the UBO shall—

“(A) provide the information described in paragraph (1) in—

“(i) writing; and

“(ii) for any document greater than 2 pages in length, electronic form; and

“(B) promptly notify the Federal Trade Commission of any material change in the information submitted.

“(3) Federal trade commission to make information available to public—The Federal Trade Commission—

“(A) shall make information received under this subsection available to the public; and

“(B) may assess the UBO a fee to offset the costs the Commission incurs in processing the information and in making the information available to the public.

added “(4) Internet alternative—In lieu of submitting the information described in paragraph (1) to the Federal Trade Commission, a UBO may provide the information to the public by maintaining a website on the internet that meets the following requirements:

removed “(4) Internet alternative—In lieu of submitting the information described in paragraph (1) to the Federal Trade Commission, a UBO may provide the information to the general public by maintaining a website on the internet that meets the following requirements:

“(A) Is readily accessible by the general public using generally available search engines.

“(B) For full access to the information, does not require a password or payment of a fee.

“(C) Contains the information described in paragraph (1) in a format that is easy to search and use.

“(D) Is updated when there is a material change in the information.

added “(l) Relationship with State law—Nothing in this section shall prohibit a State from adopting or enforcing supplemental laws or regulations not inconsistent with this section, or criminal, civil, or administrative fines for violations of such laws or regulations.”

removed “(k) Relationship with State law—Nothing in this section shall prohibit a State from adopting or enforcing supplemental laws or regulations not inconsistent with this section, or criminal, civil, or administrative fines for violations of such laws or regulations.”

“(5) Unified boxing organizations—Any officer or employee of a unified boxing organization who willfully and knowingly violates, or coerces or causes any other person to violate, section 24 shall, upon conviction, be imprisoned for not more than 1 year or fined not more than $20,000, or both.”

added “(7) Physician—The term “physician” means a doctor of medicine, with a degree of Doctor of Medicine or Doctor of Osteopathic Medicine, who is legally authorized to practice medicine by the State in which the physician performs such function or action.”

added “(16) Unified boxing organization—The term unified boxing organization or “UBO” means an association, a league, or a centralized industry organization in the private sector that—

removed “(16) Unified boxing organization—The term unified boxing organization means an association, a league, or a centralized industry organization in the private sector that—

“(A) organizes a professional boxing match in a system in which a boxer under contract with such association, league, or centralized industry organization competes against another such boxer pursuant to unified rules; and

“(B) without reliance on a sanctioning organization operating independently of such association, league, or centralized industry organization, implements a system for title belts and ranking for boxers under contract with such association, league, or centralized industry organization.”

“(a) Health and safety of boxers—No person”

added “(1) Physical examination

added “(A) In general—A physical examination of each boxer by a physician certifying whether or not the boxer is physically fit to safely compete, copies of which shall be provided to the boxing commission by such physician.

added “(B) Minimal medical requirements

added “(i) In general—A physician may certify as required under subparagraph (A) only if the examinations described in clause (iii) are conducted, which examinations shall be valid only for the amount of time prior to a match indicated in such table.

added “(ii) Validity—No examination shall be valid unless it is conducted by a physician, in person, and includes a written opinion that the result of such examination does not contraindicate that a boxer is able to compete safely.

added “(iii) Required examinations—The examinations described in this clause are those set forth in the following table:”

added “(3) Physician—A physician continuously present at ringside who, beginning on the date that is 2 years after the date of enactment of the Muhammad Ali American Boxing Revival Act of 2026, shall have a certification obtained through a certification program administered by the Association of Boxing Commissions in partnership with the Association of Ring-side Physicians, or any successor organization.”

added “(4) Insurance—For each boxer, health insurance that—

added “(A) provides a minimum of $50,000 in medical coverage for any injuries sustained in the match and $15,000 in accidental death coverage for any fatality arising from such match; and

removed “(4) For each boxer, health insurance that—

removed “(A) provides a minimum of $25,000 in medical coverage for any injuries sustained in the match; and

“(B) with respect to any premium, is not the financial responsibility of the boxer.”

changed “(b) Minimum payment to boxers—A promoter or unified boxing organization shall pay a minimum of $150 $200 to each boxer for each round in a match in which the boxer participates.”

added “(c) Simplification of titles

added “(1) Singular titles—A sanctioning organization or unified boxing organization shall award only 1 championship title for each weight class.

added “(2) Interim titles—A sanctioning organization or unified boxing organization may not award an interim championship title except in the case of an injury or illness to a reigning titleholder, refusal or inability by the reigning title holder to defend his title, or for reasons beyond the control of the boxer, including inability to travel.”

added “(5) Procedures to ensure that—

added “(A) drug tests shall be administered—

added “(i) for any title bout; and

added “(ii) at random for all other bouts, provided that tests are administered for not less than 50 percent of such other bouts; and

added “(B) such drug tests shall screen, at a minimum, for any substance listed on the most current edition of “The World Anti-Doping Code, The Prohibited List International Standard” of the World Anti-Doping Agency, except that a boxing commission may elect not to screen for such a substance if the use of such substance is not prohibited by the State in which the match is being held or the tribal organization (as defined in section 21) that is regulating the match.”

added “(c) Consistent standards—It is the sense of Congress that—

added “(1) uneven development of standards and practices by boxing commissions (including tribal organizations in compliance with section 21) has enabled matches that would not have been authorized by boxing commissions with robust standards and practices, and that boxers have been seriously injured or killed as a result;

added “(2) the Association of Boxing Commissions (in this subsection referred to as the “ABC”), in partnership with the Association of Ringside Physicians, is well-positioned to identify policies and practices most conducive to boxer safety and wellbeing; and

added “(3) the ABC should, accordingly, publish and maintain—

added “(A) a model legislative and regulatory code for professional boxing, derived from—

added “(i) State policies that are most protective of boxers’ safety, health, wellbeing, and economic opportunity;

added “(ii) rigorous sporting authority guidelines, such as the USA Boxing protocols for medical suspension; and

added “(iii) expert consensus statements from the Association of Ringside Physicians and other sports medicine organizations;

added “(B) best practices recommendations for oversight of professional boxing and implementation of legal duties by boxing commissions; and

added “(C) an annual report card of boxing commission conformance with such model codes and best practices.”

added “16. Judges and referees

removed “16 Judges and referees

“No person may arrange, promote, organize, produce, or fight in a professional boxing match unless all referees and judges participating in the match have been certified and approved by—

“(1) the boxing commission responsible for regulating the match in the State where the match is held; or

“(2) the Association of Boxing Commissions.”

removed “(3) The amendments made in section 4(a) of the Muhammad Ali American Boxing Revival Act shall take effect 30 days after the date of enactment of such Act.”