The ALS Bucket Challenge, now 10 years old, continues to raise awareness and funds for ALS research. The VCU Health ALS Clinic, the largest in Virginia, has tripled in size and is involved in major research studies. Since the challenge, three FDA-approved medications for ALS have been developed, and awareness has significantly increased. The clinic's care plan includes multidisciplinary care, access to therapies, and clinical research. The VCU Health ALS Clinic aims to expand its research and diagnostic programs, continuing the fight until a cure is found.