HR946119th CongressWALLET

ORPHAN Cures Act

Sponsored By: Representative Joyce (PA)

Introduced

Summary

Expands and clarifies the orphan drug exclusion in the Drug Price Negotiation Program. This bill would let products that treat one or more rare diseases qualify under the orphan drug framework and align the definition with the Federal Food, Drug, and Cosmetic Act. It also says the Secretary must not count any period when a drug had orphan designation when calculating elapsed time toward negotiation eligibility.

Show full summary
  • Patients with rare diseases: More therapies that treat multiple rare conditions could be treated as orphan drugs for negotiation purposes, changing when they become subject to price talks.
  • Drug developers: Manufacturers could claim orphan status for products covering multiple rare diseases and preserve orphan-designated time in timing calculations.
  • Medicare program administrators: The Secretary would have to exclude orphan-designated periods from the timing rules that determine which drugs enter negotiation.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Orphan drug rules affect Medicare prices

If enacted, the bill would change how HHS treats orphan drugs under the Medicare drug price negotiation program. The Secretary would not count any time a medicine had orphan status when calculating how long since approval for negotiation. The bill would also let a drug be described as an orphan drug for one or more rare diseases, aligning the term to the FD&C Act. If passed, these changes could delay when Medicare starts negotiating some drug prices and could let more medicines keep orphan-related treatment.

Sponsors & CoSponsors

Sponsor

Joyce (PA)

PA • R

Cosponsors

  • Davis (NC)

    NC • D

    Sponsored 2/4/2025

  • Hern (OK)

    OK • R

    Sponsored 2/4/2025

  • Peters

    CA • D

    Sponsored 2/4/2025

  • Miller-Meeks

    IA • R

    Sponsored 2/4/2025

  • Keating

    MA • D

    Sponsored 2/4/2025

  • Hudson

    NC • R

    Sponsored 2/4/2025

  • Thanedar

    MI • D

    Sponsored 2/4/2025

  • Bilirakis

    FL • R

    Sponsored 2/4/2025

  • Gottheimer

    NJ • D

    Sponsored 2/4/2025

  • Smucker

    PA • R

    Sponsored 4/7/2025

  • Bynum

    OR • D

    Sponsored 4/7/2025

  • Kean

    NJ • R

    Sponsored 4/7/2025

  • Titus

    NV • D

    Sponsored 4/7/2025

  • Salinas

    OR • D

    Sponsored 5/20/2025

  • Dunn (FL)

    FL • R

    Sponsored 5/20/2025

  • Gray

    CA • D

    Sponsored 6/12/2025

  • Crenshaw

    TX • R

    Sponsored 6/12/2025

  • Bresnahan

    PA • R

    Sponsored 9/30/2025

Roll Call Votes

No roll call votes available for this bill.

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