ORPHAN Cures Act
ORPHAN Cures Act
Plain Language Summary
# ORPHAN Cures Act Summary **What it does:** This bill would change how the Medicare Drug Price Negotiation Program treats "orphan drugs"—medications developed for rare diseases that affect small patient populations. Currently, drugs must be on the market for at least 7 years (or 11 years for certain biologics) before Medicare can negotiate their prices. The bill would exclude the time a drug spent as an orphan drug from this calculation, effectively giving orphan drugs more protection from price negotiation.
It would also expand the exemption to include orphan drugs approved for multiple rare diseases, not just single diseases. **Who it affects:** This primarily benefits pharmaceutical companies developing treatments for rare diseases, as it would delay or prevent Medicare from negotiating lower prices on these medications. Patients with rare diseases and Medicare beneficiaries using these drugs could be affected, as the bill could maintain higher drug prices longer. **Current status:** The bill is in committee and has not yet been voted on by the full House. It was introduced by Representative John Joyce (R-PA) in the 119th Congress.
CRS Official Summary
Optimizing Research Progress Hope And New Cures Act or the ORPHAN Cures ActThis bill modifies certain provisions under the Medicare Drug Price Negotiation Program with respect to orphan drugs.The Medicare Drug Price Negotiation Program requires the Centers for Medicare & Medicaid Services to negotiate the prices of certain prescription drugs under Medicare beginning in 2026. Among other requirements, drugs must have had market approval for at least 7 years (for drug products) or 11 years (for biologics) to qualify for negotiation. The program does not apply to orphan drugs that are approved to treat only one rare disease or condition.The bill modifies these provisions so as to exclude any period in which a drug was an orphan drug from market approval calculations. It also excludes orphan drugs that are approved to treat more than one rare disease or condition from the program.
Latest Action
Sponsor introductory remarks on measure. (CR H535-536)