Senate Bill Would Narrow Rare Disease Drug Monopolies to Specific Approved Uses
Also known as: RARE Act
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Health Care Extenders: Key Provisions in the Consolidated Appropriations Act, 2026
The legislation revises how Orphan Drug exclusivity is applied, changing the standard from the 'same disease or condition' to the 'same approved use or indication.' This allows generic competitors to market drugs for new uses or patient populations sooner.

Hospitals testify on proposals to support patients with rare diseases
During a House hearing, medical experts urged Congress to advance the Retaining Access and Restoring Exclusivity (RARE) Act, which would limit orphan drug exclusivity to the approved indication to encourage market competition and lower costs for rare disease treatments.

Rare Disease Month Developments: RPD PRV Program Renewed, Orphan Drug Exclusivity Clarified
The Consolidated Appropriations Act, 2026, codifies the FDA's longstanding interpretation of the Orphan Drug Act by limiting the scope of seven-year exclusivity to the indication ultimately approved, effectively reversing the controversial Catalyst v. Becerra court decision.