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Rare Disease Foundation of America

Rare DiseaseGene TherapyOrphan Drugs
12 provisions tracked
3 positive
5 negative
1 conflict
NegativeSec. FDA-2026-AR · FDA Regulatory Reform

FDA Accelerated Approval Reform — Post-Market Evidence Requirements

2 RDFA member therapies with accelerated approval face tighter timelines. Combined with CMS pricing = devastating for rare disease R&D.

ACTION: Deploy patient advocacy coalition to emphasize rare disease impact in public comments
Est. $45-80M additional cost per drug
ConflictSec. CMS-2027-03 · CMS Negotiation + FDA Accelerated Approval Reform

GeneVault Therapy — Rare Disease Gene Therapy

RDFA members advocate for patient access AND affordable pricing — internal tension between member companies and patient groups.

ACTION: Navigate dual mandate: protect manufacturer R&D economics while maintaining patient access advocacy
$680M annual revenue (43% of NovaPharma total)
IndirectSec. IRA-ESOP · Legislative — Tax/Employment

Retirement Security Enhancement Act — ESOP Expansion Impact on Health Sector

Indirect benefit if ESOP structures help rare disease companies retain specialized R&D talent.

$50M small business ESOP formation fund