New Bill on the Hill is Pro-Rare Diseases!

In this election year, a good way to practice being politically active is to write a letter supporting a bill with the catchy name Orphan Product Extensions Now, Accelerating Cures and Treatments (OPEN ACT)!

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Yeah, it’s a mouthful. I’ll explain. Source: www.giphy.com

The bill was originally introduced by Representative Gus Bilirakis (R-FL) in 2014, but never went anywhere.

Now it has new life as part of the 21st Century Cures discussion bill. Reps. Bilirakis, Butterfield (D-NC), and McCaul (R-TX) have co-sponsored the stand-alone version of the OPEN ACT, which was officially introduced on Friday, February 13th as HR 971.

135 patient organizations have signed in support of the bill.

Rep. Bilirakis was inspired to author the bill by the story of Ashleigh Pike, a once-active elementary school teacher struck down by a type of dysautonomia.

Ashleigh found hope in a medicine for rare diseases (categorized as an “orphan drug”), but she and her family struggled mightily to access that medicine.

Often, insurance companies won’t cover “off label” usage of drugs. What’s off label? Every drug in the United States is approved based on clinical trials for a specific use, say epilepsy. The use that it’s approved for is printed on that drug’s label (you know that folded and folded and folded piece of paper that comes with all your meds? That’s pretty much all “label” info courtesy of the FDA).

Now, if a physician thinks that a drug approved for epilepsy might also help a patient with one of XYZ rare diseases, and s/he prescribes that drug, s/he’s prescribing off label.

And because the drug hasn’t been approved for that use (“indication” in FDA-speak), drug makers can’t tell other doctors the successes with other diseases.
Yosub whatever annoyed really
Source: www.giphy.com
It makes sense–the FDA is protecting patients by forcing companies to test their drugs in tightly controlled clinical trials. But clinical trials are expensive (and it’s hard to find patients to participate… but that’s a whole ‘nother post!), so they pick the disease that will bring them the most bang for their buck (aka, one with a large population of people who will benefit).

Because the medication market for rare diseases is small, drug manufacturers don’t make as much money on them.

There’s no financial incentive for the company to spend time and resources developing treatments for a disease that only affects a small population of patients.

not fair
Sometimes it’s like no one in power truly cares about those of us facing rare diseases. OPEN ACT stands to change that. Source: www.giphy.com

OPEN ACT incentivizes drug makers to research the possibility of broadening the label of existing medications that doctors have found benefits patients with a rare disease.

According to Bilirakis, this bill would mean helping millions “by ensuring medications are safe and effective for rare conditions and can be reimbursed through insurance coverage.”

See more at The Tampa Tribune.

If you want to show your support for the bill, write to your state’s congresspersons! Don’t know who your representative is? Find out here. Don’t know who your state senator is? Click here.

And if you want to be a Rare Disease Advocate, check out RareAdvocates.org .


Do you have a horror story about trying to access meds for your rare disease? Share ’em!