What This Bill Does
This resolution expresses support for designating February 28, 2023, as "Rare Disease Day." The House of Representatives recognizes the importance of improving awareness about rare diseases, encouraging accurate and early diagnosis, and supporting efforts to develop effective treatments and cures.
Who It Affects
More than 25 million individuals in the United States living with rare diseases or disorders, including children with rare conditions, patients and families seeking treatment options, physicians and treatment centers specializing in rare diseases, the Food and Drug Administration (FDA) and National Institutes of Health.
Key Provisions
• The House of Representatives expresses support for the designation of February 28, 2023, as "Rare Disease Day" (Resolved paragraph 1)
• The House recognizes the importance of improving awareness about rare diseases and disorders (Resolved paragraph 2(A))
• The House recognizes the importance of encouraging accurate and early diagnosis of rare diseases and disorders (Resolved paragraph 2(B))
• The House recognizes the importance of supporting national and global efforts to develop effective treatments, diagnostics and cures for rare diseases and disorders (Resolved paragraph 2(C))
What Changes
This is a resolution expressing support and recognition. It does not create new laws, requirements or programs. It formally states that the House of Representatives supports the designation of a specific day and recognizes the importance of certain actions.
Important Definitions
A rare disease or disorder is a disease that affects a small number of patients. In the United States, it affects fewer than 200,000 individuals.
IV
118TH CONGRESS
1ST SESSION
H. RES. 181
Expressing support for the designation of February 28, 2023, as ‘‘Rare
Disease Day’’.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 28, 2023
Mr. CARSON (for himself, Mr. BACON, Ms. BROWNLEY, Mr. CARTER of Lou-
isiana, Mr. FITZPATRICK, Mr. GARCI´A of Illinois, Mr. GRIJALVA, Ms.
NORTON, Mr. HUDSON, Ms. JACOBS, Ms. KAMLAGER-DOVE, Mr.
MULLIN, Mr. PAYNE, Ms. SEWELL, Mr. SWALWELL, Ms. TLAIB, Mr.
TONKO, Mr. BISHOP of Georgia, Mr. KEATING, and Ms. MATSUI) sub-
mitted the following resolution; which was referred to the Committee on
Energy and Commerce
RESOLUTION
Expressing support for the designation of February 28,
2023, as ‘‘Rare Disease Day’’.
Whereas a rare disease or disorder is a disease or disorder
that affects a small number of patients;
Whereas, in the United States, a rare disease or disorder af-
fects fewer than 200,000 individuals;
Whereas, as of the date of the adoption of this resolution,
more than 25,000,000 individuals in the United States
are living with at least 1 of the more than 7,000 known
rare diseases or disorders;
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•HRES 181 IH
Whereas children with rare diseases or disorders account for
a significant portion of the population affected by rare
diseases or disorders in the United States;
Whereas many rare diseases and disorders are serious and
life-threatening;
Whereas this year marks the 40th anniversary of the enact-
ment of the Orphan Drug Act (Public Law 97–414; 96
Stat. 2049), a landmark law enabling tremendous ad-
vances in the research and treatment of rare diseases and
disorders;
Whereas, in 2022, the Center for Drug Evaluation and Re-
search, in the Food and Drug Administration (referred to
in this preamble as ‘‘FDA’’), established the Accelerating
Rare disease Cures Program with a vision of speeding
and increasing the development of effective and safe
treatment options to address the unmet needs of patients
with rare diseases;
Whereas the 117th Congress passed into law as part of the
Consolidated Appropriations Act, 2023 (Public Law 117–
328; 136 Stat. 4459), provisions creating the rare disease
endpoint advancement pilot program in the FDA to sup-
port the development of novel efficacy endpoints to help
facilitate the development and timely approval of rare
disease treatments;
Whereas, although the FDA has approved more than 1,100
orphan indications for drugs and biological products for
the treatment of rare diseases and disorders, more than
90 percent of rare diseases do not have a treatment ap-
proved by the FDA for their condition;
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•HRES 181 IH
Whereas limited treatment options and financing life-altering
and lifesaving treatments can be challenging for individ-
uals with rare diseases or disorders and their families;
Whereas rare diseases and disorders include sickle cell ane-
mia, spinal muscular atrophy, amyotrophic lateral scle-
rosis, thyroid eye disease, myotonic dystrophy, t-cell
prolymphocytic leukemia, Sanfilippo syndrome, microtia,
meatal atresia, and conductive deafness;
Whereas individuals with rare diseases or disorders can expe-
rience difficulty in obtaining accurate diagnoses and find-
ing physicians or treatment centers with expertise in
their rare disease or disorder;
Whereas the 116th Congress passed the Medicaid Services
Investment and Accountability Act of 2019 (Public Law
116–16; 133 Stat. 852), which included provisions for
improving access to coordinated, patient-centered health
care for children with complex and rare medical condi-
tions in Medicaid, and became effective October 1, 2022;
Whereas the FDA and the National Institutes of Health sup-
port innovative research on the treatment of rare diseases
and disorders;
Whereas Rare Disease Day is observed each year on the last
day of February;
Whereas Rare Disease Day is a global event that was first
observed in the United States on February 28, 2009, and
was observed in more than 100 countries in 2022; and
Whereas Rare Disease Day is expected to be observed glob-
ally for years to come, providing hope and information
for rare disease and disorder patients around the world:
Now, therefore, be it
Resolved, That the House of Representatives—
1
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•HRES 181 IH
(1) expresses support for the designation of
1
‘‘Rare Disease Day’’; and
2
(2) recognizes the importance of, with respect
3
to rare diseases and disorders—
4
(A) improving awareness;
5
(B) encouraging accurate and early diag-
6
nosis; and
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(C) supporting national and global efforts
8
to develop effective treatments, diagnostics, and
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cures.
10
Æ
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