ORPHAN Cures Act

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Bill ID: 119/hr/946
Last Updated: December 4, 2025

Sponsored by

Rep. Joyce, John [R-PA-13]

ID: J000302

Follow the money

The bill

ORPHAN Cures Act

HR. 946, 119th Congress β€” read as touching Pharmaceuticals.

The sponsor

Rep. Joyce, John [R-PA-13]

Every bill has someone who introduced it. That name is where the paper trail starts.

The money

$66,400 raised

20 itemised contributions to this sponsor, pulled from FEC filings.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Sponsor introductory remarks on measure. (CR H535-536)

February 5, 2025

Introduced

πŸ“ Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

πŸ›οΈ

Committee Review

πŸ—³οΈ

Floor Action

βœ…

Passed House

πŸ›οΈ

Senate Review

πŸŽ‰

Passed Congress

πŸ–ŠοΈ

Presidential Action

βš–οΈ

Became Law

πŸ“š How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another masterpiece of legislative theater, courtesy of the esteemed members of Congress. Let's dissect this farce and expose the underlying disease.

**Main Purpose & Objectives:** The ORPHAN Cures Act (because who doesn't love a good acronym?) claims to "expand and clarify" the exclusion for orphan drugs under the Drug Price Negotiation Program. In plain English, it's a bill that supposedly helps patients with rare diseases by making it easier for pharmaceutical companies to develop and market treatments.

**Key Provisions & Changes to Existing Law:** The bill amends Section 1192(e) of the Social Security Act to exclude "former orphan drugs" from certain calculations. This means that if a drug was once considered an orphan drug (i.e., used to treat a rare disease or condition), but is no longer, it won't be counted towards the time limit for price negotiations. The bill also broadens the definition of orphan diseases and conditions.

**Affected Parties & Stakeholders:** The usual suspects are involved:

* Pharmaceutical companies: They'll benefit from the expanded exclusion, which will allow them to maintain higher prices for their "orphan" drugs. * Patients with rare diseases: Supposedly, they'll have better access to treatments. But let's be real, this bill is more about lining the pockets of pharma execs than actually helping patients. * Taxpayers: As always, they'll foot the bill for these overpriced "orphan" drugs.

**Potential Impact & Implications:** This bill is a classic case of " regulatory capture," where special interests (pharmaceutical companies) manipulate the system to their advantage. By expanding the exclusion for orphan drugs, Congress is essentially giving pharma companies a free pass to charge exorbitant prices for treatments that might not even be effective.

The real disease here is greed, and this bill is just another symptom of a corrupt system that prioritizes profits over people's lives. The ORPHAN Cures Act is nothing more than a cleverly crafted piece of legislation designed to make pharmaceutical companies richer while pretending to help patients.

In medical terms, this bill is akin to prescribing a placebo to a patient with a terminal illness – it might make them feel better for a little while, but ultimately, it's just a waste of time and resources. And the politicians behind this bill? They're just the incompetent med students who can't even be bothered to read the label on the medication they're peddling.

Diagnosis: Legislative Theater-itis, with symptoms of Greed-induced Regulatory Capture and a healthy dose of Cynicism towards the American public. Prognosis: Poor, unless we start holding our elected officials accountable for their actions.

Related Topics

Healthcare & Insurance Reform
Generated using Llama 3.1 70B (Dr. Haus personality)

πŸ’° Campaign Finance Network

Rep. Joyce, John [R-PA-13]

Congress 119 β€’ 2024 Election Cycle

Total Contributions
$66,400
16 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$66,400

No PAC contributions found

No organization contributions found

No committee contributions found

1
SPELL, JOE
2 transactions
$7,000
2
EDATTEL, PAUL
2 transactions
$6,600
3
KIMBELL, JEFFREY
2 transactions
$6,600
4
FAISON, JAY W.
2 transactions
$6,600
5
SHOAP, VICKI
1 transaction
$3,300
6
WALKER, KENT
1 transaction
$3,300
7
ALAM, MURAD
1 transaction
$3,300
8
RAYDER, MARK
1 transaction
$3,300
9
REDL, DAVID J.
1 transaction
$3,300
10
WILLCOX, DARREN
1 transaction
$3,300
11
FISHER, KENNETH
1 transaction
$3,300
12
FISHER, SHERRILYN
1 transaction
$3,300
13
STEERE, WILLIAM C. JR.
1 transaction
$3,300
14
COPELAND, JR, GERRET
1 transaction
$3,300
15
MARTIN, ANNE E.
1 transaction
$3,300
16
MARTIN, DONNA F
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 10 cosponsors. Below are their top campaign contributors.

Rep. Davis, Donald G. [D-NC-1]

ID: D000230

Top Contributors

10

1
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
2
TUNICA-BILOXI TRIBE OF LA
OrganizationMARKSVILLE, LA
$2,000
Dec 31, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 6, 2023
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
May 13, 2024
5
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$1,500
May 31, 2023
6
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Dec 28, 2023
7
FISHER, DEBORAH
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualCOEUR D ALENE, ID
$4,000
Jul 29, 2024
8
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC β€’ INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 31, 2024
9
BRAUFMAN, JILL
NOT EMPLOYED β€’ RETIRED
IndividualSURFSIDE, FL
$3,300
Oct 18, 2024
10
CLAPP, STEPHEN
SELF EMPLOYED β€’ RANCHER
IndividualSEQUIM, WA
$3,300
Oct 30, 2024

Rep. Hern, Kevin [R-OK-1]

ID: H001082

Top Contributors

10

1
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$2,000
Jun 15, 2024
2
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$1,000
May 26, 2023
3
CHEROKEE NATION
OrganizationTABLEQUAIL, OK
$3,300
Nov 14, 2023
4
CHICKASAW NATION
OrganizationADA, OK
$3,300
Feb 10, 2023
5
CHICKASAW NATION
OrganizationADA, OK
$3,300
Jun 15, 2024
6
OSAGE NATION
OrganizationPAWHUSKA, OK
$3,300
Jun 18, 2024
7
UNITED KEETOOWAH BAND OF CHEROKEE INDIANS
OrganizationTAHLEQUAH, OK
$3,000
Sep 30, 2023
8
SYCUAN BAND OF THE KYMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Oct 13, 2023
9
SYCUAN BAN OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Jul 15, 2024
10
MARSH POINTE MANAGEMENT LLC
OrganizationTAHLEOUAH, OK
$2,000
Aug 29, 2023

Rep. Peters, Scott H. [D-CA-50]

ID: P000608

Top Contributors

10

1
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Apr 19, 2024
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Apr 21, 2023
3
ARISON, MADELEINE
N/A β€’ NOT EMPLOYED
IndividualCORAL GABLES, FL
$3,300
Oct 27, 2023
4
ARISON, MICKY
CARNIVAL CRUISE β€’ CHAIRMAN
IndividualCORAL GABLES, FL
$3,300
Oct 27, 2023
5
EMERSON, LANGSTON
MINDSET β€’ POLICY ADVISOR LOBBYIST
IndividualWASHINGTON, DC
$3,300
Oct 18, 2023
6
EPSTEIN, DANIEL J.
CONAM β€’ REAL ESTATE EXECUTIVE
IndividualSAN DIEGO, CA
$3,300
Dec 20, 2023
7
GATES, WILLIAM H III
BREAKTHROUGH ENERGY β€’ PHILANTHROPIST
IndividualREDMOND, WA
$3,300
Oct 19, 2023
8
GONZALEZ, JOHN MICHAEL
TIBER CREEK GROUP β€’ PARTNER
IndividualWASHINGTON, DC
$3,300
Dec 13, 2023
9
LINDEN, LAWRENCE
N/A β€’ RETIRED
IndividualNEW YORK, NY
$3,300
Nov 24, 2023
10
LINDEN, LAWRENCE
N/A β€’ RETIRED
IndividualNEW YORK, NY
$3,300
Nov 24, 2023

Rep. Miller-Meeks, Mariannette [R-IA-1]

ID: M001215

Top Contributors

10

1
SAC & FOX TRIBE OF THE MISSISSIPPI IN IOWA
COMTAMA, IA
$1,000
Aug 11, 2023
2
RENEWABLE ENERGY, CITIZENS FOR
COMMADISON, WI
$500
Aug 20, 2024
3
POLITICAL COMMITTEE, NWF ACTION FUND
PACWASHINGTON, DC
$500
Sep 18, 2024
4
US MARSHALS SERVICES
OrganizationNEW YORK, NY
$2,900
Apr 20, 2023
5
HUNTON ANDREWS KURTH LLP
OrganizationRICHMOND, VA
$1,000
Mar 22, 2023
6
HOGAN, PATRICK F
RETIRED β€’ RETIRED
IndividualDALLAS, TX
$13,200
Mar 15, 2023
7
HOLDEN, RONALD
RETIRED β€’ RETIRED
IndividualWILLIAMSBURG, IA
$13,200
Jun 20, 2023
8
VANDEWALLE, LOLA L
SELF-EMPLOYED β€’ ENTREPRENEUR
IndividualBLUE GRASS, IA
$13,200
Oct 16, 2023
9
GLEESON, JOHN W
KLINGER COMPANIES, LLC β€’ CEO
IndividualSIOUX CITY, IA
$11,600
Feb 15, 2023
10
SMITH, DYAN
HOMEMAKER β€’ HOMEMAKER
IndividualNAPLES, FL
$10,000
May 13, 2024

Rep. Keating, William R. [D-MA-9]

ID: K000375

Top Contributors

10

1
EPPERLY, MATTHEW THOMAS
CHARTWELL STRATEGY GROUP β€’ MANAGING DIRECTOR
IndividualBETHESDA, MD
$3,300
Mar 30, 2023
2
WORLEY, RICHARD
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualEDGARTOWN, MA
$3,300
Feb 19, 2024
3
MCCANN, WILLIAM J.
STRATEGIC MARKETING INNOVATIONS β€’ CHIEF OPERATING OFFICER
IndividualARLINGTON, VA
$3,300
May 10, 2023
4
FISH, JOHN F.
SUFFOLK CONSTRUCTION β€’ CEO
IndividualBOSTON, MA
$3,300
Jun 28, 2024
5
MCCARTNEY, CHRISTINE B.
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualOSTERVILLE, MA
$3,300
Jun 6, 2024
6
MCCLENNEN, JAMES C.
WEQUASSETT RESORT AND GOLF CLUB β€’ PARTNER
IndividualHARWICH, MA
$3,300
Aug 12, 2024
7
ABRAHAM, ANDREW
KECHES β€’ LAWYER
IndividualMILTON, MA
$3,300
Sep 26, 2023
8
FLAHERTY, SEAN C.
KECHES LAW GROUP β€’ ATTORNEY
IndividualBRIDGEWATER, MA
$3,300
Sep 26, 2023
9
GREEN, LAWRENCE ALAN
RENTALS UNLIMITED β€’ CEO
IndividualNANTUCKET, MA
$3,300
Jul 24, 2023
10
LEITER, DAVID J.
PLURUS STRATEGIES LLC β€’ CONSULTANT
IndividualWASHINGTON, DC
$3,300
Sep 28, 2023

Rep. Hudson, Richard [R-NC-9]

ID: H001067

Top Contributors

10

1
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Sep 30, 2023
2
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$3,300
Sep 30, 2024
3
CATAWBA INDIAN NATION
OrganizationROCK HILL, SC
$1,500
Mar 5, 2024
4
HENDRICK, JOSEPH RIDDICK III
HENDRICK MOTORSPORTS β€’ CHAIRMAN
IndividualCHARLOTTE, NC
$50,000
Dec 12, 2023
5
GROSS, MARK J.
OAK GROVE TECHNOLOGIES β€’ CEO
IndividualRALEIGH, NC
$50,000
Feb 27, 2023
6
WARLICK, ANDERSON D. MR.
PARKDALE MILLS β€’ CEO
IndividualGASTONIA, NC
$50,000
Mar 16, 2023
7
BARNHILL, ROBERT E. MR. JR.
BARNHILL CONTRACTING COMPANY β€’ PRESIDENT
IndividualROCKY MOUNT, NC
$50,000
May 14, 2024
8
HUNTER, FRED NEAL
KNOW BIO LLC β€’ BUSINESS OWNER
IndividualDURHAM, NC
$35,000
Mar 31, 2023
9
SULLIVAN, SCOTT C.
CAMERON MANAGEMENT β€’ CO-FOUNDER
IndividualBANNER ELK, NC
$25,000
Dec 29, 2023
10
ALLISON, DENNIS KEITH MR.
SYSTEL β€’ PRESIDENT/CEO
IndividualFAYETTEVILLE, NC
$25,000
Mar 3, 2023

Rep. Thanedar, Shri [D-MI-13]

ID: T000488

Top Contributors

10

1
LEVY, EDWARD C.
EDW C LEVY CO β€’ CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
2
LEVY, EDWARD C.
EDW C LEVY CO β€’ CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jul 1, 2024
3
LEVY, EDWARD C.
EDW C LEVY CO β€’ CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
4
SARVER, ROBERT
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualPARADISE VALLEY, AZ
$6,600
Aug 5, 2024
5
PATEL, DILIP
JAMSAN HOTEL MANAGEMENT β€’ MANAGER
IndividualLEXINGTON, MA
$3,300
Oct 27, 2024
6
SILVERSTON, CHARLES
GIBSON SIR β€’ REAL ESTATE
IndividualCHESTNUT HILL, MA
$3,300
Oct 27, 2024
7
SINGH, GURPREET
SELF EMPLOYED β€’ SELF EMPLOYED
IndividualHUNTS POINT, WA
$3,300
Oct 27, 2024
8
AGARWAL, AVADHESH K
N/A β€’ RETIRED
IndividualROLLING HILLS, CA
$3,300
Aug 10, 2023
9
JADEJA, ASHA
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualPALO ALTO, CA
$3,300
Jul 13, 2023
10
RATHI, VASANT
SPECIALTY ENZYMES β€’ OWNER
IndividualYORBA LINDA, CA
$3,300
Aug 10, 2023

Rep. Bilirakis, Gus M. [R-FL-12]

ID: B001257

Top Contributors

10

1
COOL MASTER PRO LLC
OrganizationTAMPA, FL
$6,600
Mar 8, 2023
2
ARTECHE, LEON
V-ME MEDIA INC. β€’ CFO
IndividualDORAL, FL
$5,000
Jan 18, 2024
3
OF FLORIDA, SEMINOLE TRIBE
EMPLOYEE RECOGNIZED TRIBE
IndividualHOLLYWOOD, FL
$3,300
Aug 2, 2024
4
LAGOS, JAMES H.
LAGOS LAGOS, PLL β€’ ATTORNEY
IndividualSPRINGFIELD, OH
$3,300
Sep 9, 2024
5
RICE, WILLIAM LLOYD
FALFURRIAS CAPITAL PARTNERS
IndividualMINT HILL, NC
$3,300
Sep 30, 2024
6
WANEK, RON
ASHLEY FURNITURE INDUSTRIES, INC β€’ CHAIRMAN OF THE BOARD
IndividualTAMPA, FL
$3,300
Oct 17, 2024
7
WANEK, TODD
ASHLEY FURNITURE β€’ CEO
IndividualTAMPA, FL
$3,300
Oct 17, 2024
8
WANEK, JOYCE
N/A β€’ N/A
IndividualTAMPA, FL
$3,300
Oct 18, 2024
9
WANEK, KAREN
SUPERIOR FRESH β€’ OWNER
IndividualTAMPA, FL
$3,300
Oct 17, 2024
10
HEPSCHER, WILLIAM S
RX MANAGE USA β€’ BUSINESS OWNER
IndividualTAMPA, FL
$3,300
Oct 30, 2024

Rep. Gottheimer, Josh [D-NJ-5]

ID: G000583

Top Contributors

10

1
AMERICAN EXPRESS
OrganizationNEWARK, NJ
$22,941
Apr 12, 2024
2
AMERICAN EXPRESS
OrganizationNEWARK, NJ
$10,621
May 10, 2024
3
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
May 15, 2024
4
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
Apr 15, 2024
5
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
Apr 30, 2024
6
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$5,751
Apr 1, 2024
7
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Oct 22, 2024
8
SEKAS LAW GROUP LLC
OrganizationENGLEWOOD CLIFFS, NJ
$1,500
Apr 12, 2024
9
SANDOR F. GENET & ASSOCIATES, P.A.
OrganizationNORTH MIAMI BEACH, FL
$250
Apr 12, 2024
10
FIRESTONE MILKEN, SARAH
NOT EMPLOYED β€’ NOT EMPLOYED
IndividualPACIFIC PALISADES, CA
$13,200
Jul 2, 2024

Rep. Smucker, Lloyd [R-PA-11]

ID: S001199

Top Contributors

10

1
MASRY, LOUIS
LEM SETTLEMENT GROUP β€’ CEO-PRESIDENT
IndividualSOLANA BEACH, CA
$6,600
Jan 17, 2024
2
SCHWARZMAN, STEPHEN A.
BLACKSTONE β€’ CEO AND CHAIRMAN
IndividualNEW YORK, NY
$6,600
Jul 13, 2023
3
SCHWARZMAN, CHRISTINE
NONE β€’ RETIRED
IndividualNEW YORK, NY
$6,600
Jul 14, 2023
4
WALTERS, WILLIAM
SELECT MEDICAL β€’ SVP
IndividualMCLEAN, VA
$5,000
Feb 5, 2024
5
REYNOLDS, GARY A.
RAYMOND JAMES FINANCIAL SERVICES β€’ FINANCIAL ADVISOR
IndividualLANCASTER, PA
$4,597
Mar 27, 2024
6
PARKER, ALEXANDRA MRS.
SELF EMPLOYED β€’ PHILANTHROPY
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
7
PARKER, ALEXANDRA MRS.
SELF EMPLOYED β€’ PHILANTHROPY
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
8
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATION β€’ CHAIRMAN
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
9
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATION β€’ CHAIRMAN
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
10
MASRY, LOUIS
LEM SETTLEMENT GROUP β€’ CEO-PRESIDENT
IndividualSOLANA BEACH, CA
$3,300
Jan 17, 2024

Donor Network - Rep. Joyce, John [R-PA-13]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

Loading...

Showing 70 nodes and 35 connections (53 secondary connections hidden)

Total contributions: $101,450

Top Donors - Rep. Joyce, John [R-PA-13]

Showing top 16 donors by contribution amount

16 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

  • +Pharmaceuticalsconfidence 0.95

    Section 2 expands the exclusion for orphan drugs under the Drug Price Negotiation Program by allowing time during which a drug was designated for multiple rare diseases to not count toward the negotiation eligibility period, thereby extending market exclusivity and delaying price negotiations, which benefits pharmaceutical manufacturers.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Joyce, John [R-PA-13])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent β€” they are a record of who funds the people writing the law.

Industries this bill HELPS

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