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Issues We Advocate For

The policy priorities and initiatives of the RARE Foundation are informed by and powered by YOU – our rare disease community – to ensure that our priorities reflect the most pressing needs of this community.

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Our Policy Goals

  • Close the innovation gap for the 95% of rare diseases that have no FDA-approved treatment.

  • Eliminate the diagnostic odyssey for rare disease patients.

  • Improve the regulatory process and advance regulatory science for rare disease therapies.

  • Ensure patient access to safe and efficacious therapies and cures at the earliest moment possible.

  • Empower patients to develop an impactful voice in policymaking, drug development, and regulatory decision-making.

Accelerating Diagnosis


  • Newborn Screening

    Join the fight to protect and advance one of America’s most successful public health programs.

  • Genetic Testing

    Better access to genetic testing and stronger protections against genetic discrimination mean faster answers for patients and families.

  • Diagnostic Odyssey

    In rare disease, it can take more than 6 years and 17 medical visits to get an accurate diagnosis.

Advancing Therapy Development


  • Research Funding

    Advocating for federal biomedical research funding that powers progress in understanding rare diseases and enables the discovery of new therapies.

  • Accelerated Approval

    Ensuring tools like accelerated approval are fully utilized so patients living with rare diseases can access promising new treatments sooner than the traditional approval process allows.

  • Rare Disease Innovation Hub

    Strengthening the infrastructure behind this collaboration between the FDA's Center for Drug Evaluation and Research, Center for Biologics Evaluation and Research, and Center for Devices and Radiological Health to streamline and accelerate treatments for rare diseases.

  • Patient-Focused Drug Development (PFDD)

    Ensuring patients' experiences, perspectives, needs, and priorities are included in drug development and evaluation.

  • FDA User Fees

    Ensuring the needs of the rare disease community are included in the reauthorization of FDA user fees.

  • Orphan Drug Incentives

    Advocating for tax credits, grants, and market exclusivity that make developing treatments for rare diseases possible.

Ensuring Access


  • Medicaid

    Protecting Medicaid coverage, since cuts to eligibility, benefits, or access would directly harm the rare disease community's ability to get care.

  • Prescription Coverage & Reimbursement

    Supporting timely access to recommended treatments by removing coverage barriers that delay care, raise costs, and lead to worse health outcomes.

  • Drug Pricing

    Advocating for lower prescription drug costs in ways that account for the unique complexities of rare disease therapy development.

  • Value Assessment

    Ensuring value assessment frameworks, which weigh a therapy's effectiveness and cost against alternatives, include patient experience data and the outcomes that matter most to patients.

  • Care Access

    Expanding access to specialty care, including out-of-state care, to prevent delayed diagnoses and worsening health outcomes.

  • Navigating the Access Environment

    Helping patients overcome systemic barriers to early diagnosis, specialized care, and life-saving therapies.

Driving Policy With Data