Funding Bill Reinstates FDA Pediatric Drug Voucher Program
President Trump has signed a government spending bill that officially reinstates FDA’s Rare Pediatric Disease Priority Review Voucher (PRV) program, reviving a key incentive for rare childhood disease drug development that had lapsed more than a year ago. The provision, part of the Consolidated Appropriations Act of 2026 signed on 2/3, restores the program under the Mikaela Naylon Give Kids a Chance Act and extends the PRV program through 9/30/2029.
Under the program, drug sponsors that secure FDA approval for treatments targeting rare pediatric diseases receive a priority review voucher that can be redeemed to shorten FDA review timelines or sold to another company for substantial revenue.
The program had expired 12/2024 after Congress failed to renew it, leaving many rare disease drug developers in regulatory and financial limbo and threatening to stall innovation in treatments for conditions that primarily affect children. With its lapse, only drugs designated before the 2024 deadline had remained eligible for vouchers, and future awards were set to end by 9/30.
Industry groups and patient advocates have broadly championed the PRV program as a successful tool for spurring investment in therapies for rare pediatric conditions, such as Duchenne muscular dystrophy and hemophilia A. Since its creation in 2012, the program has yielded more than 60 vouchers across dozens of diseases, according to advocacy data.