12/16/2025
A Historic Win for Rare Disease—But a Warning for Public Health Policy
Today is a day of celebration. Metachromatic Leukodystrophy (MLD) and Duchenne Muscular Dystrophy (DMD) have officially been added to the federal Recommended Uniform Screening Panel (RUSP).
For years, the MLD and DMD communities have fought for this. In April 2025, when the federal advisory committee (ACHDNC) was suddenly disbanded, their path to screening was effectively blocked.
They didn’t wait for the system to fix itself. By taking a novel approach - publishing their evidence reviews, presenting the evidence in cooperation with the EveryLife Foundation and using that evidence to appeal directly to HHS, these advocates secured a victory that will save thousands of lives. In a year of massive upheaval, this is a testament to the power of patient advocacy.
The Impact:
Implementation: We expect all states to screen for these conditions within 5 years.
Early Action: Many states will move within the next 3 years.
Life-Saving Outcomes: Early detection is the only way to access time-sensitive treatments for MLD and DMD.
But we must be honest: This is a "Plan B" strategy, not a sustainable policy.
We cannot use direct appeals to the HHS Secretary for future conditions. To protect the integrity of Newborn Screening, we need an evidence-based approach, not a political one.
The missing piece? The reauthorization of the Newborn Screening Saves Lives Act.
We need to reinstate a formal federal advisory committee to ensure that every condition is evaluated by scientists and clinicians—not caught in a political vacuum.
At Patient Advocacy Strategies, we are proud to stand with these communities. We are ready to help your organization navigate this new, complex landscape and build a state-by-state strategy that ensures no child is left behind.
Let’s celebrate the win today, and get back to work tomorrow.
https://patientadvocacystrategies.com/blog/news/mld-dmd-added-to-the-federal-rusp-a-victory-for-newborn-screening/