In 2021, in the Russian Federation, by Decree of the President of the Russian Federation, the “Circle of Good” Fund was created to support children aged 0 to 18 years with severe life-threatening and chronic diseases, including rare (orphan) diseases. According to the Program of State Guarantees for the free provision of medical care to citizens, financial support is provided from federal budget allocations in accordance with the procedure for purchasing medicines and medical products for a specific child with a serious life-threatening or chronic disease, including a rare (orphan) disease, or for groups of such children established by the Government of the Russian Federation. Noting the absolute feasibility of creating the Fund, it is necessary to raise the issue of organizing drug provision for children who received treatment with the help of the “Circle of Good” Foundation when they reach adulthood. This article analyzes the existing approaches to this organization, and also presents possible proposals aimed at improving this process.