Contact Congress about H.R. 44: Rural 340B Access Act of 2025
Some rural emergency hospitals could buy outpatient drugs at 340B discount prices. They would have to meet rules tied to government ownership, government powers, or care for low-income patients under a government contract.
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Rural 340B Access Act of 2025 is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.
Latest action on H.R. 44: Referred to the House Committee on Energy and Commerce.
Who this affects: This bill mainly affects rural emergency hospitals that want access to lower drug prices. It also affects low-income patients these hospitals serve, drug companies that must provide 340B discounts, and state or local governments tied to qualifying hospitals.
Why this matters: Rural hospitals often run on tight budgets, and drug costs can strain them. This bill could lower drug costs for some rural emergency hospitals by adding them to 340B. It may help them keep services available in small or remote areas. But the bill does not say how hospitals must use the savings.
Key provisions in H.R. 44
- The bill would let rural emergency hospitals join 340B as approved providers. In the law, these providers are called covered entities under the Public Health Service Act.
- The bill uses Medicare's current meaning of rural emergency hospital. It points to that definition in the Social Security Act instead of writing a new one.
- Not every rural emergency hospital could join. The hospital must be government owned or run, have formal government powers, or be a private nonprofit with a state or local government contract.
- A nonprofit using the contract path must serve low-income people. Those patients must not be on Medicare and must not qualify for the state Medicaid plan.
- The bill does not start a new program. It only adds more providers to the existing 340B drug discount program.
How Modern Action helps you take action on H.R. 44
You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.
Questions people ask about H.R. 44
- What is H.R. 44?
- Some rural emergency hospitals could buy outpatient drugs at 340B discount prices. They would have to meet rules tied to government ownership, government powers, or care for low-income patients under a government contract.
- How do I support or oppose H.R. 44?
- Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
- Who should I contact about H.R. 44?
- Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
- Can Modern Action explain H.R. 44 before I act?
- Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.