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1 bill on this topic
“340B providers should mark drug claims as 340B or non-340B and send detailed discounted-drug claim data within 45 days to a national system that checks Medicaid and Medicare data for duplicate discounts, overlapping claims, and rebate problems.”
1 bill on this topic
“340B providers should be allowed to use outside and mail-order pharmacies to dispense discounted drugs, but only with written agreements and limits on pharmacy numbers, service areas, and mail-order use; pharmacies that repeatedly break the terms could face rising penalties or removal.”
1 bill on this topic
“340B hospitals should not use lawsuits, liens, wage garnishment, or similar harsh debt collection against uninsured or low-income patients for health care services, and federal auditors should be able to fine hospitals that violate the ban.”
1 bill on this topic
“Hospitals and off-campus hospital sites that use 340B while they do not qualify should have to leave the program and pay manufacturers back for the discounts they received, with fines for some knowing or repeated violations by off-campus sites.”
1 bill on this topic
“340B hospitals, some clinics, contract pharmacies, health plans, and PBMs should help eligible patients pay less for 340B drugs by capping some patient costs, not turning away patients who cannot pay, applying required discounts at the pharmacy counter, and not blocking those discounts from lowering out-of-pocket costs.”
1 bill on this topic
“340B discounts should apply only when each drug order is tied to qualifying outpatient care from a 340B provider, with records showing the provider relationship, recent in-person or allowed telehealth care, and coordination when an outside specialist orders the drug.”
1 bill on this topic
“340B vendors and contract pharmacies should be paid flat fair-market service fees, not fees based on how expensive a drug is, and improper payments could lead to penalties as high as 10 times the amount paid.”
1 bill on this topic
“Federal 340B rules should override most state and local rules about the 340B program or 340B drugs, including distribution rules, while leaving only limited Medicaid-related state authority in place.”
1 bill on this topic
“Hospitals and off-campus hospital clinics should have to show they serve enough low-income, uninsured, Medicaid, CHIP, or unpaid-care patients before using 340B discounts, with some tests based on ownership, location, services offered, state rankings, and use of 340B margins for charity care.”
1 bill on this topic
“Health plans and pharmacy benefit managers should not give worse payment terms, contracts, or treatment to 340B providers or contract pharmacies just because they use 340B-discounted drugs, including in Medicare Advantage and Part D.”
1 bill on this topic
“Many 340B providers should publicly report who they serve, how much charity care and unpaid care they provide, how much margin they earn from 340B drugs, and how they use that margin, with HHS publishing the data by provider.”
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