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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 and contract pharmacies should have to mark 340B drug claims and send claim-level data to a national clearinghouse that checks for duplicate discounts and helps arrange refunds or repayments.”
1 bill on this topic
“340B providers should be allowed to use outside pharmacies, while some pharmacy networks would face caps, local-service limits, mail-order limits, written agreements, audits, fines, or removal for repeated violations.”
1 bill on this topic
“Eligible hospitals, clinics, and health centers should have a formal path in the 340B dispute process to challenge manufacturers they believe broke covered pricing, condition, or contract pharmacy protections.”
1 bill on this topic
“Drug manufacturers should not be able to block 340B discounts by adding their own limits on how eligible providers buy, receive, deliver, administer, or dispense drugs, or by demanding extra data, unless HHS allows the condition.”
1 bill on this topic
“Drug manufacturers should have to give eligible hospitals, clinics, and health centers the 340B discount price when their patients get drugs through outside pharmacies, including local, specialty, or mail-order pharmacies.”
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
“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
“HHS should hire an independent reviewer to compare 340B provider claims data with state Medicaid rebate data, keep that data confidential, allow later claims files instead of only real-time flags, and have states remove claims when a prohibited duplicate discount is found.”
1 bill on this topic
“Drug manufacturers should face a new civil money penalty when they knowingly and intentionally break covered 340B pricing, condition, or contract pharmacy protections, except for overcharge cases handled through the existing penalty path.”
1 bill on this topic
“Health plans, insurers, and pharmacy benefit managers should not pay less, add special fees or audits, block contracts, steer patients away, require 340B claim flags, or deny drug coverage because a provider, pharmacy, or drug is connected to 340B.”
1 bill on this topic
“Health plans, insurers, and PBMs should not treat 340B providers, contract pharmacies, or patients worse because 340B drugs are involved, including by paying less, limiting networks, or blocking required patient discounts.”
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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