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"340B purchases are now more than 50% larger than Medicaid’s net prescription drug spending. The program now accounts for nearly one-fifth of the total U.S. gross-to-net bubble."

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Drug Channels

"The Biden administration found that, in 2023, about 81,000 subsidized ACA insurance policies were terminated because the enrollee owed $5 or less. Nearly 103,000 more were canceled for owing less than $10."

Measures to ensure transparency in our medical systems means more patients stay insured. Congresswoman Kim Schrier: Thank you for keeping our patients protected.

An insurer canceled a woman’s coverage over a nickel When medical bills started rolling in, a teacher’s aide wondered why her insurance suddenly wasn’t covering them.

"In a single year, disproportionate share hospitals, who care for the majority of 340B participants, earned over $44 billion in estimated profits from the 340B program."

Savings kept from patients: https://cardinalnews.org/2026/05/28/richmond-physician-griffith-is-right-to-demand-greater-transparency-in-little-known-federal-program/

: Listen to federal leaders speak on the impacts of the IRA, reform, investment in rare disease research, developing a secure supply chain, and policies that can protect American leadership in drug therapy development.

Rep. Scott Peters on the Pill Penalty, PBMs, China & America’s Biotech Future *China* and *biotech* competition. *Drug pricing* reform. The *FDA.* *PBMs.* *America’s* innovation *economy.*This week on the Making Medicine Podcast, John ...

"Lawmakers originally expected about 90 hospitals to participate in the 340B program. But today, over 2,600 hospitals have enrolled. In fact, the majority of hospitals nationwide now qualify for the program."

More on the history of :

340B: A hidden driver of small businesses' soaring health costs Congress established the 340B Drug Pricing Program, which allows safety-net hospitals and clinics to purchase discounted drugs, over three decades ago.

"The connection between 340B savings and patient benefit is often unclear. Across our communities, we hear from Black women and families who struggle to afford prescriptions, delay care because of the cost, or navigate confusing billing systems."

Op-Ed: Health Equity Requires More Than Good Intentions: Why 340B Needs Transparency Before Expansion – The Chicagoland Journal Op-Ed: Health Equity Requires More Than Good Intentions: Why 340B Needs Transparency Before Expansion - Black women and families in

"Analysis from the National Alliance of Healthcare Purchasers Coalition found that prices at 340B hospitals were higher across the board. Even outpatient procedures cost 20% more at 340B hospitals."

https://www.startribune.com/discounted-medication-program-hospitals-healthcare-costs/601804543

"Policymakers have long debated whether savings were meaningful or marginal, targeted or diffuse.

Now we know: the savings are large, and they are not flowing primarily to the patients the program was designed to help."

https://www.thewellnews.com/opinions/the-340b-windfall-that-misses-patients/

" has grown far beyond lawmakers' original purpose. Thousands of hospitals now participate, nearly 30 times the number policymakers originally envisioned."

https://www.realclearhealth.com/articles/2026/05/01/republicans_need_to_support_trumps_anti-fraud_efforts_1180140.html

"340B spending has ballooned as more hospitals have become eligible owing to the ObamaCare Medicaid expansion...Studies have found that hospitals largely use the money for financial investments and acquisitions."

Profits aren't being passed to : https://www.wsj.com/opinion/340b-drug-program-healthcare-daniel-traynor-north-dakota-abbvie-pharma-hospitals-6e3650be?mod=panda_wsj_author_alert