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" 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

"Most rare diseases still lack effective treatments. It’s only logical that the government should allow drug developers to experiment with existing therapies to unlock their full potential."

won't allow for R&D pathways:

Rare Disease Patients Deserve Cures, Too Importing the failed drug policies of countries that ration care and limit treatment options is no solution at all.

hospitals "charge patients nearly 10 times what they paid to acquire the drugs, inflating patients' out-of-pocket costs and driving up premiums for the nearly half of Americans who get health insurance through their employers."

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

"340B has actually surpassed Medicaid in terms of providing special pricing to purchasers, and the number of participating providers has increased by an order of magnitude."

Tune in to learn more about the origins of : https://thehealnetwork.org/episode-15-sayeh-nikpay-from-safety-net-to-profit-center-the-complicated-truth-about-the-340b-program/

"More than 130 rural hospitals closed between 2010 and 2021. When a rural hospital shuts down, the damage ripples outward: clinics close, mental health services disappear, jobs vanish, and patients are forced to travel farther for care."

is broken: https://www.realclearhealth.com/articles/2026/04/22/rural_america_is_paying_the_price_for_medicare_loophole_1178323.html

: are fighting back.

https://www.statnews.com/2026/04/20/pbm-reform-proposal-draws-lobbyist-opposition/

The new 340B Employer Cost Impact Calculator is designed to change that. The tool allows employers and healthcare purchasers to estimate the financial impact of 340B program dynamics using company-specific, real-time inputs. "

Test it: https://www.nationalalliancehealth.org/340b-calculator/

"On average, Illinois' 340B hospitals reported patient revenue of about $497 million, compared with $351 million at non-340B hospitals."

hospitals are putting profits before . It's time for federal reform to close program loopholes: https://www.dailyherald.com/20260406/columns/illinois-hospitals-are-cashing-in-on-a-program-meant-to-help-patients/

"As encouraging as these steps appear, however, past behavior suggests PBMs will work around the new guardrails in the absence of a requirement to act expressly in the interest of employers and patients."

More on the effects of federal reform: https://schaeffer.usc.edu/research/pbm-reform-fair-act-fiduciary/

How much, exactly, is costing you?

"The new calculator enables employer sponsored health plans to estimate potential excess costs associated with 340B program dynamics using company specific and real-time inputs."

Find out more: https://www.prnewswire.com/news-releases/national-alliance-of-healthcare-purchaser-coalitions-launches-calculator-to-reveal-hidden-340b-costs-for-employers-302732934.html