H 4490
An Act prohibiting discrimination against 340b drug discount program participants
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- Passed House
- Passed Senate
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- Became Law
Bill overview
This bill prohibits discrimination against 340b drug discount program participants. It aims to ensure that pharmacies and drug coverage plans do not unfairly penalize or restrict access to medications purchased through the 340b program, which provides discounted drugs to healthcare facilities serving vulnerable populations. The bill establishes specific rules regarding reimbursement rates and other terms of agreements to prevent discriminatory practices. It also addresses patient choice in receiving these medications.
Key provisions
- Defines key terms, including ‘340B-covered entity,’ ‘contract pharmacy,’ and ‘drug coverage.’
- Prohibits drug coverage plans from reimbursing 340B pharmacies less than they would pay similarly situated entities.
- Prevents drug coverage plans from imposing discriminatory requirements, exclusions, or reimbursement terms on 340B pharmacies.
- Restricts the use of specific identifiers (like modifiers) that could distinguish 340B drugs from other medications.
- Protects a patient’s right to choose a 340B-covered pharmacy for their medications.
- Addresses the distribution of 340B drugs to pharmacies.
- Defines ‘340B drug’ and ‘340B grantee.’
- Establishes a process for the Attorney General to enforce the bill’s provisions.
Who is affected
- 340B-covered entities (healthcare facilities)
- Contract pharmacies
- Drug coverage plans (insurance companies)
- Patients eligible for 340B drugs
- Distributors of drugs
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsors
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Bill H.4490 194th (Current)
An Act prohibiting discrimination against 340b drug discount program participants
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Bill Information
Bill Information
Sponsor: Joint Committee on Financial Services Status: Referred to Joint Committee on Health Care Financing
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Bill History Cosponsors Committee Vote Committee Summary
Bill History
Displaying 5 actions for Bill H.4490
| Date | Branch | Action |
| 9/18/2025 | House | Reported from the committee on Financial Services |
| 9/18/2025 | House | New draft of H1107 |
| 9/18/2025 | House | Reported favorably by committee and referred to the committee on Health Care Financing |
| 12/8/2025 | House | Reporting date extended to Wednesday, March 18, 2026 |
| 3/19/2026 | House | Reporting date extended to Monday, June 15, 2026 |
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