H 4495
An Act to protect 340B providers
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- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to protect 340B drug discount program providers, which are healthcare organizations that purchase drugs at significantly reduced prices for vulnerable populations. It prohibits pharmacy benefit managers and other third parties from unfairly treating these providers, such as by reimbursing them at lower rates, imposing fees, or restricting their participation in networks. The goal is to ensure that 340B providers can continue to access affordable medications and serve their patients effectively.
Key provisions
- Prohibits pharmacy benefit managers from reimbursing 340B covered entities at rates lower than those paid to non-340B entities.
- Prevents pharmacy benefit managers from assessing fees or charges based on a 340B covered entity's participation.
- Restricts pharmacy benefit managers from restricting network participation based on 340B status.
- Prohibits requiring 340B covered entities to use specific pharmacies within a network.
- Prevents the use of modifiers or supplemental transmissions to identify 340B drugs unless related to Medicaid payments.
- Outlaws coverage or benefits limitations that penalize patients for obtaining drugs from 340B providers.
- Protects patients' right to choose where they obtain their medications, preventing inducement or incentives to use non-340B providers.
Who is affected
- 340B covered entities (healthcare organizations participating in the 340B drug discount program)
- Pharmacy benefit managers
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Adam J. Scanlon
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Bill H.4495 194th (Current)
An Act to protect 340B providers
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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.4495
| Date | Branch | Action |
| 9/18/2025 | House | Reported from the committee on Financial Services |
| 9/18/2025 | House | New draft of H1296 |
| 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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