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Legislative Progress
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Rural 340B Access Act of 2025 This bill makes rural emergency hospitals (REHs) eligible to purchase drugs from manufacturers at discounted prices by participating in the Health Resources and Services Administration’s (HRSA’s) 340B drug pricing program. HRSA’s 340B program requires drug manufacturers that participate in the Medicaid program to sell certain outpatient drugs at discounted prices to entities listed as eligible under current law. Additionally, in 2020, Congress established REHs as a new Medicare provider designation for hospitals in rural areas providing emergency department services, observation care, and other outpatient medical and health services for which the annual per patient average length of stay does not exceed 24 hours. The bill adds qualifying REHs to the list of entities that are eligible to participate in the 340B program.
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Filing registrants (2)
2026 · first_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act, HR1, the One BIg Beautiful Bill, Budget Reconciliation, H.R. 5256, 340B ACCESS Act; H.R. 7391 - Community Health Center Drug Pricing Protection Act
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $337,176 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
2025 · fourth_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act, HR1, the One BIg Beautiful Bill, Budget Reconciliation, H.R. 5256, 340B ACCESS Act
Client expense: $285,256 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
2025 · third_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act, HR1, the One BIg Beautiful Bill, Budget Reconciliation, H.R. 5256, 340B ACCESS Act
Client expense: $364,648 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
2025 · second_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act, HR1, the One BIg Beautiful Bill, Budget Reconciliation
Client expense: $371,483 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
2025 · second_quarter · Pharmacy
H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 44 - 340B Access Act - Rep. Bergman, Jack - 340B participation expansion H.R. 843 - Prompt Approval of Safe Generic Drugs Act - Rep. Barragan, Nanette Diaz - Generic drugs applications and approvals H.R. 946 - ORPHAN Cures Act - Rep. Joyce, John - Medicare Drug Negotiation Program H.R. 950 - Saving Seniors Money on Prescriptions Act - Rep. Landsman, Greg - PBM reporting requirements for MA/Part D plans. H.R. 1117 - Responsibility in Drug Advertising Act - Rep. DeLauro, Rosa - Direct-to-consumer ads H.R. 1244 - Reducing Drug Prices for Seniors Act - Rep. Davis, Donald - Coinsurance for Part D drugs H.R. 2214 - DRUG Act - Rep. Miller-Meeks, Mariannette - PBM contracts H.R. 2450 - Prescription Drug Transparency and Affordability Act - Rep. McDonald Rivet, Kristen - PBM transparency H.R. 3493 - Global Fairness in Drug Pricing Act - Rep. Khanna, Ro - Prescription drug international reference pricing H.R. 3546 - Prescription Drug Price Relief Act - Rep. Khanna, Ro - Prescription drug patent reform H.R. 3775 - Fair Prescription Drug Prices for Americans Act - Rep. Van Drew, Jefferson - Prescription drug and biological product international reference pricing H.R. 3789 - DTC Act - Rep. Taylor, David - Direct-to-consumer prescription advertising transparency S. 229 - DTC Act - Sen. Durbin, Richard - Drug advertising requirements S. 483 - Responsibility in Drug Advertising Act - Sen. King, Angus - Drug advertising requirements S. 526 - Pharmacy Benefit Manage Transparency - Sen. Grassley, Chuck - PBM reporting requirements S. 529 - Capping Prescription Costs Act - Sen. Warnock, Raphael - Drug copay caps S. 652 - Protecting Patients from Deceptive Drugs Ads Act - Sen. Durbin, Richard - Drug advertising requirements S. 882 - Patients Before Middlemen Act - Sen. Blackburn, Marsha - PBM reforms S. 891 - Bipartisan Health Care Act - Sen. Wyden, Ron - PBM reforms and transparency S. 1040 - Drug Competition Enhanced Act - Sen. Cornyn, John - Drug patent reform S. 1041 - Affordable Prescriptions for Patients Act - Sen. Cornyn, John - Patent issues S. 1095 - Stop STALLING Act - Sen. Klobuchar, Amy - Drug patent reform S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act - Sen. Klobuchar, Amy - Drug patent reform S. 1414 - Expedited Access to Biosimilars Act - Sen. Paul, Rand - Biosimilars assessment and approval S. 1587 - Fair Prescription Drug Prices for Americans Act - Sen. Hawley, Josh - Prescription drug international reference pricing S. 1753 - End Price Gouging for Medications Act - Sen. Merkley, Jeff - Prescription drug international reference pricing S. 1818 - Prescription Drug Price Relief Act - Sen. Sanders, Bernard - Prescription drug patent reform S. 1954 - Biosimilar Red Tape Elimination Act - Sen. Lee, Mike - Biological product assessment and approval Issues related to the implementation of Inflation Reduction Act - Medicare negotiation; coverage of weight loss drugs; high priced drugs; patent reforms; Pharmacy Benefit Managers; PBM related issues; and copay coupons.
Client expense: $4,050,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · second_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act, HR1, the One BIg Beautiful Bill, Budget Reconciliation
Client expense: $371,483 · Firm income: Not reported
2025 · first_quarter · Pharmacy
H.R. 44 - 340B Access Act - Rep. Bergman, Jack - 340B participation expansion H.R. 843 - Prompt Approval of Safe Generic Drugs Act - Rep. Barragan, Nanette Diaz - Generic drugs applications and approvals H.R. 946 - ORPHAN Cures Act - Rep. Joyce, John - Medicare Drug Negotiation Program H.R. 950 - Saving Seniors Money on Prescriptions Act - Rep. Landsman, Greg - PBM reporting requirements for MA/Part D plans. H.R. 1117 - Responsibility in Drug Advertising Act - Rep. DeLauro, Rosa - Direct-to-consumer ads H.R. 1244 - Reducing Drug Prices for Seniors Act - Rep. Davis, Donald - Coinsurance for Part D drugs H.R. 2214 - DRUG Act - Rep. Miller-Meeks, Mariannette - PBM contracts H.R. 2450 - Prescription Drug Transparency and Affordability Act - Rep. McDonald Rivet, Kristen - PBM transparency S. 229 - DTC Act - Sen. Durbin, Richard - Drug advertising requirements S. 483 - Responsibility in Drug Advertising Act - Sen. King, Angus - Drug advertising requirements S. 526 - Pharmacy Benefit Manage Transparency - Sen. Grassley, Chuck - PBM reporting requirements S. 529 - Capping Prescription Costs Act - Sen. Warnock, Raphael - Drug copay caps S. 652 - Protecting Patients from Deceptive Drugs Ads Act - Sen. Durbin, Richard - Drug advertising requirements S. 882 - Patients Before Middlemen Act - Sen. Blackburn, Marsha - PBM reforms S. 891 - Bipartisan Health Care Act - Sen. Wyden, Ron - PBM reforms and transparency S. 1040 - Drug Competition Enhanced Act - Sen. Cornyn, John - Drug patent reform S. 1041 - Affordable Prescriptions for Patients Act - Sen. Cornyn, John - Patent issues S. 1095 - Stop STALLING Act - Sen. Klobuchar, Amy - Drug patent reform S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act - Sen. Klobuchar, Amy - Drug patent reform Issues related to the implementation of Inflation Reduction Act - Medicare negotiation; coverage of weight loss drugs; high priced drugs; patent reforms; Pharmacy Benefit Managers; and copay coupons.
2025 · first_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act
Client expense: $387,126 · Firm income: Not reported
2025 · first_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act
Client expense: $387,126 · Firm income: Not reported
2025 · first_quarter · Pharmacy
340B Drug Rebate Proposals, Contract Pharmacy - 340B PATIENTS Act reintroduction in the House and Senate; Budget reconciliation, H Con Res 14, House & Senate Budget Resolution; H.R.44: To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program; S. 523: A bill to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; H.R.1195: To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for the administrative costs of providing health benefits to individuals who are unauthorized immigrants; PBM, Reintroduction of 340B PROTECT Act in the House; FY 2026 Labor HHS Appropriations Act, House & Senate; Draft Senate 340B reform legislation - 340B SUSTAIN Act; HR 2197, No 340B Savings for Transgender Care Act; Implementation of the Inflation Reduction Act; S.891 - Bipartisan Health Care Act
Client expense: $387,126 · Firm income: Not reported
| Democratic |
| HI |
| Melanie A. Stansbury | Democratic | NM |
| Terri A. Sewell | Democratic | AL |
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
Client expense: $4,830,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE