Senate Health Cmte Hearing: 340B Drug Pricing Prgm - The Good, Bad & The Ugly

Hearings to examine the 340B program, focusing on examining its growth and impact on patients.
https://www.help.senate.gov/hearings/the-340b-program-examining-its-growth-and-impact-on-patients
Committee: Senate Health, Education, Labor, and Pensions

WITNESSES
Michelle Rosenberg
Director Health Care
U.S. Government Accountability Office
https://www.help.senate.gov/download/rosenberg-testimonypdf

Aditi Sen, Ph.D.
Chief, Health Policy Studies Unit
Congressional Budget Office
https://www.help.senate.gov/download/sen-testimonypdf

William B. Feldman, MD, DPhil, MPH
Physician and Health Policy Researcher
University of California
https://www.help.senate.gov/download/feldman-testimonypdf

WHAT IS THE 340B PROGRAM
https://www.hrsa.gov/opa
Impact and Controversies
The program saves covered entities billions annually—estimated at $46 billion in 2022—enabling expanded access to care for millions. However, it's faced criticism for potential overuse, such as contract pharmacy arrangements that allow off-site dispensing, leading to accusations of profit-driven practices by some providers. Pharmaceutical companies argue it erodes their revenue without clear patient benefits, sparking legal battles and proposed reforms. Despite this, supporters emphasize its role in supporting the safety net amid rising drug costs.

LET'S TALK PBMs
https://threadreaderapp.com/thread/1981774875778846882.html

QUESTION
Has anyone looked into the Big Insurance lobbyists?
Do you think that they could be putting pressure on the Democrats? If Obamacare is restructured or eliminated, Big Insurance stand to lose millions of profit from government subsidies they get thru Marketplace.
(Remember they also have a monopoly over PBMs).

For 2026, Social security COLA will be is 2.8% which averages $54/month, but Big Insurance will force Medicare to go up to $205/month depending on age.

Insurance companies do NOT have to raise rates like this.

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