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340B Drug Pricing Program
Policy analysis and updates on the 340B Drug Pricing Program, contract pharmacy rules, and impacts on safety-net providers.


When Oversight Fails: Iowa's $22 Million Contract Pharmacy Scandal and the Structural Fragility of ADAP Financing
On March 6, 2026, the Iowa Department of Health and Human Services filed a nine-page complaint in Polk County District Court alleging that NuCara Specialty Pharmacy failed to remit more than $22...

Travis Roppolo
May 47 min read
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When Public Health Becomes Profit over Patients
Public health programs like 340B are designed with a clear and urgent purpose: to improve community health, expand access to care, and protect the most vulnerable among us. Whether it’s ensuring...

Kalvin Pugh
Apr 63 min read
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ADAPs Work. Federal Policy Is Defunding Them on Accident.
ADAPs achieve 87% viral suppression but face funding crisis as multiple policies erode 340B rebates.

Travis Roppolo
Mar 16 min read
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Equipping Patients with Tools to Reclaim the Promise of 340B
340B program drifted from patient benefit; federal reform needed for transparency and accountability.

Kalvin Pugh
Jan 184 min read
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340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Kalvin Pugh
Nov 2, 20254 min read
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CBO Data Proves Hospital Systems Exploit 340B Drug Program for Billions
Congressional Budget Office confirms 340B program expansion driven by hospital exploitation rather than pharmaceutical price inflation.

Travis Roppolo
Sep 14, 20256 min read
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HRSA Tightens STI Clinic 340B Rules Amid Industry Lawsuit
HRSA clarifies 340B eligibility for STI clinics while manufacturers challenge Ryan White program participation.

Travis Roppolo
Aug 17, 20255 min read
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HRSA's 340B Pilot Tests What Already Works While Ignoring What Doesn't
HRSA's 340B pilot program replicates existing successful models rather than addressing structural program exploitation.

Travis Roppolo
Aug 10, 20255 min read
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Medicaid loses billions as 340B program expansion collides with state budgets
340B program expansion drains billions from state Medicaid budgets while failing to deliver promised drug cost savings.

Travis Roppolo
Jul 20, 20256 min read
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CMS Draft Guidance Creates Regulatory Vacuum in 340B Drug Pricing
CMS draft guidance on 340B claims modifiers creates ambiguity and enforcement gaps threatening program integrity and beneficiary access.

Travis Roppolo
Jun 1, 20257 min read
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A Patient Advocate's Perspective - The Call of this Moment
Pugh reflects on 340B policy and patient advocacy in ensuring equitable medication access.

Kalvin Pugh
Nov 3, 20244 min read
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Eye on 2024 - Federal Action on PBMs, 340B, and Telehealth
2024 federal healthcare policy priorities: 340B reform, PBM oversight, and telehealth.

Travis Roppolo
Jan 7, 20244 min read
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Upper-Payment Limits; Drug 'Affordability' Boards Risk Medication Access
PDABs and upper-payment limits risk restricting medication access despite affordability intentions.

Jen Laws
Oct 15, 20234 min read
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340B Hypocrisy: The Inconvenient Truth Behind Why We Need to Reform This Vital Safety Net Program
$100 billion 340B program lacks patient accountability; reform needed for charitable care obligations.

Jen Laws
Sep 24, 20236 min read
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$9B 'Remedy' to SCOTUS Ruling Still Leaves Patients Behind
CMS's $9B remedy to hospitals after SCOTUS 340B ruling lacks enforcement of charitable care requirements.

Jen Laws
Aug 20, 20234 min read
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The Necessity of Patient-Centered 340B Reform
340B reform must prioritize patients: charity care obligations and medical debt reduction.

Jen Laws
Jun 18, 20233 min read
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HIV Advocates Gather in Nashville for Health Fireside Chat
Nashville Fireside Chat: state funding cuts, 340B reform, and HIV criminalization law changes.

Jen Laws
May 7, 20234 min read
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Equity in Access: Hospital Price Transparency, Medical Debt, and 340B
Hospital price transparency and 340B lack accountability while patients face medical debt.

Jen Laws
Apr 2, 20234 min read
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Advocates Gather to Discuss Pressing Healthcare Issues
ADAP Fireside Chat addresses counterfeit medications, 340B reform, and public health workforce sustainability.

Jen Laws
Oct 2, 20223 min read
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Special Interests Favor S.4395, but Patients Oppose It...Here's Why
S.4395 would divert Ryan White resources from PLWHA to PrEP, threatening the safety net for vulnerable populations.

Jen Laws
Sep 25, 20228 min read
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