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Healthcare Access & Affordability


The Future of Prescription Drug Affordability Boards and Upper Payment Limits Is Cloudy
Prescription Drug Affordability Boards are operating in states across the country, but their primary tool — Upper Payment Limits — threatens pharmacies, Medicaid programs, and the patients they're supposed to help. The evidence is mounting that UPLs are the wrong solution to a real problem.
Ranier Simons
Jul 135 min read


A New Era in the 340B Conversation: What Senator Cassidy's New Reform Bill Means for Patients
A new Senate bill would require 340B hospitals to document where their savings go and, for the first time, mandate direct discounts for low-income patients at the pharmacy counter. Here's what the proposal contains and why the stakes are high for the communities 340B was built to serve.
Kalvin Pugh
Jun 295 min read


Political Veto: How OMB's Grant Rule Puts EHE at Risk
A proposed OMB rule would let political appointees veto or cancel federal research grants, dismantling the peer-review system and targeting the disparate-impact analysis that maps where HIV concentrates and why. For people living with HIV, that research is the foundation of Ending the HIV Epidemic. The comment period closes July 13.
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Jun 85 min read


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...
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May 47 min read
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