HR5256-119

Introduced

To amend the Public Health Service Act to reform the 340B drug pricing program, and for other purposes.

119th Congress Introduced Sep 10, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill defines amendments to Section 340B(b) of the Public Health Service Act, provides 340B Drug Pricing Program Improvements, and provides hospital child site requirements. It relies on reporting requirements, compliance mandates, appropriations, and definition changes. The main policy areas are Healthcare and Finance.

Who Benefits and How

Covered Entities (Hospitals, Clinics, etc.) could gain revenue opportunities.

Who Bears the Burden and How

Group health plans, health insurance issuers, pharmacy benefit managers would take on compliance duties, Private nonprofit hospitals with contracts to provide health care services to low-income uninsured individuals would take on compliance duties, and Covered entities under Section 340B(d)(2)(B) would take on compliance duties.

Key Provisions

  • Defines amendments to Section 340B(b) of the Public Health Service Act.
  • Provides 340B Drug Pricing Program Improvements.
  • Provides hospital child site requirements.
  • Provides 340B Drug Pricing Program Expansion.
  • Provides section 340B drug pricing affordability requirements.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill defines amendments to Section 340B(b) of the Public Health Service Act, provides 340B Drug Pricing Program Improvements, and provides hospital child site requirements.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill defines amendments to Section 340B(b) of the Public Health Service Act, provides 340B Drug Pricing Program Improvements, and provides hospital child site requirements.

Policy Domains

Healthcare Finance

Whole bill

Identified Gains
  • Covered Entities (Hospitals, Clinics, etc.)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Covered Entities (Hospitals, Clinics, etc.):
Identified Costs
  • Group health plans, health insurance issuers, pharmacy benefit managers
  • Private nonprofit hospitals with contracts to provide health care services to low-income uninsured individuals
  • Covered entities under Section 340B(d)(2)(B)
  • Covered entities described in subparagraphs (L) through (O)
  • Covered entities described in subparagraph (L) of paragraph (4)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Covered entities under Section 340B(d)(2)(B):
Covered entities described in subparagraphs (L) through (O):
Covered entities described in subparagraph (L) of paragraph (4):
Group health plans, health insurance issuers, pharmacy benefit managers: ,
Private nonprofit hospitals with contracts to provide health care services to low-income uninsured individuals:

Legislative Progress

Introduced
Introduced Committee Passed
Sep 10, 2025

Mr. Carter of Georgia (for himself and Mrs. Harshbarger) introduced …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Health Care Providers
9 mentions across 9 clauses
+4 positive -5 negative

Covered Entities (Hospitals, Clinics, etc.), Covered entities and contract pharmacies, Covered entities described in subparagraphs (L) through (O)

Positive-direction: Covered Entities (Hospitals, Clinics, etc.), Covered entities described in subparagraphs (L) through (O), Nonhospital covered entities and subgrantees, Private nonprofit hospitals participating in Section 340B program

Negative-direction: Covered entities and contract pharmacies, Covered entities described in subsection (a)(4), Covered entities under Section 340B(a)(4)(A)-(K), Covered entities under Section 340B(d)(2)(B), Hospitals seeking 340B drug pricing program benefits

Healthcare
5 mentions across 5 clauses
+1 positive -4 negative

Contract Pharmacies, Covered entities described in subparagraph (L) of paragraph (4), Covered entities under the 340B program

Positive-direction: Covered entities under the 340B program

Negative-direction: Contract Pharmacies, Covered entities described in subparagraph (L) of paragraph (4), Off-campus outpatient facilities associated with covered entities, Private nonprofit hospitals with contracts to provide health care services to low-income uninsured individuals

Financial Services
2 mentions across 2 clauses
+2 positive

Group health plans, health insurance issuers, pharmacy benefit managers

Government
1 mention across 1 clause
-1 negative

States and local governments

Health Care Services
1 mention across 1 clause
+1 positive

Third-party administrators and contract pharmacies serving covered entities under Section 340B

Pharmaceuticals
1 mention across 1 clause
+1 positive

Manufacturers of covered outpatient drugs

18/21
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance
Actor Mappings
"secretary_of_health_and_human_services"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

1 term
"entity pharmacy" §HAE7A9F97ACF4457193C7E4CA9B8A9A91

any individual pharmacy (as determined by a national provider identifier unique to the pharmacy address) that is— (aa) (AA)licensed as a pharmacy by the relevant State (or States)

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology