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

This bill, To amend the Public Health Service Act to reform the 340B drug pricing program, and for other purposes., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Government Operations, Finance.

Who Benefits and How

health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section H4EAD2A0ACF1A45F0B637A36C3301F4D9: 1. Short title; table of contents This Act may be cited as the 340B Affording Care for Communities and Ensuring a Strong Safety-net Act or the 340B ACCESS Act....
  • Section H8E977F517E9A4018AE74916605E33A06: 2. Definitions Section 340B(b) of the Public Health Service Act (42 U.S.C. 256b(b)) is amended by adding at the end the following: In this section, the term...
  • Section H5C12B0A571FE46EC963349F3AFFDBAA0: 3. Prevention of Medicaid duplicate discounts; oversight of covered entities Section 340B(a)(5) of the Public Health Service Act (42 U.S.C. 256b(a)(5)) is...
  • Section H19E211B4C29642ABB3B009F5A6037C9F: 4. Hospital child site requirements Section 340B(a)(5) of the Public Health Service Act (42 U.S.C. 256b(a)(5)) is amended by adding at the end the following: A...
  • Section HAE7A9F97ACF4457193C7E4CA9B8A9A91: 5. Contract pharmacies Section 340B(a)(5) of the Public Health Service Act (42 U.S.C. 256b(a)(5)) is further amended by adding at the end the following:...

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

This bill, To amend the Public Health Service Act to reform the 340B drug pricing program, and for other purposes., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Government Operations, Finance

Primary Purpose

This bill, To amend the Public Health Service Act to reform the 340B drug pricing program, and for other purposes., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Government Operations Finance

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
health care providers and patients: ,
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
federal implementing agencies: ,
health care providers and patients: ,

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 Government Operations 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