Health Affairs December 7, 2022
Henry A. Waxman

It has been 30 years since the 340B drug pricing program became law. 340B is one of a series of policies that those of us serving in Congress at the time adopted to address the need for a robust health care safety net to serve patients with low incomes throughout the country.

Two years prior to 340B’s enactment, we approved legislation to reduce payments for drugs under the state-federal partnership known as Medicaid. While the new law reined in Medicaid costs, many of us were concerned that it also had the unintended consequence of increasing costs for providers who served large numbers of patients living with low incomes.

Congress created 340B to address this concern and to provide resources for...

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