Keystone Today

Citizens Against Government Waste (CAGW) said that hospitals and other “special interests,” rather than patients, are benefiting from a federal drug discount program in which up to 68 Pennsylvania hospitals participate. 

“Taxpayers are footing the bill for the 340B Drug Pricing Program—while hospitals, contract pharmacies, and special interest sharks profit,” CAGW posted on X. “They’re taking advantage of 340B discounts meant for patients, and it’s costing taxpayers millions.”

"The 340B program must strongly define patient eligibility and enforce strict accountability measures to enhance transparency," said a CAGW website to which the X post linked.

Established in 1992 and administered by the Health Resources and Services Administration (HRSA) the program aims to provide financial relief to healthcare providers serving vulnerable populations, allowing them to stretch their scarce resources and reach more eligible patients.

Hospitals participating in the 340B program can use the savings to fund essential services and programs, such as free or low-cost medication assistance, expanded access to healthcare, and community outreach initiatives.

In Pennsylvania, 68 hospitals participate in the program, reported Keystone Today on February 27.

Participating hospitals, however, “often extend their 340B discounts to clinics in well-off communities, where they can charge privately insured patients more than those on Medicaid,” reported the Wall Street Journal.

“In some cases, the program appears to be bolstering profits in well-off areas more than it is underwriting services in less-privileged neighborhoods,” said the Journal article.

A national healthcare policy analyst said “we don’t actually know” if drug discounts are being passed to patients by Pennsylvania hospitals participating in a federal drug discount program.

“The real problem is that we don't know if they're making a huge profit, where those profits are going, or if those funds are actually going to care for the low income indigent population,” Naomi Lopez, senior fellow at the Goldwater Institute, told the Grand Canyon Times Podcast, as reported by Keystone Today on April 11. “We're definitely looking at billions of dollars, and we don't actually know because of the lack of transparency and accountability in the program.”

The U.S. House Energy and Commerce Oversight and Investigations Subcommittee held a June 4 hearing on the 340b program. U.S. Rep. John Joyce (R-PA-13) said in during the hearing that the program’s growth has created “misaligned incentives” that are driving up patient costs. 

“This growth has created misaligned incentives across the entire health care system, leading to further consolidation that drives up prices for every patient,” said Joyce.