Preserving Rules Ordered for The Entities Covered Through 340B Act of 2023 or the PROTECT 340B Act of 2023
This bill prohibits pharmacy benefit managers (PBMs) and health insurance plans from discriminating against health providers participating in the 340B drug pricing program, including pharmacies contracted with such providers to dispense 340B drugs. The 340B program allows certain providers to receive covered outpatient drugs at reduced prices from manufacturers.
Specifically, PBMs and insurance plans may not
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reimburse 340B participants at a lower rate than other entities not participating in the program;
impose differing terms (such as fees, charge-backs, or audits) on 340B participants;
interfere with an individual's choice to receive drugs from a 340B participant;
require 340B participants to identify which drugs fall within the program; or
refuse to contract with a 340B participant on the basis that they utilize the program.
Further, insurance plans may not deny coverage of drug because it is a 340B drug.
Violations of this bill are subject to a civil penalty of not more than $5,000 per violation per day.
These prohibitions also apply to prescription drug (Part D) sponsors under Medicare.
The bill also provides for a process to prevent duplicate 340B drug discounts to states under Medicaid.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
Primary sources
Bill text & related measures
Text links open the official source. We currently store references to these documents.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Dec 21, 2024. Consult Congress.gov for the current record.
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