PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Health.
Congressional Research Service
Version 00 · Introduced in House · Apr 2, 2004
340B Program Revision and Expansion Act of 2004 - Amends the Public Health Service Act to include in the discount drug purchasing program those entities that receive funding under the Social Security Act for the provision of maternal and child care services, mental health services, and substance abuse services.
Allows otherwise qualified hospitals to purchase discounted drugs through group purchasing agreements and organizations.
Allows discounted drugs to be provided in an inpatient setting. (Currently, discounted drugs must be provided only on an outpatient basis.)
Showing the opening paragraphs of the official summary.
Allows covered entities to contract with multiple pharmacies to purchase covered drugs.
Requires the Secretary of Health and Human Services to prevent abuse and misuse of discounted prices by: (1) developing a system to verify the accuracy of information regarding covered entities that is listed on the Department of Health and Human Services web site; (2) establishing a third-party auditing system to regularly audit covered entities and ensure compliance with requirements of the discounted drug program; (3) conducting supplemental audits and implementing dispute resolution guidelines and other compliance programs; (4) issuing advisory opinions in response to questions by manufacturers or covered entities about the application of this program in specific factual circumstances; and (5) providing covered entities access through the Department's web site to the prices for covered drugs.
People & committees
Rep. Rush, Bobby L. [D-IL-1] · D–IL
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the Subcommittee on Health.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Primary sources
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: Aug 18, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze H.R.4161 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.4161 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine H.R.4161 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine H.R.4161 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.