Letters/Comments
Comparison of Recent 340B Bills
September, 2026
Overview
Three recent congressional proposals — the 340B for Patients Act, the SECURE 340B Act, and the SUSTAIN 340B Act — seek to make comprehensive changes to the current structure of the 340B Drug Pricing Program. Each proposal takes a unique approach to addressing critical components of the program including patient definition, use of contract pharmacies and child sites, transparency and program integrity. All three proposals also give the Health Resources and Services Administration (HRSA) more authority to oversee these components of the program. Below, is a side-by-side comparison of each proposal and how each bill would address key program components.