Coalition includes 14 national organizations and nearly every state primary care association, demonstrating broad support for bipartisan legislation to protect patient care.
WASHINGTON, D.C. — Advocates for Community Health (ACH) today led 565 organizations representing all 50 states, plus D.C. and Puerto Rico, in urging Congress to pass the bipartisan 340B Rebate Model Delay Act (H.R. 10770) before the end of the 119th Congress. The legislation would delay implementation of the 340B Rebate Model Pilot Program for two years and preserve the upfront prescription drug discounts that safety-net providers rely on to serve their communities.
The ACH-led letter brings together 14 national organizations, nearly every state primary care association, and hundreds of health care providers and other organizations nationwide. The coalition’s breadth underscores the shared concern that replacing upfront discounts with manufacturer rebates would divert resources from patient care and place new financial and administrative burdens on providers already operating with limited resources.
“Five hundred sixty-five organizations from all 50 states and beyond are sending Congress a clear message: Protect the resources that make care possible in our communities,” said Amanda Pears Kelly, CEO of Advocates for Community Health. “Health centers and other safety-net providers cannot afford to have scarce resources tied up in a rebate process while patient access to care hangs in the balance. Congress has a bipartisan solution before it, and we urge lawmakers to act before this pilot begins.”
The letter thanks Representatives Rob Bresnahan (R-PA), Debbie Dingell (D-MI), Tracey Mann (R-KS), and Lois Frankel (D-FL) for introducing the legislation, which was developed by ACH members, and calls on congressional leaders to include it in any must-pass legislative vehicle before the end of the 119th Congress.
Scheduled to begin January 1, 2027, the rebate pilot would require covered entities to obtain rebates for affected drugs rather than receive discounts upfront. The signers warn that this shift would place financial and operational risk on safety-net providers, potentially affecting their ability to provide certain medications and sustain other essential services.
The coalition also emphasizes that Congress is considering broader 340B reform proposals and should have the opportunity to complete that work before the administration moves forward with a rebate model.
The 14 national signers are ACH, AAMC, America’s Essential Hospitals, the American Society of Health-System Pharmacists, the Association of Asian Pacific Community Health Organizations, the Association of Clinicians for the Underserved, the Catholic Health Association of the United States, the Children’s Hospital Association, the National Association of Community Health Centers, the National Association of Rural Health Clinics, the National Health Care for the Homeless Council, the National Rural Health Association, OCHIN, and Ryan White Clinics for 340B Access.
ACH and its partners urge Congress to stop the 340B rebate model pilot and preserve upfront discounts now while continuing work to protect and strengthen the 340B program for the patients and communities it serves.
Read the full letter and list of signers.
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About Advocates for Community Health
Advocates for Community Health is a national, nonpartisan membership organization working to advance forward-thinking federal policies that empower community health centers to provide high-quality, innovative and comprehensive health care to underserved communities. Learn more at advocatesforcommunityhealth.org.