In response to the Health Resources & Services Administration (HRSA)’s publication yesterday of ten approved manufacturer plans for its revised 340B rebate pilot program set to take effect Jan. 1, 2027, ACH has issued the following statement:

ACH is disgusted that HRSA is moving forward with the ill-advised 340B Rebate Model Pilot Program. Since this pilot was proposed, ACH has urged the Administration to reconsider, given the significant financial and administrative burden it will cause for the nation’s community health centers. Health centers estimate that they will need to spend hundreds of thousands of dollars in added cash-flow needs, plus more staff, new IT systems, and more. Every dollar delayed is unavailable for patient care. Further, a rebate pilot is not balanced reform; it shifts all financial and operational risk onto safety-net providers, the very same groups the program was created to benefit.

We urge the Administration to reconsider this pilot or at the very least delay its implementation to allow Congress to consider the bipartisan, comprehensive 340B reform proposals that have been introduced.