States Expand 340B Reporting Requirements

States Expand 340B Reporting Requirements

From 340B Insight by 340B Health

December 9, 2025 · 18 min

About this episode

The episode discusses recent state-level changes to 340B reporting requirements and their implications for healthcare.

Some of the most consequential changes for 340B this year came not from Washington D.C., but from statehouses across the country. We speak with Tom O’Donnell, senior vice president of government relations at 340B Health, to recap some of the biggest changes on the state legislative level throughout this year and to preview what might come from the states in 2026. Seven States Enact New Reporting Laws This year, Colorado, Hawaii, Idaho, Indiana, Ohio, Rhode Island, and Vermont have added new 340B reporting laws, increasing the list of states with such mandates to 10. O’Donnell says the first reporting requirements that Minnesota enacted in 2023 have influenced newer requirements in the other states. He notes hospitals’ continuing concerns about the burdens and possible repercussions of focusing on several specific types of reporting data, including breakdowns by payer type and most frequently used drugs. Hybrid Bills Combine Protections With Reporting Mandates Five states that passed new 340B laws in 2025 did so with a twist. Colorado, Hawaii, Maine, Rhode Island, and Vermont passed combination bills with both contract pharmacy protections with new reporting mandates. O’Donnell…

People in this episode

Guest: Tom O’Donnell

Topics covered

  • 340B reporting requirements
  • state legislation
  • healthcare policy
  • contract pharmacy protections
  • government relations

Keywords

  • 340B
  • reporting laws
  • state legislation
  • healthcare
  • contract pharmacy
  • government relations
  • Minnesota
  • Colorado
  • Hawaii
  • Indiana

Mentioned in this episode

Organizations: 340B Health

Places: Colorado, Hawaii, Idaho, Indiana, Ohio, Rhode Island, Vermont, Minnesota, Maine

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