The Rebate Debate and Other “Fast and Furious” 340B Developments

The Rebate Debate and Other “Fast and Furious” 340B Developments

April 13, 2026 · 23 min

About this episode

Maureen Testoni discusses recent developments in the 340B program, including the rebate debate and significant court rulings.

340B lately has had a news cycle that seems to change by the hour, and 340B Health President and CEO Maureen Testoni joins us to break down some of the biggest news happening in Washington, D.C., and in courthouses around the country. HRSA Seeks Feedback on Reviving Rebates After courts halted the rebate pilot that was set to go into effect in January, Maureen notes that the Health Resources & Services Administration is seeking more information on a possible revival of its rebate plans. Hospitals are responding with their objections, as are lawmakers on Capitol Hill. Nearly 100 members of the House of Representatives wrote a letter to the committee in charge of funding HRSA urging it to block federal spending for any HRSA rebate model. Huge Rulings on the GPO Prohibition, Child Site Registration The past several months have seen big 340B rulings from federal courts. One decision vacated HRSA guidance that had blocked certain 340B hospitals’ use of GPOs for their initial drug inventory, finding that HRSA failed to properly explain the reasons for that restriction. The other decision found that HRSA similarly failed to explain a rationale for restricting 340B eligibility for…

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