What Happens After a State Enacts Contract Pharmacy Protections?
From 340B Insight by 340B Health
February 23, 2026 · 23 min
About this episode
Olivia Little discusses the implications of Nebraska's contract pharmacy protection law for 340B hospitals and the varied responses from drug companies.
Some of the biggest recent policy developments for 340B hospitals are when states enact legislation to protect access to 340B pricing through contract pharmacies. Olivia Little, 340B director at Johnson County Hospital in Tecumseh, Neb., was closely involved with a coalition of providers that was able to get such a bill passed through the state’s legislature and signed into law by the governor. But she describes why getting the law enacted wasn’t the end of the story. A Wide Range of Responses Little says once her state’s contract pharmacy protection law went into effect, she began receiving notices about 340B pricing being restored from some drug companies. But not all drugmakers restored previous pricing levels right away in Nebraska — some took months, and some have not yet done so despite the law going into effect nearly a year ago. The wide range of ways in which companies responded to the new law created difficult choices for hospitals between risking a potential compliance issue or leaving some 340B savings on the table. Having a Game Plan Little says her advice to other health systems in states with new contract pharmacy protections would be to have a plan in place for…
People in this episode
Guest: Olivia Little
Topics covered
- 340B pricing
- contract pharmacy
- health policy
- hospital compliance
- drug pricing
Keywords
- 340B hospitals
- contract pharmacy protections
- drug pricing responses
- health system planning
- Nebraska law
Mentioned in this episode
Organizations: Johnson County Hospital, 340B Health, drug companies, health systems
Places: Nebraska, Tecumseh
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