Us Congress 2023-2024 Regular Session

Us Congress House Bill HB8 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	118THCONGRESS
3	3	1
4	4	STSESSION H. R. 198
5	5	To increase reporting requirements and transparency requirements in the
6	6	340B Drug Pricing Program, and for other purposes.
7	7	IN THE HOUSE OF REPRESENTATIVES
8	8	JANUARY9, 2023
9	9	Mr. R
10	10	OSENDALEintroduced the following bill; which was referred to the Com-
11	11	mittee on Energy and Commerce, and in addition to the Committee on
12	12	Ways and Means, for a period to be subsequently determined by the
13	13	Speaker, in each case for consideration of such provisions as fall within
14	14	the jurisdiction of the committee concerned
15	15	A BILL
16	16	To increase reporting requirements and transparency require-
17	17	ments in the 340B Drug Pricing Program, and for other
18	18	purposes.
19	19	Be it enacted by the Senate and House of Representa-1
20	20	tives of the United States of America in Congress assembled, 2
21	21	SECTION 1. SHORT TITLE. 3
22	22	This Act may be cited as the ‘‘Drug Pricing Trans-4
23	23	parency and Accountability Act’’. 5
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26	26	•HR 198 IH
27	27	SEC. 2. MORATORIUM ON REGISTRATION OF NEW NON- 1
28	28	RURAL SECTION 340B HOSPITALS. 2
29	29	Section 340B(a) of the Public Health Service Act (42 3
30	30	U.S.C. 256b(a)) is amended— 4
31	31	(1) in paragraph (4)(L), by striking ‘‘A sub-5
32	32	section (d) hospital’’ and inserting ‘‘Subject to para-6
33	33	graph (11), a subsection (d) hospital’’; and 7
34	34	(2) by adding at the end the following: 8
35	35	‘‘(11) M
36	36	ORATORIUM ON REGISTRATION OF CER -9
37	37	TAIN HOSPITALS.—During the 2-year period begin-10
38	38	ning on the date of the enactment of this para-11
39	39	graph— 12
40	40	‘‘(A) an entity described in paragraph 13
41	41	(4)(L) shall not be considered a covered entity 14
42	42	under this section unless such entity was a cov-15
43	43	ered entity on such date (as evidenced by the 16
44	44	entity having been identified as a covered entity 17
45	45	as of such date under the covered entity identi-18
46	46	fication system established under subsection 19
47	47	(d)(2)(B)(iv)); and 20
48	48	‘‘(B) no site shall be added to the covered 21
49	49	entity identification system established under 22
50	50	subsection (d)(2)(B)(iv) or be permitted to 23
51	51	begin participating in the drug discount pro-24
52	52	gram under this section, as a ‘child site’ or oth-25
53	53	erwise, on the basis of association with a cov-26
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56	56	•HR 198 IH
57	57	ered entity described in paragraph (4)(L) un-1
58	58	less such site was identified as a child site as 2
59	59	of December 31, 2020, under the system estab-3
60	60	lished under subsection (d)(2)(B)(iv). 4
61	61	‘‘(12) R
62	62	EGULATIONS TO BE ISSUED DURING 5
63	63	THE MORATORIUM PERIOD TO IMPLEMENT STATU -6
64	64	TORY REQUIREMENTS CLARIFYING HOSPITAL ELIGI -7
65	65	BILITY CRITERIA AND HOSPITAL CHILD SITE STAND -8
66	66	ARDS AND ENHANCING HOSPITAL TRANSPARENCY .— 9
67	67	‘‘(A) I
68	68	SSUANCE OF REGULATIONS .— 10
69	69	‘‘(i) I
70	70	N GENERAL.—During the mora-11
71	71	torium period under paragraph (11), the 12
72	72	Secretary shall promulgate regulations 13
73	73	through notice and comment rulemaking to 14
74	74	implement the standards and requirements 15
75	75	described in subparagraph (B). 16
76	76	‘‘(ii) D
77	77	EADLINE.—Such final regula-17
78	78	tions shall be promulgated and take ef-18
79	79	fect— 19
80	80	‘‘(I) before the end date of the 20
81	81	moratorium described in paragraph 21
82	82	(11); or 22
83	83	‘‘(II) in the event that any of 23
84	84	such regulations have not taken effect 24
85	85	by such end date, the moratorium 25
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88	88	•HR 198 IH
89	89	under subparagraph (11) shall be ex-1
90	90	tended until such regulations are final 2
91	91	and effective. 3
92	92	‘‘(iii) L
93	93	IMITATION.—The authority to 4
94	94	promulgate regulations under this para-5
95	95	graph is limited to setting forth the details 6
96	96	necessary and appropriate to carry out the 7
97	97	requirements of subparagraph (B) effi-8
98	98	ciently, effectively, and in conformity with 9
99	99	such subparagraph. 10
100	100	‘‘(B) S
101	101	TANDARDS AND REQUIREMENTS .— 11
102	102	‘‘(i) H
103	103	OSPITAL CHILD SITE STAND -12
104	104	ARDS.— 13
105	105	‘‘(I) I
106	106	N GENERAL.—Hospitals de-14
107	107	scribed in subparagraphs (L) and (M) 15
108	108	of paragraph (4) may register off- 16
109	109	campus outpatient facilities associated 17
110	110	with the hospital (also known as ‘child 18
111	111	sites’) to participate in the drug dis-19
112	112	count program under this section (be-20
113	113	ginning after the moratorium under 21
114	114	paragraph (11) ends), if— 22
115	115	‘‘(aa) the site is listed on the 23
116	116	hospital’s most recently filed 24
117	117	Medicare cost report on a line 25
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120	120	•HR 198 IH
121	121	that is reimbursable under the 1
122	122	Medicare program (or, if the hos-2
123	123	pital is a children’s hospital that 3
124	124	does not file a Medicare cost re-4
125	125	port, the hospital submits to the 5
126	126	Secretary a signed statement cer-6
127	127	tifying that the facility would be 7
128	128	correctly included on a reimburs-8
129	129	able line of a Medicare cost re-9
130	130	port if the hospital filed a cost 10
131	131	report); 11
132	132	‘‘(bb) such cost report dem-12
133	133	onstrates that the services pro-13
134	134	vided at the facility have associ-14
135	135	ated costs and charges for hos-15
136	136	pital outpatient department serv-16
137	137	ices under title XVIII of the So-17
138	138	cial Security Act (or, if the hos-18
139	139	pital is a children’s hospital that 19
140	140	does not file a Medicare cost re-20
141	141	port, the hospital submits to the 21
142	142	Secretary a signed statement cer-22
143	143	tifying that the services provided 23
144	144	at the facility include or consist 24
145	145	solely of outpatient services); 25
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148	148	•HR 198 IH
149	149	‘‘(cc) the facility is wholly 1
150	150	owned by the covered entity; 2
151	151	‘‘(dd) the Secretary has 3
152	152	made a determination, under the 4
153	153	process described in section 5
154	154	413.65(b) of title 42, Code of 6
155	155	Federal Regulations (or any suc-7
156	156	cessor regulations), that the facil-8
157	157	ity meets the Medicare provider- 9
158	158	based standards under section 10
159	159	413.65 of title 42, Code of Fed-11
160	160	eral Regulations (or any suc-12
161	161	cessor regulations); 13
162	162	‘‘(ee) the facility provides a 14
163	163	full range of outpatient services, 15
164	164	in addition to drugs; and 16
165	165	‘‘(ff) the facility adheres to 17
166	166	the charity care policy and any 18
167	167	sliding fee scale policy of the par-19
168	168	ent hospital. 20
169	169	‘‘(II) D
170	170	E-REGISTRATION.—If at 21
171	171	any time following registration one or 22
172	172	more of the standards listed above are 23
173	173	no longer satisfied, a registered hos-24
174	174	pital shall immediately notify the Sec-25
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177	177	•HR 198 IH
178	178	retary, de-register the facility, and 1
179	179	keep the facility from making any 2
180	180	purchases under the drug discount 3
181	181	program under this section or rep-4
182	182	resenting to third parties that it may 5
183	183	purchase under such program. 6
184	184	‘‘(ii) H
185	185	OSPITAL ELIGIBILITY STAND -7
186	186	ARDS FOR HOSPITALS NOT OWNED OR OP -8
187	187	ERATED BY A UNIT OF STATE OR LOCAL 9
188	188	GOVERNMENT.—For purposes of subpara-10
189	189	graph (L)(i) of paragraph (4): 11
190	190	‘‘(I) A private hospital has been 12
191	191	formally granted governmental powers 13
192	192	by a unit of State or local government 14
193	193	if the Secretary receives a certification 15
194	194	from a State or local governmental 16
195	195	entity that such governmental entity 17
196	196	has formally delegated, through State 18
197	197	or local statute or regulation or, if 19
198	198	permitted by applicable State or local 20
199	199	law, through a contract with a State 21
200	200	or local government, to the hospital 22
201	201	such a power, described in detail in 23
202	202	the certification. 24
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205	205	•HR 198 IH
206	206	‘‘(II) A private hospital has a 1
207	207	contract with a State or local govern-2
208	208	ment to provide health care services to 3
209	209	low-income individuals who are not 4
210	210	entitled to benefits under Medicare or 5
211	211	Medicaid if— 6
212	212	‘‘(aa) the hospital submits a 7
213	213	copy of the contract to the Sec-8
214	214	retary for review; 9
215	215	‘‘(bb) the Secretary deter-10
216	216	mines that the contract creates 11
217	217	an enforceable obligation for the 12
218	218	hospital to provide direct medical 13
219	219	care to low-income individuals in-14
220	220	eligible for Medicare and Med-15
221	221	icaid in an amount that rep-16
222	222	resents at least 15 percent of the 17
223	223	hospital’s total costs for all items 18
224	224	and services furnished at such 19
225	225	hospital; and 20
226	226	‘‘(cc) the contract is avail-21
227	227	able to the public as part of the 22
228	228	information describing the hos-23
229	229	pital in the covered entity identi-24
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232	232	•HR 198 IH
233	233	fication system established under 1
234	234	subsection (d)(2)(B)(iv). 2
235	235	‘‘(III) If at any time a hospital 3
236	236	not owned or operated by a unit of 4
237	237	State or local government no longer 5
238	238	meets one or more requirements 6
239	239	under subclause (I) or (II), the hos-7
240	240	pital shall immediately notify the Sec-8
241	241	retary, dis-enroll from the drug dis-9
242	242	count program under this section, and 10
243	243	stop making purchases under such 11
244	244	program and representing to third 12
245	245	parties that it may purchase under 13
246	246	such program. 14
247	247	‘‘(iii) H
248	248	OSPITAL TRANSPARENCY RE -15
249	249	QUIREMENTS.— 16
250	250	‘‘(I) H
251	251	OSPITAL REQUIREMENTS 17
252	252	TO IDENTIFY SECTION 340B DRUGS .— 18
253	253	In the case of covered entity hospitals 19
254	254	described in subparagraph (L) of 20
255	255	paragraph (4): 21
256	256	‘‘(aa) Claims for covered 22
257	257	outpatient drugs purchased 23
258	258	under the drug discount program 24
259	259	under this section shall be sub-25
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262	262	•HR 198 IH
263	263	mitted to public and private 1
264	264	payors using the 340B modifier 2
265	265	established by the Secretary 3
266	266	under the prospective payment 4
267	267	system for hospital outpatient de-5
268	268	partment services, in conform-6
269	269	ance with paragraph (22) of sec-7
270	270	tion 1833(t) of the Social Secu-8
271	271	rity Act, subsection (h) of 9
272	272	1847A, subparagraph (F) of sec-10
273	273	tion 1927(a)(5), and paragraph 11
274	274	(5) of section 1857(g), that is 12
275	275	‘JG’. 13
276	276	‘‘(bb) Such hospitals shall 14
277	277	report to the Secretary on an an-15
278	278	nual basis, in a form and manner 16
279	279	specified by the Secretary— 17
280	280	‘‘(AA) the hospital’s ag-18
281	281	gregate annual revenue from 19
282	282	drugs purchased under the 20
283	283	program under this section, 21
284	284	minus its aggregate annual 22
285	285	acquisition costs for such 23
286	286	drugs, broken out by hos-24
287	287	pital and by each child site; 25
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290	290	•HR 198 IH
291	291	‘‘(BB) any dispensing 1
292	292	fees paid by the hospital or 2
293	293	child site to contract phar-3
294	294	macies for such drugs; 4
295	295	‘‘(CC) the patient mix, 5
296	296	broken down by expected 6
297	297	payment source (including 7
298	298	at least the Medicare pro-8
299	299	gram under title XVIII of 9
300	300	the Social Security Act, a 10
301	301	State plan under the Med-11
302	302	icaid program under title 12
303	303	XIX of such Act, private in-13
304	304	surance, and uninsured indi-14
305	305	viduals), for each such hos-15
306	306	pital, and each child site of 16
307	307	the hospital listed in the 17
308	308	covered entity information 18
309	309	system established under 19
310	310	subsection (d)(2)(B)(iv), and 20
311	311	the costs incurred at each 21
312	312	such hospital and site for 22
313	313	charity care (as described in 23
314	314	line 23 of Worksheet S– 24
315	315	10—Hospital Uncompen-25
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318	318	•HR 198 IH
319	319	sated and Indigent Care 1
320	320	Data to the Medicare cost 2
321	321	report or as reported in any 3
322	322	successor form); 4
323	323	‘‘(DD) the percent of 5
324	324	total revenues (net of any 6
325	325	discounts) at each site de-7
326	326	rived from infusion or injec-8
327	327	tion of physician-adminis-9
328	328	tered drugs, including any 10
329	329	associated items or services 11
330	330	furnished incident-to the ad-12
331	331	ministration of such drugs; 13
332	332	and 14
333	333	‘‘(EE) with respect to 15
334	334	such hospital and each child 16
335	335	site of the hospital, the 17
336	336	names of all third-party ven-18
337	337	dors or other similar entities 19
338	338	(including split fee vendors 20
339	339	and contract pharmacies) 21
340	340	that the covered entity con-22
341	341	tracts with to provide serv-23
342	342	ices associated with the pro-24
343	343	gram under this section 25
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346	346	•HR 198 IH
347	347	(broken down by covered en-1
348	348	tity and by each child site). 2
349	349	‘‘(II) P
350	350	UBLIC AVAILABILITY.— 3
351	351	The Secretary shall make the infor-4
352	352	mation reported to the Secretary 5
353	353	under subclause (I)(bb) available to 6
354	354	the public (with redactions of any in-7
355	355	formation the Secretary determines to 8
356	356	be proprietary or confidential) in an 9
357	357	annual compilation of the reported in-10
358	358	formation available on the internet 11
359	359	website of the Department of Health 12
360	360	and Human Services, and as part of 13
361	361	the information describing the hos-14
362	362	pital and the relevant child site in the 15
363	363	covered entity identification system 16
364	364	established under subsection 17
365	365	(d)(2)(B)(iv).’’. 18
366	366	SEC. 3. 340B CLAIMS MODIFIER. 19
367	367	(a) M
368	368	EDICAID.—Section 1927(a)(5) of the Social Se-20
369	369	curity Act (42 U.S.C. 1396r–8(a)(5)) is amended by add-21
370	370	ing at the end the following: 22
371	371	‘‘(F) 340B
372	372	CLAIMS MODIFIER.— 23
373	373	‘‘(i) I
374	374	N GENERAL.—All claims sub-24
375	375	mitted to a Medicaid fee-for-service pro-25
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378	378	•HR 198 IH
379	379	gram or a medicaid managed care organi-1
380	380	zation (as defined in section 2
381	381	1903(m)(1)(A)) for reimbursement of a 3
382	382	unit of a covered outpatient drug subject 4
383	383	to an agreement under section 340B of the 5
384	384	Public Health Service Act shall include the 6
385	385	340B modifier established by the Secretary 7
386	386	under the prospective payment system for 8
387	387	hospital outpatient department services 9
388	388	under section 1833(t) that is ‘JG’ or the 10
389	389	Submission Clarification Code of ‘20’ de-11
390	390	veloped by the National Council for Pre-12
391	391	scription Drug Programs (NCPDP). 13
392	392	‘‘(ii) D
393	393	ATA SHARING.—Each single 14
394	394	State agency shall make available to a 15
395	395	manufacturer of a covered outpatient drug 16
396	396	any fee-for-service or managed care claim 17
397	397	for reimbursement for a unit of such drug 18
398	398	for the purpose of verifying the propriety 19
399	399	of any claim for a rebate payment under 20
400	400	an agreement under subsection (b) with re-21
401	401	spect to such drug. At the manufacturer’s 22
402	402	request, in lieu of making such a claim 23
403	403	available to the manufacturer, the single 24
404	404	State agency may instead provide a list of 25
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407	407	•HR 198 IH
408	408	claims (and relevant data concerning each 1
409	409	claim) for covered outpatient drugs that 2
410	410	were purchased under an agreement under 3
411	411	section 340B of the Public Health Service 4
412	412	Act or other summary data specified by 5
413	413	the manufacturer. 6
414	414	‘‘(iii) R
415	415	EPORT.—Each single State 7
416	416	agency shall publish an annual report on 8
417	417	utilization of covered outpatient drugs sub-9
418	418	ject to an agreement under section 340B 10
419	419	of the Public Health Service Act by the 11
420	420	Medicaid fee-for-service program or a med-12
421	421	icaid managed care organization (as de-13
422	422	fined in section 1903(m)(1)(A)) during the 14
423	423	preceding calendar year. The State agency 15
424	424	shall not include confidential patient-spe-16
425	425	cific, drug-specific, or manufacturer-spe-17
426	426	cific information in any such annual re-18
427	427	port.’’. 19
428	428	(b) M
429	429	EDICARE.— 20
430	430	(1) M
431	431	EDICARE PART B.— 21
432	432	(A) H
433	433	OSPITAL OUTPATIENT DEPARTMENT 22
434	434	SERVICES.—Section 1833(t) of the Social Secu-23
435	435	rity Act (42 U.S.C. 1395l) is amended by add-24
436	436	ing at the end the following paragraph: 25
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439	439	•HR 198 IH
440	440	‘‘(22) 340B CLAIMS MODIFIER.—All claims sub-1
441	441	mitted under the system under this subsection for 2
442	442	reimbursement of a unit of a covered outpatient 3
443	443	drug subject to an agreement under section 340B of 4
444	444	the Public Health Service Act shall include the 340B 5
445	445	modifier established by the Secretary under such 6
446	446	system that is ‘JG’ (or ‘TB’ in the case of a claim 7
447	447	for reimbursement under such system submitted by 8
448	448	a hospital described in subparagraph (M) or (N) of 9
449	449	section 340B(a)(4) of the Public Health Service Act 10
450	450	or a rural sole community hospital described in sub-11
451	451	paragraph (O) of such section).’’. 12
452	452	(B) O
453	453	THER PART B CLAIMS .—Section 13
454	454	1847A of the Social Security Act (42 U.S.C. 14
455	455	1395w–3a) is amended by adding the following 15
456	456	new subsection: 16
457	457	‘‘(k) 340B C
458	458	LAIMSMODIFIER.—All claims submitted 17
459	459	under this part (other than under the prospective payment 18
460	460	system for hospital outpatient department services under 19
461	461	section 1833(t)) for reimbursement of a unit of a covered 20
462	462	outpatient drug subject to an agreement under section 21
463	463	340B of the Public Health Service Act shall include the 22
464	464	340B modifier established by the Secretary under such 23
465	465	payment system that is ‘JG’.’’. 24
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468	468	•HR 198 IH
469	469	(2) MEDICARE ADVANTAGE AND MEDICARE 1
470	470	PART D.—Section 1857(e) of the Social Security Act 2
471	471	(42 U.S.C. 1395w–27(e)) is amended by adding at 3
472	472	the end the following new paragraph: 4
473	473	‘‘(6) 340B
474	474	CLAIMS MODIFIER.—All claims sub-5
475	475	mitted to a Medicare Advantage organization or a 6
476	476	PDP sponsor under this part and part D, respec-7
477	477	tively, for reimbursement of a unit of a covered out-8
478	478	patient drug subject to an agreement under section 9
479	479	340B of the Public Health Service Act shall include 10
480	480	the 340B modifier established by the Secretary 11
481	481	under the prospective payment system for hospital 12
482	482	outpatient department services under section 13
483	483	1833(t) that is ‘JG’ or the Submission Clarification 14
484	484	Code of ‘20’ developed by the National Council for 15
485	485	Prescription Drug Programs (NCPDP).’’. 16
486	486	(3) R
487	487	EPORT ON UTILIZATION UNDER MEDICARE 17
488	488	PART B.—The Secretary of Health and Human 18
489	489	Services shall publish an annual report on utilization 19
490	490	under part B of title XVIII of the Social Security 20
491	491	Act (42 U.S.C. 1395j et seq.) of covered outpatient 21
492	492	drugs purchased subject to an agreement under sec-22
493	493	tion 340B of the Public Health Service Act (42 23
494	494	U.S.C. 256b) during the preceding calendar year. 24
495	495	The Secretary shall not include confidential patient- 25
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498	498	•HR 198 IH
499	499	specific, drug-specific, or manufacturer-specific in-1
500	500	formation in any such annual report. 2
501	501	(c) E
502	502	FFECTIVEDATE.—The amendments made by 3
503	503	this section take effect on the date that is 6 months after 4
504	504	the date of enactment of this Act and apply to claims sub-5
505	505	mitted on or after that date. 6
506	506	SEC. 4. REPORTS TO CONGRESS. 7
507	507	Section 340B of the Public Health Service Act (42 8
508	508	U.S.C. 256b) is amended by adding at the end the fol-9
509	509	lowing: 10
510	510	‘‘(f) R
511	511	EPORTS TOCONGRESS.— 11
512	512	‘‘(1) OIG
513	513	REPORT.—Not later than 2 years 12
514	514	after the date of the enactment of this subsection, 13
515	515	the Office of the Inspector General shall submit to 14
516	516	Congress a final report on the level of charity care 15
517	517	provided by covered entities described in subpara-16
518	518	graph (L) of subsection (a)(4) and separately by 17
519	519	child sites of such covered entities. 18
520	520	‘‘(2) GAO
521	521	REPORTS.— 19
522	522	‘‘(A) I
523	523	NITIAL REPORT.—Not later than 1 20
524	524	year after the date of the enactment of this 21
525	525	subsection, the Comptroller General of the 22
526	526	United States shall submit to Congress a re-23
527	527	port— 24
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530	530	•HR 198 IH
531	531	‘‘(i) analyzing the State and local gov-1
532	532	ernment contracts intended to satisfy the 2
533	533	requirement under subsection (a)(4)(L)(i) 3
534	534	for a covered entity to qualify as an entity 4
535	535	described in subparagraph (L) of sub-5
536	536	section (a)(4); 6
537	537	‘‘(ii) assessing the amount of care 7
538	538	such contracts obligate such entity to pro-8
539	539	vide to low-income individuals ineligible for 9
540	540	Medicare under title XVIII of the Social 10
541	541	Security Act and Medicaid under title XIX 11
542	542	of such Act; and 12
543	543	‘‘(iii) analyzing how these contracts 13
544	544	define low-income individuals and whether 14
545	545	the Secretary reviews such determinations. 15
546	546	‘‘(B) S
547	547	UBSEQUENT REPORT .—Not later 16
548	548	than 2 years after the date of the enactment of 17
549	549	this subsection, the Comptroller General of the 18
550	550	United States shall submit to Congress a final 19
551	551	report on the difference between the aggregate 20
552	552	gross reimbursement and aggregate acquisition 21
553	553	costs received by each such covered entity (in-22
554	554	cluding child sites of such entity) for drugs sub-23
555	555	ject to an agreement under this section.’’. 24
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558	558	•HR 198 IH
559	559	SEC. 5. MEDICARE REQUIREMENT FOR HOSPITALS RE-1
560	560	GARDING 340B DRUG INFORMATION. 2
561	561	(a) I
562	562	NGENERAL.—Section 1866(a)(1) of the Social 3
563	563	Security Act (42 U.S.C. 1395cc(a)(1)) is amended— 4
564	564	(1) in subparagraph (X), by striking ‘‘and’’ at 5
565	565	the end; 6
566	566	(2) in subparagraph (Y), by striking the period 7
567	567	at the end and inserting ‘‘, and’’; and 8
568	568	(3) by inserting after subparagraph (Y), the fol-9
569	569	lowing new subparagraph: 10
570	570	‘‘(Z) in the case of a hospital that is a covered 11
571	571	entity under subsection (a)(4) of section 340B of the 12
572	572	Public Health Service Act, to include in any cost re-13
573	573	port submitted to the Secretary under this title in-14
574	574	formation on— 15
575	575	‘‘(i) the aggregate acquisition costs of the 16
576	576	hospital for drugs, the purchase of which were 17
577	577	attributed to the hospital, during the period 18
578	578	covered by such cost report and for which the 19
579	579	hospital received a discount under such section 20
580	580	340B; and 21
581	581	‘‘(ii) the aggregate revenues the hospital 22
582	582	received from all payors for such drugs, 23
583	583	disaggregated by insurance status (including 24
584	584	the Medicare program, the Medicaid program, 25
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587	587	•HR 198 IH
588	588	the Children’s Health Insurance Program, pri-1
589	589	vate health insurance, and uninsured).’’. 2
590	590	(b) E
591	591	FFECTIVEDATE.—The amendments made by 3
592	592	subsection (a) shall apply to contracts entered into or re-4
593	593	newed on or after the date of the enactment of this Act. 5
594	594	Æ
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