CHA Submits Comments on 340B Proposed Rule

Children’s Hospital Association sent a comment letter to the Centers for Medicare and Medicaid Services on the 340B remedy proposed rule.

Published Oct. 16, 2023 | 1 min. read
Download

CHA sent a comment letter to the Centers for Medicare and Medicaid Services (CMS) on a proposed rule that would repay hospitals for underpayments for 340B outpatient drugs from 2018 to 2022 under the Outpatient Prospective Payment System. In addition to making one lump-sum payment to affected 340B hospitals, CMS would also recoup funds from hospitals that received increased rates for non-drug services with a prospective 0.5% cut over the next 16 years. Children’s hospitals would be subject to the 0.5% cut. Our comments oppose the budget neutrality adjustment and urge CMS to consider the unique implications for pediatric care.

Related Content

Why the Pediatric Workforce Crisis Demands Federal Action

A congressional briefing highlighted how workforce shortages are threatening children’s access to care.

July 22, 2026

Medicaid: The History of Children’s Health

Learn what the public health insurance program’s past can teach us about the future for America’s kids.

July 21, 2026

CHA Responds to Medicaid State Directed Payment Proposed Rule

The comments outline key recommendations to mitigate the impact of the H.R. 1 Medicaid cuts on children’s health.

July 21, 2026