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.
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.
Related Content
CHA Submits Comments in Response to DHS Public Charge Proposed Rule
Children’s Hospital Association Opposes Actions That Limit Access to Care for Children
Milestones that Matter: Driving Progress for Children's Health
CHA Submits Comments in Response to DHS Public Charge Proposed Rule
The comments outline the negative impact the proposed changes would have on children's access to care.
Dec. 23, 2025
Children’s Hospital Association Opposes Actions That Limit Access to Care for Children
New proposed federal actions could jeopardize access to quality care for 30 million children nationwide.
Dec. 18, 2025
Milestones that Matter: Driving Progress for Children's Health
From advocacy to innovation, the Children’s Hospital Association led with purpose in 2025.
Dec. 15, 2025
