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.
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

CHA Responds to 2 CMS Rules Impacting Access to Care for Children

CHA responded to two proposed rules on Medicaid funding and Hospital Conditions of Participation. 

Feb. 18, 2026

Medicaid MCO Provider Tax Final Rule Summary

This summary outlines the key provisions relevant to children’s hospitals within the Medicaid managed care organization (MCO) provider tax final rule.

Feb. 17, 2026

Protect and Preserve 340B for Children’s Hospitals

The 340B program ensures access to care for children.

Feb. 12, 2026