The House of Representatives passed a $3.5 trillion budget framework bill on Tuesday that potentially clears the path for Democrats to make extensive changes to U.S. health care delivery, although the impact on the 340B program remains to be seen. The 220-212 vote on the budget resolution was strictly along party lines. No Republicans voted to advance the legislation. After the House returns from its August recess, it will vote next on budget reconciliation legislation that incorporates what is referred to as the Build Back Better Act.