An infrastructure-spending bill nearing a vote in the U.S. Senate excludes Medicaid managed care “spread pricing” language that 340B entities have been fending off since 2019.

Infrastructure Bill Excludes Spread-Pricing Language That 340B Entities Oppose

340B covered entities dodged a bullet Sunday when U.S. Senate negotiators released the text of a $550 billion bipartisan infrastructure-spending bill. It did not contain Medicaid managed care “spread pricing” language that entities have been fending off since 2019. Entities say the language will devastate them financially if it ever becomes law.

The spread pricing language’s exclusion from the infrastructure bill doesn’t end entities’ worries, however. It could turn up again in a separate Democratic-led budget reconciliation bill that is expected to address the high cost of prescription drugs and other “human” infrastructure matters.

340B covered entities dodged a bullet Sunday when U.S. Senate negotiators released the text of a $550 billion bipartisan infrastructure-spending bill. It did not contain Medicaid managed care “spread pricing” language that entities have been fending off since 2019. Entities say the language will devastate them financially if it ever becomes law.

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