Committee advances 340B reporting and fee framework amid debate over fees and rural impact

Feb 25, 2026

The committee reported out Engrossed Second Substitute Senate Bill 59‑81 after adopting a striking amendment establishing HCA filing fees and a 340B reporting account; multiple amendments to remove fees, require 90% of revenues for patient care, or limit contract pharmacies to rural areas failed amid debate over federal preemption, transparency and litigation risk.

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The Health Care and Wellness committee on Feb. 25 advanced Engrossed Second Substitute Senate Bill 59‑81, a comprehensive package of reporting and fee provisions for the federal 340B drug pricing program, after adopting a striking amendment that sets HCA authority for fees, creates a dedicated 340B program reporting account, and requires certain aggregate reporting.

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