Bill tightens rules for drug discounts given to poor patients.
S. 5244 — SUSTAIN 340B Act · Filed by Jerry Moran (R-KS) · 5 cosponsors · Introduced Aug 5, 2026 · Referred to committee
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What it does
The 340B program lets hospitals and clinics buy drugs at low prices. Poor and uninsured patients get those discounts. This bill makes those places keep better records. They must report how they use the savings. The government and drug makers can audit them. It limits which patients can get the discount. It restricts how clinics send patients to other doctors.
Who it affects
Low-income patients and uninsured patients are affected. Hospitals, clinics, and safety-net providers are affected. Drug makers gain the right to check records.
One thing to notice
The bill makes the rules stricter. This may keep some of the poorest patients from getting the discount. Homeless people and patients who move around may not fit the new rules. They may not have medical records. They may not have proof they got care in the last two years.
From the analysis of the bill text, linked under Primary records below.
Where it stands
5 cosponsors: 3 Democrats, 2 Republicans.
- Aug 5, 2026 — Introduced · Congress.gov: “Introduced in Senate”
- Aug 5, 2026 — Referred to Senate Committee on Health, Education, Labor, and Pensions · Congress.gov: “Read twice and referred to the Committee on Health, Education, Labor, and Pensions”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- 340B program — A federal program that lets certain hospitals and clinics buy drugs at low prices.
- safety-net providers — Hospitals and clinics that serve poor and uninsured patients.
- audit — An official check of records to make sure rules are followed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (50,012 characters) on Aug 20, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 14,206 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-09-17.
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