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H.R. 44

U.S. House•In House Committee

Summary

H.R. 44, the Rural 340B Access Act of 2025, was introduced in the House on Jan 3, 2025 by Rep. Jack Bergman (R) with 6 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jan 3, 2025: Referred to the House Committee on Energy and Commerce.

Record

Text

H.R. 44 has 6 co-sponsors.

hb44/introduced-in-house.txt
119 HR 44 IH: Rural 340B Access Act of 2025
 U.S. House of Representatives
 2025-01-03
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I  119th CONGRESS  1st Session  H. R. 44  IN THE HOUSE OF REPRESENTATIVES   January 3, 2025   Mr. Bergman  (for himself and  Mrs. Dingell ) introduced the following bill; which was referred to the  Committee on Energy and Commerce    A BILL
To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program.
1.
Short title
This Act may be cited as the   Rural 340B Access Act of 2025  .
2.
Including rural emergency hospitals as covered entities for purposes of the 340B drug discount program
Section 340B(a)(4) of the Public Health Service Act ( 42 U.S.C. 256b(a)(4) ) is amended by adding at the end the following new subparagraph:
(P)
An entity that is a rural emergency hospital (as defined in section 1861(kkk)(2) of the Social Security Act) that is owned or operated by a unit of State or local government, is a public or private non-profit corporation which is formally granted governmental powers by a unit of State or local government, or is a private non-profit rural emergency hospital which has a contract with a State or local government to provide health care services to low income individuals who are not entitled to benefits under title XVIII of the Social Security Act or eligible for assistance under the State plan under this title.
 .

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-01-03
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jan 3, 2025

hb44/introduced-in-house.md

Shown Here:
Introduced in House (01/03/2025)

Rural 340B Access Act of 2025

This bill makes rural emergency hospitals (REHs) eligible to purchase drugs from manufacturers at discounted prices by participating in the Health Resources and Services Administration’s (HRSA’s) 340B drug pricing program. HRSA’s 340B program requires drug manufacturers that participate in the Medicaid program to sell certain outpatient drugs at discounted prices to entities listed as eligible under current law. Additionally, in 2020, Congress established REHs as a new Medicare provider designation for hospitals in rural areas providing emergency department services, observation care, and other outpatient medical and health services for which the annual per patient average length of stay does not exceed 24 hours. The bill adds qualifying REHs to the list of entities that are eligible to participate in the 340B program.

Sponsors

Rep. Jack Bergman (R) sponsors H.R. 44, and 6 members have co-sponsored it, 1 of them from the day it was introduced.

Committees

H.R. 44 went before 1 committee: Energy and Commerce.

Energy and Commerce
Energy and Commerce
Referred To · Jan 3, 2025 · 1,636 Bills

Actions

H.R. 44 has taken 2 actions since Jan 3, 2025.

ChamberAction
Jan 3, 2025
House
Introduced in House
Jan 3, 2025
House
Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee

Votes

H.R. 44 has not gone to a roll call.

Titles

H.R. 44 goes by 3 titles, 1 of them short titles.

  • Rural 340B Access Act of 2025 — Display Title
  • Rural 340B Access Act of 2025 — Short Title(s) as Introduced
  • To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program. — Official Title as Introduced

Lobbying

2 clients hired 2 firms and 22 registered lobbyists who named H.R. 44 in 10 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Pharmacy, Health Issues, Insurance, Medicare/Medicaid, Taxation/Internal Revenue Code.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
340B HEALTH—District of Columbia18—
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)—District of Columbia12—

Firms

Registrants who filed on the bill, by filings.

RegistrantClientsFilingsReported
340B HEALTH18—
AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)12—

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 22.

LobbyistFirmsClientsFilings
GARRETT EBERHARDT118
MAUREEN TESTONI118
THOMAS O'DONNELL117
GREG DOGGETT113
ADAM BECK112
ANDREW SHINE112
ANNA DUNBAR-HESTER112
ANTHONY MITCHELL112
ARON GRIFFIN112
GARY BECK112
JEANETTE THORNTON112
KARA JONES112
KELLEY SCHULTZ112
MARCY BUCKNER112
MARK HAMELBURG112
MATTHEW SNIDER112
MEGHAN STRINGER112
MICHAEL TUFFIN112
SEAN DICKSON112
SEAN DUGAN112

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 first_quarter$4.8M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 second_quarter$4.1M2nd Quarter - Report
340B HEALTH340B HEALTH2025 first_quarter$387.1K1st Quarter - Amendme…
340B HEALTH340B HEALTH2025 first_quarter$387.1K1st Quarter - Amendme…
340B HEALTH340B HEALTH2025 first_quarter$387.1K1st Quarter - Report
340B HEALTH340B HEALTH2025 second_quarter$371.5K2nd Quarter - Amendme…
340B HEALTH340B HEALTH2025 second_quarter$371.5K2nd Quarter - Report
340B HEALTH340B HEALTH2025 third_quarter$364.6K3rd Quarter - Report
340B HEALTH340B HEALTH2026 first_quarter$337.2K1st Quarter - Report
340B HEALTH340B HEALTH2025 fourth_quarter$285.3K4th Quarter - Report

Classification

The Congressional Research Service files H.R. 44 under Health, one of its 31 policy areas, and gives it 5 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 44’s is Health.

hr44/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 44 carries 5 of CRS’s legislative subjects, from Health care costs and insurance to Rural conditions and development.

hr44/subjects.txt
Health care costs and insuranceHealth care coverage and accessHospital carePrescription drugsRural conditions and development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 44, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 1 (Friday, January 3, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BERGMAN:H.R. 44.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8 of the U.S. ConstitutionThe single subject of this legislation is:Allows facilities under Rural Emergency Hospitaldesignation to be eligible for the 340B drug discountprogram.[Page H37]

Source: congress.gov · legiscan.com