# 119-hr-9599: SECURE 340B Act 119-hr-9599, SECURE 340B Act, is a 119th Congress bill sponsored by Rep. Peters, Scott H. [D-CA-50] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-10-07). - Canonical: https://policyrisk.com/legislation/119-hr-9599 - As of: 2026-10-07 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-hr-9599 - Congress: 119 - Title: SECURE 340B Act - Status: introduced - Introduced: 2026-07-06 - Sponsor: Rep. Peters, Scott H. [D-CA-50] (D-CA) - Cosponsors: 8 - Policy area: Health - Touches household money: yes - Last recorded action: 2026-10-07 ## Summary **Stronger 340B integrity and data oversight**. The bill would tighten who counts as a 340B patient, set strict rules for child sites and contract pharmacies, and create a national data clearinghouse to prevent duplicate discounts and diversion. - Patients and families: Requires covered entities to run and report transparent financial assistance programs, with some hospitals required to offer help up to at least 400% of the federal poverty level, plain-language notices, and new protections limiting medical debt sales and credit reporting. - Covered entities, child sites, and subrecipients: Establishes a uniform 24-month patient definition, new child-site ownership and clinical-integration rules, mandatory site registration and records retention, and tougher audits and corrective actions that can suspend referral authority if referrals exceed 35%. - Manufacturers, payers, contract pharmacies, and states: Creates a four-year clearinghouse demo with strict benchmarks (for example ≥90% claim accuracy), limits how manufacturers and PBMs may use clearinghouse data, requires written contract-pharmacy agreements, and funds oversight with a 0.1% user fee starting FY2027 plus targeted appropriations. ## Cosponsors (8) - Rep. Mullin, Kevin [D-CA-15] (D-CA), 2026-10-05T00:00:00.000Z - Rep. Joyce, John [R-PA-13] (R-PA), 2026-07-06T00:00:00.000Z - Rep. Auchincloss, Jake [D-MA-4] (D-MA), 2026-07-06T00:00:00.000Z - Rep. Crenshaw, Dan [R-TX-2] (R-TX), 2026-07-06T00:00:00.000Z - Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2026-07-06T00:00:00.000Z - Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-08-31T00:00:00.000Z - Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2026-09-17T00:00:00.000Z - Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2026-09-17T00:00:00.000Z ## Provisions PRIA read - More drug help and debt protections: benefit, medium. If enacted, covered entities would have to offer written financial help for covered drugs. Some providers must help households with incomes up to 400% of the Federal Poverty Level; others must help up to 200% FPL. Help must be posted in plain language and extended to child sites and contract pharma… - Ban payer and PBM discrimination: benefit, medium. If enacted, the bill would bar plans, issuers, and PBMs from treating 340B entities or contract pharmacies worse than similar non‑340B providers. Prohibited actions include lower reimbursement, extra fees or clawbacks, forcing use of nonqualifying pharmacies, or interfering with patient choice. HRS… - Timing for rules and transition: benefit, low. If enacted, the Secretary would finalize required regulations within 180 days of enactment. Any substantive new compliance rule must give affected covered entities and manufacturers at least 180 days to transition unless another period is specified. This provides a minimum implementation window for… - Stricter contract pharmacy and audits: cost, medium. If enacted, covered entities must register every contract pharmacy and sign written agreements before dispensing starts that list each dispensing location. The bill would limit third‑party administrator fees to bona fide service charges (not revenue‑ or volume‑based), require both parties to keep a… - New annual 340B program fee: cost, medium. If enacted, starting in fiscal year 2027 covered entities would pay an annual user fee equal to 0.1% of the prior year's 340B drug spending. Fees would fund program administration, the clearinghouse, audits, and oversight. The Inspector General must review the fee program annually for five years. P… - Tighter site and hospital eligibility: mixed, medium. If enacted, the bill would set new rules for which clinics and child sites can use 340B discounts. Sites must register, show clinical and financial integration, and meet community-need tests (top 50% nationally or top 40% in a State), or show at least 40% of patients are Medicaid, uninsured, or und… - Annual 340B reporting and public data: mixed, medium. If enacted, covered entities must report detailed 340B program data annually (or as a Medicare cost report addendum). Reports must show counts of patients and prescriptions by payer, charity care, how 340B savings are used, patient income bands, contract pharmacy addresses, and more. Entities must… - New clearinghouse and drug pricing test: mixed, medium. If enacted, HHS would run a four-year demonstration requiring drug makers to sell covered outpatient drugs at the 340B ceiling price as a point-of-sale reduction, not as a rebate. The Secretary must competitively contract for an independent clearinghouse within one year to match claims and purchase… - Who counts as a 340B patient: mixed, low. If enacted, a 340B patient would be someone who got outpatient care from a prescribing provider at the covered entity within the prior 24 months and received the related prescription, with the provider–patient relationship shown in auditable records. Prescribing providers must be employees or contr… ## Related bills - 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act - 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025 - 119-hr-909: Crime Victims Fund Stabilization Act of 2025 - 119-hr-5269: RESULTS Act - 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act - 119-hr-1262: Mikaela Naylon Give Kids a Chance Act ## Sources - [119-hr-9599 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9599) ## Related - [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842) - [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514) - [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909) - [119-hr-5269: RESULTS Act](https://policyrisk.com/legislation/119-hr-5269) - [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993) - [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-hr-9599 (as of 2026-10-07).