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VIEWPOINT | 340B Drug Pricing Program drives health costs up for small businesses

Guest column by Karen Kerrigan

May 31, 2026
∙ Paid

Small business owners are struggling to keep up with the rising cost of health care. Nearly a third have stopped offering health benefits as premiums continue to climb.

It is critical that lawmakers understand the reasons for rising costs and begin to address them – or small businesses will continue to drop health coverage due to unsustainable costs. One of these reasons is hospitals’ exploitation of a little-known federal charity program. Without reforms, that program will continue to drive up costs for small businesses and the self-employed.

Three decades ago, Congress established the 340B Drug Pricing Program, which allows safety-net hospitals and clinics to purchase discounted drugs. In theory, that allows these providers to use the savings to provide more charity care to poor patients.

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