# Bergman, Ruiz Introduce 340B Discount Bill

Representatives Jack Bergman and Raul Ruiz introduced H.R. 10919 on October 29, 2026, to preserve upfront 340B prescription-drug discounts for safety-net providers, including Critical Access Hospitals and Federally Qualified Health Centers. The bill would prohibit covered providers from being required to pay above the 340B ceiling price upfront and recover the difference later through rebates or other payments. The proposed legislation comes ahead of a revised federal rebate model scheduled to take effect **January 1, 2027**.

- The bill is proposed, not enacted; its progress could affect how covered providers plan and administer 340B drug purchases if it changes the rebate model’s payment structure.
- For procurement teams and contractors supporting safety-net providers, the issue concerns upfront drug-purchasing costs and the potential cash-flow effects of paying above the ceiling price before receiving a rebate.
- The revised rebate model is scheduled to take effect in **51 days**. Providers and their procurement partners can assess purchasing and payment workflows against the scheduled model while accounting for the bill’s pending status.

**Jurisdictions:** federal
**Industries:** Healthcare
**Topics:** Policy
**Published:** November 11, 2026

### Government Entities
- U.S. House of Representatives (House)

### Key Quotes
> For Critical Access Hospitals like Munising Memorial Hospital, maintaining the up-front discount structure is essential to ensuring continued access to affordable medications for our rural patients.
> — Wendy Frush, CEO, Munising Memorial Hospital

> The 340B Program is a critical lifeline for these facilities and the patients who depend on them.
> — Jack Bergman, U.S. Representative

> These lifelines serving our most vulnerable patients depend on the 340B program to keep their doors open and cannot afford the devastating upfront costs of the new pilot Rebate model.
> — Raul Ruiz, U.S. Representative

### Sources
- [
	Bergman, Ruiz Introduce Bipartisan Bill to Preserve Critical Drug Discounts for Safety Net Providers | U.S. Representative Jack Bergman
](https://bergman.house.gov/news/documentsingle.aspx?DocumentID=1544) - Bergman House