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AHA says HRSA 'vastly underestimates' costs 340B Rebate Pilot Program will inflict on hospitals, urges delay

By AHA.org  
   October 01, 2025

The anticipated burdens on hospitals to comply with the Health Resources and Services Administration's 340B Rebate Pilot Program far exceed the agency's estimates, and HRSA should delay the program's implementation, the AHA today told the agency. In a letter responding to HRSA's information collection request regarding the expected costs of its 340B Rebate Model Pilot Program, the AHA said 340B hospitals indicated that the operational costs associated with the rebate model could range from $150,000 to over $500,000 per hospital, with costs increasing further if there are significant delays and denials with the rebate payments. These costs are significantly higher than HRSA estimated. 

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