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Decoding 340B: The $81 Billion Drug Discount Program Explained | The Elephant in the Dome

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July 30, 2026

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Decoding 340B: The $81 Billion Drug Discount Program Explained | The Elephant in the Dome
In this episode of The Elephant in the Dome, Senator Chris Gildon hosts Senator Ron Muzzall the ranking Republican on the Senate Health and Long-Term Care Committee. They break down the complex 340B Drug Pricing Program—a federal initiative designed to help safety-net health clinics and hospitals acquire discounted prescription medication for low-income patients. They discuss how the program expanded from $12 billion to $81 billion, the balance between supporting struggling community hospitals and keeping private insurance costs manageable, and the legal battle surrounding Senate Bill 5981.

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