The 2020-21 New York State budget eliminates 340B drug discounts hospitals access for services provided to Medicaid enrollees. Program Basics and Key Dates

The federal 340B Drug Pricing Program enables more than 100 New York safety net hospitals serving low-income and vulnerable New Yorkers to purchase outpatient drugs from pharmaceutical manufacturers at a discounted rate (~ 20% to 50% discount). These hospitals rely on the savings from the 340B drug discount program to provide greater access to pharmaceuticals and comprehensive services in their communities, which they otherwise would not be able to do because of chronic underpayments from public payers like Medicaid.

340B Benefits for Patients State Fiscal Year 2020-

New York’s 340B-eligible hospitals 2021 Budget Actions leverage savings accessed under 340B to operate programs and services that they October 1, 2020 might otherwise not be able to operate, Department of Health stakeholder such as the following services reported by workgroup to make recommendations HANYS’ members: on how to achieve Medicaid program • free or substantially discounted prescriptions to savings for discounted drugs acquired uninsured or low-income patients; by providers under the 340B program.

• medication therapy management programs to No sooner than April 1, 2021 improve patient care and reduce overall healthcare costs and hospital readmissions; DOH to move the Medicaid pharmacy benefit from the managed care benefit • mobile units to bring care to rural and other package to the fee-for-service program medically under-served communities without local (expected to reduce Medicaid spending primary care options or pharmacies; by $87.2 million). This change will have implications on the cost savings hospitals • free oncology services for low-income patients; and other providers leverage from the • multidisciplinary clinics offering substance abuse 340B Drug Discount Program to reinvest and mental health services; and in their communities.

• transportation support for patients who need to April 1, 2023 use emergency room services. Requires reimbursement of 340B drugs These are just a few examples of the many based on a method that considers the ways NYS hospitals reinvest savings generated actual acquisition costs and professional from the 340B program to improve access to dispensing fees. care in vulnerable communities. Many of these investments come from hospitals that are financially vulnerable.

© 2020 Healthcare Association of New York State, Inc. | hanys.org Northeastern New York Hospitals that Adirondack Medical Center Albany Medical Center Hospital participate Bassett Medical Center in the 340B Cobleskill Regional Hospital Columbia Memorial Hospital program Ellis Medicine Margaretville Hospital Nathan Littauer Hospital O’Connor Hospital New York City St. Mary’s Healthcare (Amsterdam) BronxCare Hospital Center Brookdale University Hospital Medical Center Samaritan Hospital Central New York UHS Delaware Valley Hospital Flushing Hospital Medical Center Auburn Community Hospital UVHN – Alice Hyde Medical Center Interfaith Medical Center Canton-Potsdam Hospital UVHN – Champlain Valley Physicians Hospital Jamaica Hospital Medical Center Carthage Area Hospital UVHN – Elizabethtown Community Hospital Kingsbrook Jewish Medical Center Cayuga Medical Center at Ithaca Lenox Hill Hospital Claxton-Hepburn Medical Center Rochester area Long Island Jewish Medical Center Clifton-Fine Hospital Arnot Ogden Medical Center Maimonides Medical Center Community Memorial Hospital Clifton Springs Hospital and Clinic Montefiore Medical Center Faxton St. Luke's Healthcare Highland Hospital Mount Sinai Beth Israel – All Divisions Gouverneur Hospital Nicholas H. Noyes Memorial Hospital Mount Sinai Hospital Guthrie Cortland Medical Center Rochester General Hospital Mount Sinai Morningside Lewis County General Hospital Schuyler Hospital, Inc. New York Community Hospital Little Falls Hospital Soldiers and Sailors Memorial Hospital New York Eye and Ear Infirmary of Mount Sinai Massena Hospital Strong Memorial Hospital NewYork-Presbyterian Brooklyn Methodist Hospital Oneida Healthcare Unity Hospital NewYork-Presbyterian Hospital Oswego Health Western New York NewYork-Presbyterian Queens Our Lady of Lourdes Memorial Hospital NYC Health + Hospitals / Bellevue River Hospital Brooks-TLC Hospital System NYC Health + Hospitals / Coney Island Rome Memorial Hospital Erie County Medical Center NYC Health + Hospitals / Elmhurst Samaritan Medical Center Jones Memorial Hospital NYC Health + Hospitals / Harlem UHS Chenango Memorial Hospital Kaleida Health NYC Health + Hospitals / Jacobi United Health Services Hospitals, Inc. Mount St. Mary's Hospital and Health Center NYC Health + Hospitals / Kings County Upstate University Hospital Niagara Falls Memorial Medical Center NYC Health + Hospitals / Lincoln Olean General Hospital NYC Health + Hospitals / Metropolitan Northern Metropolitan Area Orleans Community Health NYC Health + Hospitals / North Central Bronx Bon Secours Community Hospital Sisters of Charity Hospital NYC Health + Hospitals / Queens Catskill Regional Medical Center United Memorial Medical Center NYC Health + Hospitals / Woodhull Catskill Regional Medical Center/ UPMC Chautauqua Grover M. Hermann Division NYU Langone Hospitals Good Samaritan Hospital Richmond University Medical Center Long Island HealthAlliance Hospital – SBH Health System Mercy Medical Center Mary’s Avenue Campus St. John's Episcopal Hospital (Far Rockaway) Montefiore Nyack Hospital Nassau University Medical Center Staten Island University Hospital – All Divisions Montefiore St. Luke’s Cornwall Hospital St. Charles Hospital The Brooklyn Hospital Center Phelps Hospital Southside Hospital University Hospital of Brooklyn St. John’s Riverside Hospital Stony Brook University Hospital Wyckoff Heights Medical Center Westchester Medical Center