The 340B Drug Discount Program was given the laudable goal of helping federally funded clinics and public hospitals that serve a large uninsured population cover the cost of drugs and provide discounts to patients. However, like many other well-intended federal programs 340B has gone off the rails due to the lack of clear intent and […]
Louisiana Senator Cassidy Leads Effort to Reform Federal Drug Pricing Program
The establishment of well-intentioned programs that fail to achieve their objectives and waste taxpayer dollars is an unfortunately frequent occurrence in the federal government. A prominent example of such an outcome is the 340B program, created by Section 340B of the Public Health Service Act of 1992, which requires pharmaceutical manufacturers participating in Medicaid to […]
President Trump Can Cut Wasteful Spending to Reduce Drug Prices and Healthcare Costs
President Trump has made lowering drug prices and reducing healthcare costs for Americans a top priority of his second term, along with encouraging more biopharmaceutical investment and innovation in the U.S. Citizens Against Government Waste suggests that he can achieve both objectives without imposing price controls, which includes Most Favored Nation (MFN) polices, reforming the […]
Senate HELP Committee Questions Cleveland Clinic’s 340B Funding Transparency
The 340B Drug Discount Program was created in 1992 and requires pharmaceutical manufacturers participating in Medicaid to sell drugs to “Covered Entities” (CEs), including non-profit hospitals like the Cleveland Clinic, at discounts of 20 to 50 percent. The program grew from $9 billion in 2014 to $66 billion in 2023, making it the second-largest federal […]
WSJ Reinforces Waste and Abuse in Healthcare
Federal healthcare programs are often well-intended but end up costing more than expected and become subject to waste, fraud, abuse, and mismanagement. One of the best (or worst) examples of such a result is the 340B Drug Pricing Program, which is administered by the Health Resources and Services Administration (HRSA). The lack of clear intent […]
CBO Confirms That 340B Drives Up Costs for Taxpayers
The Congressional Budget Office (CBO) has confirmed what the Council for Citizens Against Government Waste (CCAGW) has long been saying about the 340B drug discount program. The September 9, 2025, CBO report noted that 340B has grown substantially and increases costs for taxpayers. The CBO report also underscores several reasons why reforms to the 340B […]
Senate HELP Committee Hearing Highlights Need to Reform 340B
The 340B Drug Discount Program was created in 1992 to help federally funded clinics and public hospitals that serve a large uninsured population cover the cost of drugs and provide discounts to patients. But the lack of guardrails on the program and failure to define a patient has led to it being abused by hospitals […]
Markwayne Mullin Wants to Make 340B Work for Oklahomans
The federal 340B Drug Pricing Program was intended to provide discounts on drugs to patients but the lack of a clear intent and patient definition, along with inadequate oversight, has led to the program being exploited by hospitals and contract pharmacies to generate millions of dollars in profit. The discounts are supposed to be provided […]
Congress Should Modernize How Prescription Information is Delivered
Eliminating waste, fraud, abuse, and inefficiency in government and restoring common sense has been a priority for President Trump and Congress for 2025. As part of this effort, lawmakers should turn their attention to eliminating an unnecessary, wasteful, and outdated rule that would modernize how critical medical information is disseminated. Modernizing this rule would restore […]
Fighting the Good Fight on World Vape Day
Vaping and other tobacco harm reduction (THR) products have improved the health of millions of people by helping them stop smoking traditional cigarettes. On World Vape Day, May 30, 2025, supporters of THR should use this occasion to continue this momentum and fight against the barriers that restrict access to such products. THR products have […]








