Executive Briefing — Thursday, August 13, 2026

The Hospital’s Hidden Infrastructure

Part II: The SUSTAIN 340B Act Protects Access—and Builds a New Compliance Operating System

Today

A bipartisan Senate bill would protect point-of-purchase 340B discounts and codify contract-pharmacy access.
The same legislation would establish a statutory patient definition and create new registration, documentation, reporting, audit, clearinghouse and financial-assistance obligations.
Hospital leaders should treat the proposal as simultaneous access protection, margin exposure and enterprise compliance transformation.

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