Missouri legislation · 2026 Regular Session
Missouri SB1178: Enacts requirements for certain reporting regarding the federal 340B drug program
Status: In committee, February 4, 2026
SB 1178 - This act requires 340B covered hospitals, as defined in the act, to report to the Department of Health and Senior Services certain information regarding utilization of the federal 340B Drug Pricing Program and certain payments and expenditures as outlined in the act. The Department of Health and Senior Services shall prepare a report aggregating the reported information, and shall provide the report to the General Assembly and publish the report on its public website. The act prescribes a civil penalty of $1000 per day for any 340B covered hospital that fails to provide the information as required under the act. This act is similar to HB 781 (2025). SARAH HASKINS
What the bill says
To amend chapter 191, RSMo, by adding thereto one new section relating to the 340B drug program. Section A. Chapter 191, RSMo, is amended by adding thereto one new section, to be known as section 191.1067, to read as follows: 191.1067. 1. As used in this section, the following terms mean: (1) "340B covered hospital", an entity described in U.S.C. Section 256b(a)(4)(L) to 42 U.S.C. Section 256b(a)(4)(O) that: (a) Is authorized to participate in the federal 340B Drug Pricing Program under Section 340B of the federal Public Health Service Act, 42 U.S.C. Section 256b(a)(4), and has a service addre.
From the introduced text:
To amend chapter 191, RSMo, by adding thereto one new section relating to the 340B drug program. Section A. Chapter 191, RSMo, is amended by adding thereto one new section, to be known as section 191.1067, to read as follows: 191.1067. 1. As used in this section, the following terms mean: (1) "340B covered hospital", an entity described in U.S.C. Section 256b(a)(4)(L) to 42 U.S.C. Section 256b(a)(4)(O) that: (a) Is authorized to participate in the federal 340B Drug Pricing Program under Section 340B of the federal Public Health Service Act, 42 U.S.C. Section 256b(a)(4), and has a service address in this state as of January first of the reporting year; or (b) Any offsite outpatient facility affiliated under the 340B program with an entity described in this subdivision; (2) "340B program" or "340B drug pricing program", the federal 340B Drug Pricing Program established under U.S.C. Section 256b; SB 1178 (3) "Charity care", the unreimbursed cost to a hospital of providing, funding, or otherwise financially supporting health care services: (a) To a person classified by the hospital as financially indigent or medically indigent on an inpatient or outpatient basis; or (b) To financially indigent patients through other nonprofit or public outpatient clinics, hospitals, or health care organizations; (4) "Financially indigent", an uninsured or underinsured person who is accepted for care with …