AHA asks full 4th Circuit to rehear West Virginia 340B pharmacy ruling
Issue
The American Hospital Association asked the full 4th Circuit on April 17 to rehear a panel ruling that blocked West Virginia's SB 325, which required drugmakers to ship 340B drugs to contract pharmacies. The same court ruled for drugmakers on a similar Maryland law April 14.
The outcome affects whether North Carolina, South Carolina and Virginia can pass similar laws.
Key points
- AHA filed its petition for full-court review on April 17, and such decisions typically come within 30 days.
- Two consecutive 4th Circuit rulings sided with drugmakers (WV + MD)
- Outcome affects whether 4th Circuit states can pass 340B protection laws
- The split between federal appeals courts is growing, which makes Supreme Court review likely.
Sources for this story
AHAPart of
- 340B drug pricing
State contract-pharmacy laws and the circuit split
Sources for your board packet
This story's source plus 4 related stories and their sources, ready to print for your team or board.
Free. Unlocking the packet subscribes you to Intel Brief. You'll also get a short welcome series and the occasional product update. You'll be subscribed right away, with no confirmation email. Unsubscribe with one click in any issue. If you unsubscribed before, we won't re-add you. We never sell your email. You can open each source above without an email.
More in Legislation
Nov 9
CMS says group sessions and health coaching are not billable FQHC visits
Nov 9
States widen short-term health plans as ACA premiums climb, Stateline reports
Nov 9
Georgetown counts 2.56 million fewer children in Medicaid and CHIP
Nov 9
Texas Medicaid expansion by executive order faces a legal question
FQHC Talent. (2026, June 30). AHA asks full 4th Circuit to rehear West Virginia 340B pharmacy ruling. Source: AHA. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/aha-en-banc-petition-4th-circuit-340b-wv-april-17-2026