S. 5244, the SUSTAIN 340B Act, is introduced and referred to Senate HELP
Issue
GovInfo identifies the August 5, 2026 proposal as S. 5244, introduced by Sen. Moran with Sens. Baldwin, Capito, Kaine, Boozman, and Hickenlooper, read twice, and referred to the Senate Committee on Health, Education, Labor, and Pensions.
The introduced text proposes contract-pharmacy, patient-definition, clearinghouse, reporting, audit, and other 340B changes. Section 5 would require HHS—only after enactment—to conclude the 340B Rebate Model Pilot within one year, not expand it, discontinue it at one year, and transition to the proposed data clearinghouse.
As of the August 29 review, GovInfo lists an introduced bill, not enacted law: the introduction changes no current 340B rule, patient definition, contract-pharmacy duty, or pilot status. Separately, HRSA's revised pilot notice, published August 3 at 91 FR 48883, set an August 24 manufacturer-plan submission deadline and a planned January 1, 2027 effective date for approved plans covering selected drugs.
Submission is not approval, and the current HRSA pilot page reviewed does not publish an approved-plan list. Continue to use current law and current HRSA materials unless Congress enacts legislation or HRSA publishes a later agency action.
Date trap: this bill reuses the name of the February 2, 2024 SUSTAIN 340B proposal; verify S. 5244, the 2026 sponsor list, and current status before citing it.
Key points
- S. 5244 is introduced and referred to Senate HELP; it is not enacted and changes no current 340B requirement.
- Section 5's one-year pilot sunset, non-expansion, and clearinghouse transition would apply only after enactment.
- HRSA's revised pilot remains a separate agency process: an August 24 manufacturer submission was not an approval or proof of a January implementation.
- Name collision: the February 2024 SUSTAIN 340B Act is a different bill — check the date before citing.
Sources for this story
U.S. Government Publishing Office (GovInfo) — S. 5244 (IS)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 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.
Part of
- 340B drug pricing
Federal 340B legislation
FQHC Talent. (2026, August 5). S. 5244, the SUSTAIN 340B Act, is introduced and referred to Senate HELP. Source: U.S. Government Publishing Office (GovInfo) — S. 5244 (IS). Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/sustain-340b-act-senate-introduction-august-2026