About The Hospital Accountability Project
The Hospital Accountability Project is a coalition of advocates, policy experts, and stakeholders dedicated to rooting out rampant waste, fraud, and abuse in the 340B hospital markup program and restoring a vital safety net for low-income and uninsured patients.
Our Core Principles
Patients Before Profits
Eligible low-income and uninsured patients should benefit directly from discounted medicines — not see those savings captured by hospital conglomerates.
Accountability Above All
Federal safety-net programs like 340B must operate with transparency, accountability, and oversight.
Data-Driven Reform
Policymakers should make decisions based on real data — not on assurances from institutions with a financial interest in avoiding scrutiny.
Our Position
The 340B program has operated for too long without the guardrails needed to ensure it serves its original purpose. That is why we support the Trump administration's 340B rebate model pilot — a commonsense reform that would:
- Verify Eligibility: Require hospitals and clinics to submit claims-level eligibility data to confirm discounts are received on eligible prescriptions
- Ensure Compliance: Move away from current system where hospitals and clinics get money from 340B prescriptions with no oversight and without having to verify eligibility
- Provide Transparency: Give policymakers and the public clear visibility into how an $80+ billion program is being utilized