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Trump touts immigration crackdown despite concerns about due process; NY faces potential impacts from federal vote on emissions standards; ND Tribes can elevate tourism game with new grants; WA youth support money for Medicaid, not war.

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Major shifts in environmental protections, immigration enforcement, civil rights as Trump administration reshapes government priorities. Rural residents and advocates for LGBTQ youth say they're worried about losing services.

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Migration to rural America increased for the fourth year, technological gaps handicap rural hospitals and erode patient care, and doctors are needed to keep the Eastern Band of Cherokee Indians healthy and align with spiritual principles.

TN health centers voice concerns about future of low-cost drug program

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Wednesday, December 4, 2024   

Access to reduced-price medication is vital for many low-income rural Tennesseans and the clinics serving them are concerned about potential cuts to a program that helps with drug costs.

The 340B program allows safety-net providers, like community health centers, to purchase outpatient medications at discounted rates.

Emily Waitt Hise, policy and advocacy manager for the Tennessee Primary Care Association, said the savings are crucial.

"The 340B program allows health center patients to receive the care they need to attain their highest level of health," Waitt Hise asserted. "It ensures that all patients can receive the lifesaving medications they need to manage chronic conditions, like diabetes or high cholesterol."

She pointed out health centers are required to reinvest the savings from the program back into patient care, which helps them provide other services like pediatrics, behavioral and dental health and OB/GYN care. Health centers are concerned that the 340B program will be on the chopping block under the new administration.

Laura Harris, CEO of Chota Community Health Services, said the 340B program offers significant cost savings, which are passed on to low-income and uninsured patients. She noted the costs vary by drug but are generally minimal. Her organization did a recent patient survey, confirming the cost savings.

"This third patient said, 'Eliquis was going to cost me $500, because my insurance denied it. With the program, it only cost $50,'" Harris reported. "A fourth patient said, 'My inhaler was over $100, but I got it for $25.'"

Harris argued the biggest challenge with the program is the pharmaceutical manufacturers' contract pharmacy restrictions, which limit 340B pricing to one pharmacy. She added it forces patients on multiple medications to visit different pharmacies to fill their prescriptions, which is challenging in rural areas.

Disclosure: The Tennessee Primary Care Association contributes to our fund for reporting on Health Issues, Mental Health, and Reproductive Health. If you would like to help support news in the public interest, click here.


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