New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB477

Introduced
11/21/25  
Refer
11/21/25  
Refer
2/12/26  

Caption

Relative to increasing transparency in the 340B Drug Pricing Program.

Impact

The implications of SB 477 on state laws revolve around the increased oversight and accountability of hospitals participating in the 340B program. Hospitals reporting substantial net savings must now file annual plans detailing their investments in rural services, aiming to ensure that these savings are being directed towards enhancing patient care in underserved areas. Additionally, hospitals are mandated to publish clear information regarding their 340B pricing and charity care policies, hence fostering improved patient understanding and access to information related to their care options.

Summary

Senate Bill 477, known as the 'Sunshine in Savings Act', aims to enhance transparency within the 340B Drug Pricing Program. This legislation introduces specific reporting obligations for the Department of Health and Human Services, hospitals, and other entities involved in the 340B program. Key elements of the bill include the requirement for claim-level identification of 340B drugs across fee-for-service and managed care claims and the introduction of exclusion rules to avoid duplicate discounts. These measures are intended to streamline the identification and reporting processes associated with 340B drugs.

Sentiment

Reactions to SB 477 highlight a general consensus on the need for greater transparency in drug pricing, although opinions diverge regarding the bill's efficacy. Supporters, including various healthcare advocacy groups, believe that increased transparency will bolster public trust in healthcare institutions and improve patient outcomes. However, some healthcare professionals have expressed concern that these additional reporting requirements could impose an administrative burden on hospitals, potentially diverting resources away from patient care.

Contention

Notable points of contention include the practical aspects of implementing the new reporting requirements and the implications they have on hospital operations. Critics argue that while the intention behind the legislation is sound, it may inadvertently hinder hospital efficiency and complicate the provision of care. There are also concerns regarding the confidentiality of the data reported, as the bill stipulates that reports must be based on aggregated information to prevent the disclosure of sensitive pricing details.

Companion Bills

No companion bills found.

Previously Filed As

NH SB253

Relative to participation in the federal 340B Drug Pricing Program.

NH SB256

Relative to the affordability and safety of clinician administered drugs.

NH HB705

Relative to health care cost transparency.

NH HB603

Relative to increasing the adequacy grant for pupils receiving special education services.

NH HB583

Relative to state participation in the Medicaid direct certification program for free and reduced price school meals.

NH HB226

Relative to the use of drug checking equipment.

NH HB640

Relative to the transparency of federal agency operations within New Hampshire.

NH HB704

Relative to caregiver respite and senior volunteer programs and making an appropriation therefor.

NH SB234

Relative to the electric assistance program.

NH SB15

Relative to establishing a mandatory minimum sentence for the crime of distribution of a controlled drug with death resulting.

Similar Bills

No similar bills found.