Thomas Oliverson, M.D., Representative and Majority Leader of the Texas House of Representatives, said he is committed to ensuring full transparency in the 340B Drug Pricing Program. He aims to uncover misuse and unintended consequences within the program, an issue attracting attention in California.
“I am fighting for full transparency on 340b,” said Tom Oliverson. “In the annals of “unintended consequences”, there should be 2 full chapters dedicated to this dumpster fire of a program.”
Congress has focused its reform efforts on transparency within the 340B program. According to committee materials, H.R. 3290, known as the “340B Transparency Act,” would mandate that covered hospitals and outpatient sites report their use of savings, operating margins on discounted drugs, and other data. The goal is to enhance oversight and minimize duplicate discounts by ensuring accountability to patients and payers through standardized reporting.
Independent analysis indicates that the growth of the program significantly outpaces the vulnerable population it was designed to serve. IQVIA reports that from 2013 to 2021, estimated 340B revenue increased by 374%, while the size of the vulnerable population decreased by nearly half. This suggests a growing misalignment between generated funds and targeted patients, raising concerns about potential misuse and insufficient safeguards.
California has more than 170 340B hospitals, and observers warn the program has “ballooned into a cash cow” for large systems, PBMs, and chains rather than a transparent vehicle for lowering out-of-pocket costs. Commentators have urged lawmakers to close loopholes and require that 340B dollars be reinvested directly in patient care, instead of expanding protections for hospital profits.
Oliverson is a physician-anesthesiologist and Republican member of the Texas House representing District 130 since 2017. His role as Majority Leader since April 3, 2024, combined with his legislative and medical expertise, positions him as a key figure in discussions on health system oversight and transparency issues like those surrounding the 340B program.
