{"id":50967,"date":"2023-03-28T06:34:50","date_gmt":"2023-03-28T10:34:50","guid":{"rendered":"https:\/\/www.wrfalp.com\/?p=50967"},"modified":"2023-03-28T06:34:50","modified_gmt":"2023-03-28T10:34:50","slug":"nys-faces-lawsuit-over-340b-medicaid-pharmacy-benefit-carveout","status":"publish","type":"post","link":"https:\/\/www.wrfalp.com\/nys-faces-lawsuit-over-340b-medicaid-pharmacy-benefit-carveout\/","title":{"rendered":"NYS Faces Lawsuit Over 340B Medicaid Pharmacy Benefit &#8216;Carveout&#8217;"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?ssl=1\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"50680\" data-permalink=\"https:\/\/www.wrfalp.com\/drug-pricing-program-thats-set-to-end-could-affect-local-healthcare-centers-in-the-millions-of-dollars\/340b\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?fit=694%2C916&amp;ssl=1\" data-orig-size=\"694,916\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"340B\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?fit=227%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?fit=694%2C916&amp;ssl=1\" class=\"alignright  wp-image-50680\" src=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?resize=284%2C375&#038;ssl=1\" alt=\"\" width=\"284\" height=\"375\" srcset=\"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?w=694&amp;ssl=1 694w, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B.png?resize=227%2C300&amp;ssl=1 227w\" sizes=\"(max-width: 284px) 100vw, 284px\" data-recalc-dims=\"1\" \/><\/a>Two Health Centers are suing New York State to stop the implementation of its Medicaid pharmacy benefit &#8220;carveout.&#8221;<\/p>\n<p><strong>Heritage Health and Housing, Inc.<\/strong> and <strong>Evergreen Health<\/strong> (Evergreen) filed the suit in <strong>New York County State Supreme Court<\/strong> on Friday, March 24 on behalf of the patients who depend upon <strong>340B<\/strong> for needed health care services.<\/p>\n<p>Heritage operates a federally qualified health center (FQHC) in Harlem that provides health care and medications to more than 5,500 patients. Evergreen is an FQHC \u201clook-alike\u201d in Buffalo serving more than 24,000 patients. Heritage and Evergreen are two of many providers who form New York\u2019s healthcare safety-net, providing critical care services to nearly 2.3 million New Yorkers, of whom 71 percent are persons of color, and 89 percent are classified as low-income.<\/p>\n<p>The main source of funding for Heritage and Evergreen is the federal drug pricing program called 340B.<\/p>\n<p>According to an article by Business First of Buffalo, Evergreen Health could see $13 million in annual losses to its $117 million budget. Another local federally qualified health center, <strong>The Chautauqua Center<\/strong>, said they would lose $2 million in the carve out. Statewide, health centers are estimated to lose $250 million due to the changes set to go into effect by New York State on April 1, 2023<\/p>\n<p>A report released by the <strong>NY Health Plan Association<\/strong> estimates the change will actually increase annual New York State-specific expenditures, costing taxpayers more than $235 million annually. Between the $250 million cut from safety-net providers and the cost to taxpayers, the 340B \u201ccarve-out\u201d will have a near $500 million dollar negative impact.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Two Health Centers are suing New York State to stop the implementation of its Medicaid pharmacy benefit &#8220;carveout.&#8221; Heritage Health and Housing, Inc. and Evergreen Health (Evergreen) filed the suit in New York County State Supreme Court on Friday, March 24 on behalf of the patients who depend upon 340B for needed health care services. [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":50681,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_newsletter_tier_id":0,"footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[13049,4493,13102,11271,13103,10028],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1723%2C921&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3YlJ4-dg3","jetpack-related-posts":[{"id":50679,"url":"https:\/\/www.wrfalp.com\/drug-pricing-program-thats-set-to-end-could-affect-local-healthcare-centers-in-the-millions-of-dollars\/","url_meta":{"origin":50967,"position":0},"title":"Drug Pricing Program That&#8217;s Set to End Could Affect Local Healthcare Centers in the Millions of Dollars","author":"WRFA Radio","date":"March 14, 2023","format":false,"excerpt":"A prescription drug program that's set to sunset could affect local healthcare facilities, including The Chautauqua Center and Evergreen Health Services, to the tune of millions of dollars. TCC CEO Mike Pease said through the 340b program, TCC has the ability to offer prescriptions at a greatly reduced price for\u2026","rel":"","context":"In &quot;Local News&quot;","block_context":{"text":"Local News","link":"https:\/\/www.wrfalp.com\/category\/news\/local-news\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1200%2C641&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1200%2C641&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1200%2C641&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1200%2C641&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/03\/340B-feat.png?fit=1200%2C641&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":50781,"url":"https:\/\/www.wrfalp.com\/listen-community-matters-michael-pease-on-340b-march-16-2023\/","url_meta":{"origin":50967,"position":1},"title":"[LISTEN] Community Matters &#8211; Michael Pease on 340B &#8211; March 16, 2023","author":"WRFA Radio","date":"March 17, 2023","format":false,"excerpt":"The Chautauqua Center CEO Mike Pease discusses how a proposed state carve out of 340b funds could affect local health care centers in the millions of dollars.","rel":"","context":"In &quot;Audio&quot;","block_context":{"text":"Audio","link":"https:\/\/www.wrfalp.com\/category\/news\/audio\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":51806,"url":"https:\/\/www.wrfalp.com\/evergreen-health-bestself-behavioral-health-receiving-funding-toward-opioid-addiction-treatment\/","url_meta":{"origin":50967,"position":2},"title":"Evergreen Health, BestSelf Behavioral Health Receiving Funding Toward Opioid Addiction Treatment","author":"WRFA Radio","date":"May 10, 2023","format":false,"excerpt":"Two health organizations with locations in Chautauqua County are receiving state funding to support medication for opioid addiction treatment. Evergreen Health Services and BestSelf Behavioral Health will each receive up to $500,000 as part of $7 million being awarded to 15 providers across the state. The funding will help establish\u2026","rel":"","context":"In &quot;Local News&quot;","block_context":{"text":"Local News","link":"https:\/\/www.wrfalp.com\/category\/news\/local-news\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":47423,"url":"https:\/\/www.wrfalp.com\/monkeypox-vaccine-clinic-scheduled-for-jamestown-on-october-19\/","url_meta":{"origin":50967,"position":3},"title":"Monkeypox Vaccine Clinic Scheduled for Jamestown on October 19","author":"WRFA Radio","date":"October 13, 2022","format":false,"excerpt":"The Chautauqua County Health Department and Evergreen Health are holding a monkeypox vaccine clinic on Wednesday, October 19 in Jamestown. The clinic will take place at Evergreen Health located at 320 Prather Avenue. The vaccine is given in a two dose series, 28-35 days apart. As such, a second dose\u2026","rel":"","context":"In &quot;Local News&quot;","block_context":{"text":"Local News","link":"https:\/\/www.wrfalp.com\/category\/news\/local-news\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2022\/07\/Monkeypox.jpg?fit=1200%2C675&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2022\/07\/Monkeypox.jpg?fit=1200%2C675&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2022\/07\/Monkeypox.jpg?fit=1200%2C675&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2022\/07\/Monkeypox.jpg?fit=1200%2C675&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2022\/07\/Monkeypox.jpg?fit=1200%2C675&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":52995,"url":"https:\/\/www.wrfalp.com\/evergreen-health-awarded-addiction-outreach-funds\/","url_meta":{"origin":50967,"position":4},"title":"Evergreen Health Awarded Addiction Outreach Funds","author":"WRFA Radio","date":"July 11, 2023","format":false,"excerpt":"Evergreen Health has been awarded $310,000 through New York State. The funding will go to support addiction outreach and engagement services designed to reach underserved populations across New York State. Evergreen is receiving funding through Street Outreach Model which will support street outreach teams, who will visit areas where high-risk\u2026","rel":"","context":"In &quot;Local News&quot;","block_context":{"text":"Local News","link":"https:\/\/www.wrfalp.com\/category\/news\/local-news\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/05\/Evergreen-Health-feat.jpg?fit=739%2C360&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":56216,"url":"https:\/\/www.wrfalp.com\/evergreen-health-cuts-ribbon-on-renovated-facility\/","url_meta":{"origin":50967,"position":5},"title":"Evergreen Health Cuts Ribbon On Renovated Facility","author":"WRFA Radio","date":"December 14, 2023","format":false,"excerpt":"Evergreen Health has cut the ribbon on its newly renovated building at 320 Prather Avenue in Jamestown. The healthcare organization provides medical, behavioral and supportive services to individuals and families living with chronic illness or who are underserved by the healthcare system. Evergreen Health Associate Vice President of Southern Tier\u2026","rel":"","context":"In &quot;Local News&quot;","block_context":{"text":"Local News","link":"https:\/\/www.wrfalp.com\/category\/news\/local-news\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/12\/Evergreen-Ribbon-Cutting-12-13-23-feat.jpg?fit=1200%2C654&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/12\/Evergreen-Ribbon-Cutting-12-13-23-feat.jpg?fit=1200%2C654&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/12\/Evergreen-Ribbon-Cutting-12-13-23-feat.jpg?fit=1200%2C654&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/12\/Evergreen-Ribbon-Cutting-12-13-23-feat.jpg?fit=1200%2C654&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/www.wrfalp.com\/wp-content\/uploads\/2023\/12\/Evergreen-Ribbon-Cutting-12-13-23-feat.jpg?fit=1200%2C654&ssl=1&resize=1050%2C600 3x"},"classes":[]}],"_links":{"self":[{"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/posts\/50967"}],"collection":[{"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/comments?post=50967"}],"version-history":[{"count":1,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/posts\/50967\/revisions"}],"predecessor-version":[{"id":50968,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/posts\/50967\/revisions\/50968"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/media\/50681"}],"wp:attachment":[{"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/media?parent=50967"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/categories?post=50967"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wrfalp.com\/wp-json\/wp\/v2\/tags?post=50967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}