08/31/2026
SECURE vs. SUSTAIN: What Should Covered Entities Know?
Both 340B reform proposals would strengthen protections around contract pharmacies and manufacturer restrictions, but also bring more reporting, data requirements, and oversight.
Right now, SUSTAIN appears more favorable to covered entities, especially in preserving the traditional upfront 340B discount and limiting rebate models.
Neither bill is law yet, but both signal where federal 340B reform may be headed: more protection paired with more accountability.
Read our latest blog for the key differences and what they could mean for covered entities.
https://aci340b.com/secure-vs-sustain-340b-acts/