Izinsiza Zakamuva Nolwazi mayelana nezinguquko Zohlelo lwe-340B
Kusukela ngoJulayi ka-2020, kube nezinsongo eziningi ohlelweni lwe-340B ezize ngendlela ye-Executive Order kanye nezinguquko kunqubomgomo ezivela kubakhiqizi abambalwa bezidakamizwa abakhulu. Ukusiza ukuhlala unolwazi ngalesi simo esiguqukayo, i-CHAD igcina uhlu lokusabalalisa lwe-340B lapho kwabelwa khona izibuyekezo ezibalulekile ze-340B. Sicela uthumele i-imeyili u-Bobbie Will ukuze angezwe ohlwini lwethu lokusabalalisa.
I-340B isekela kanjani iziguli zesikhungo sezempilo :
Ngokwehlisa ukuthi kumele bayikhokhe malini ngemithi, i-340B inika amandla izikhungo zezempilo (FQHCs) ukuthi:
- Yenza izidakamizwa zikwazi ukufinyeleleka ezigulini zazo ezihola kancane ezingaqinisekisiwe futhi ezingenamshwalense omncane; futhi,
- Sekela ezinye izinsiza ezibalulekile ezandisa ukufinyelela ezigulini ezisengozini yezempilo.
Kungani i-340B ibaluleke kangaka ezikhungweni zezempilo?
Njengezinhlangano ezincane, ezisekelwe emphakathini, izikhungo zezempilo azinawo amandla emakethe okuxoxisana ngezaphulelo enanini lesitika.
Ngaphambi kuka-340B, izikhungo zezempilo eziningi bezingakwazi ukunikeza imithi ethengekayo ezigulini zazo.
Izikhungo zezempilo zisebenzisa kanjani ukonga okukhiqizwa yi-340B?
Izikhungo zezempilo zitshala yonke imali eyi-340B yokonga emisebenzini ekhulisa ukufinyelela ezigulini ezinganakekelwa kahle ngokwezempilo. Lokhu kudingwa umthetho wombuso, imithetho yenhlangano, kanye nemishini yesikhungo sezempilo.
- Ibhodi lesikhungo sezempilo ngasinye eliphethwe isiguli linquma ukuthi lingatshala kanjani kangcono ukonga kwalo okungu-340B.
- Baqeda ukulahlekelwa emithini yeziguli ezikhokha imali yokushelela (isb., ukulahlekelwa okungu-$50 ngaphezulu).
- Ukonga okusele kusetshenziselwa amasevisi abengeke axhaswe ngenye indlela. Izibonelo ezijwayelekile zifaka ukwelashwa okunwetshiwe kwe-SUD, izinhlelo zekhemisi zomtholampilo, nezinsizakalo zamazinyo zabantu abadala.
I-Executive Orders
Lokho elikushoyo:
Idinga ama-FQHCs ukuthi adayisele i-insulin nama-EpiPens ezigulini ezingenamshwalense ezihola kancane ngentengo engu-340B.
Kungani lokho kuyinkinga?
I-Executive Order idala umthwalo omkhulu wokuphatha ukuxazulula inkinga engekho kuma-Dakota.
Izikhungo zezempilo sezivele zihlinzeka nge-insulin nama-Epipens ngamanani athengekayo ezigulini ezihola kancane nezingenamshwalense.
Senzani ukuze sibhekane nakho?
I-Health Resources and Services Administration (HRSA) yakwamukela ukuphawula ngonyaka odlule ngomthetho ohlongozwayo owawuzosebenzisa i-Executive Order on EpiPens and Insulin. I-CHAD ithumele imibono echaza ukukhathazeka kwethu, kanye ne-National Association of Community Health Centres (NACHC). Bona ukukhathazeka kwe-NACHC mayelana ne-EO lapha.
Izinsiza zeMedicaid
3 izindawo ezikhathazayo:
- Ukwenqaba ukuthumela imithi enenani elingu-340B kumakhemisi enkontileka
- Izidingo zedatha ebanzi
- Susa isaphulelo uye kumodeli yesaphulelo
Kungani kuyinkinga?
- Ukulahlekelwa ukufinyelela kwesiguli emibhalweni kadokotela (Rx) emakhemisi enkontileka.
- Ukulahlekelwa ukonga okuvela ezincwadini zikadokotela (Rx) ezikhishwa kumakhemisi enkontileka.
- Ama-CHC aseNorth Dakota awakwazi ukuba namakhemisi angaphakathi endlini ngenxa yomthetho wezwe oyingqayizivele wobunikazi bekhemisi.
- Ukuqoqwa kwedatha okubanzi kuwumthwalo futhi kudla isikhathi. Iphinde iveze ukukhathazeka mayelana nezindaba ezingokomthetho ezingase ziphakame ekuqoqweni nasekwabelaneni okunjalo kwedatha.
- Ukusuka emodelini yesaphulelo ukuya kumodeli yesaphulelo kungadala izinkinga ezinkulu zokuhamba kwemali emakhemisi.
Abakhiqizi abane bezidakamizwa bayeke ukuthumela imithi enenani elingu-340B kumakhemisi amaningi enkontileka kusukela ekwindla ka-2020. Abakhiqizi abane ngamunye banemithetho ehluke kancane emayelana nemikhawulo yabo emisha. Ishadi elingezansi lifingqa lezo zinguquko.
Senzani ukuze sibhekane nakho?
Ukuxhumana Nabenzi Bezinqubomgomo
I-CHAD ixhumana njalo namalungu ethu eCongress ngokubaluleka kohlelo lwe-340B ezikhungweni zezempilo. Sibakhuthaze ukuthi baxhumane noMnyango Wezempilo Nezinkonzo Zabantu (HSS) futhi babazise ngomthelela lezi zinguquko ezizoba nawo kubahlinzeki bezempilo ezifundazweni zethu.
USenator John Hoeven uthumele incwadi ku-HSS Alex Azar ngoLwesihlanu, 9 Okthoba, futhi waveza ukukhathazeka okuningi izikhungo zezempilo ezinakho ngezinguquko ohlelweni lwe-340B. Ungafunda ikhophi yaleyo ncwadi lapha.
Ekanye nozakwabo abangama-bipartisan, uKhongolose waseNingizimu Dakota uDusty Johnson uthumele incwadi kuNobhala we-HSS owayegabadela u-Xavier Becerra ngoLwesine, ngoFebhuwari 11. Le ncwadi inxusa u-Becerra ukuthi athathe izinyathelo ezine ukuvikela Uhlelo Lwesaphulelo Sezidakamizwa lwe-340B:
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- Ukujezisa abakhiqizi abangathobeli izibopho zabo ngaphansi komthetho;
- Idinga ukuthi abakhiqizi babuyisele imali ezinkampanini ezikhaviwe ngokukhokhiswa ngokweqile okungekho emthethweni;
- Misa imizamo yabakhiqizi yokuguqula ngokuzimele ukwakheka kohlelo lwe-340B; futhi,
- Beka iphaneli yokuxazulula izingxabano zokuphatha ukuze kwahlulele izingxabano ngaphakathi kohlelo.
Resources
- Umthetho Wokugcina “Ukubuyekezwa Kokumisa Ukumisa Okumisiwe” – KWENGELWE ngoJanuwari 21, 2021
- Ukukhishwa kwabezindaba kwe-NACHC ekhuluma ngokumiswa kwe-Biden Administration ku-Insulin/EpiPens Regulation – KWENGELWE ngoJanuwari 25, 2021
- Isifinyezo se-Executive Order - KWENGELWE ngo-Okthoba 12, 2020
- Ukukhathazeka kwe-NACHC namazwana ku-EO - KWENGELWE ngo-Okthoba 12, 2020
- I-NACHC "Khetha i-Pocketing" Ipheyija eyodwa - KWENGELWE ngo-Okthoba 12, 2020
- I-NACHC - Izikhungo zezempilo zisebenzisa kanjani i-340B - KWENGELWE ngo-Okthoba 12, 2020
- Isaziso Sentengo Yesilingi esingu-340B Esingalungile Sefomu le-HRSA - KWENGELWE ngo-Okthoba 22, 2020
- Njengoba amanani osilingi eshintsha njalo ngekota, sikukhuthaza ukuthi usebenzise le webhusayithi ukuhlola amanani osilingi emithini ukuze ubone ukuthi usayithola yini intengo engu-340B. https://www.340bpvp.com/my-dashboard - KWENGELWE ngo-Okthoba 22, 2020
- Usizo Lwezobuchwepheshe ku-340B nge-Draffin Tucker:
- futhi ama-Slides futhi Ukurekhoda kusukela ngo-9/30/20 Isethulo noMat Atkins - KWENGELWE ngo-Okthoba 12, 2020
- futhi ama-Slides futhi Ukurekhoda kusukela ngomhlaka-10/19/20 Isethulo esivela ku-Matt Atkins e-Draffin Tucker - YENZE ngo-Okthoba 22, 2020
- Uma isikhungo sakho sezempilo singathanda usizo lokuthola usizo lwezobuchwepheshe oluvela ku-Draffin Tucker, sicela usithinte UCarmen Toft