Ndlulela

I-340B

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:

    1. Ukujezisa abakhiqizi abangathobeli izibopho zabo ngaphansi komthetho; 
    2. Idinga ukuthi abakhiqizi babuyisele imali ezinkampanini ezikhaviwe ngokukhokhiswa ngokweqile okungekho emthethweni; 
    3. Misa imizamo yabakhiqizi yokuguqula ngokuzimele ukwakheka kohlelo lwe-340B; futhi,
    4. Beka iphaneli yokuxazulula izingxabano zokuphatha ukuze kwahlulele izingxabano ngaphakathi kohlelo.

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