Consolidation of independent practices is a problem and it's being fueled by the 340B program. It's why transparency is needed. @CSROAdvocacy's Dr. Erin Arnold on @ramblin_ray @wlsam890 on how misuse of the program impacts community-based care in Illinois. https://bit.ly/4sZZm71
Posts by National Infusion Center Association
Infusion centers provide essential, community-based care. Lawmakers should advance #PACTA and protect community-based infusion services patients rely on. @SenatorAndyKim @SenBooker @RepHerbConaway @Congressman_JVD @DonaldNorcross bit.ly/3PN8bCs
"When a board of unelected officials sets reimbursement limitations, infusion centers like mine face a difficult choice: absorb the loss or send our patients elsewhere for treatment." Read more from Illinois provider Dr. Dareen Siri in @SJRbreaking: https://bit.ly/4topYhA
Big advocacy win in Virginia! Governor Spanberger just signed into law major PBM reforms that include “de-linking” and “rebate pass-through” provisions to help lower costs for patients statewide. Thank you @SpanbergerForVA!
We joined GCOA and nearly 30 other patient advocacy groups in urging @GovernorVA Spanberger to protect access to lifesaving treatments for Virginians and VETO legislation that would import federal MFPs to the Commonwealth. https://bit.ly/4uAl4Q4
"Policies that steer patients away from accessible, community-based care and into higher-cost settings should be off the table.”
Read more from FloMed Infusion's Batsheva Weisz in @northjersey: bit.ly/40HciCa #PACTA
Infusion providers & clinicians: your voice matters in Medicare drug price talks
CMS is hosting public engagement events—clinicians, patients, & caregivers can share experiences on access, affordability & real-world outcomes.
Register: March 2026
Events: April 2026
Learn more: go.cms.gov/4cmqqI1
Landmark PBM reforms have been signed into law, a major win for infusion providers. Medicare Part D delinking, commercial rebate pass-through, and a ban on Medicaid spread pricing will help increase transparency and affordability.
ALERT: CMS selects 15 drugs for 3rd cycle of Medicare price negotiations, including first Part B drugs. Prices take effect 2028. Check out CMS' fact sheet here: www.cms.gov/files/docume...
This week, the Senate will vote on commonsense PBM reforms that support provider infusion center sustainability and protect patient access to care.
Call your Senators and urge their support. nica.quorum.us/campaign/153...
Thank you to @SenShaneReeves for introducing SB 1796, a bill that strengthens transparency and accountability for PBMs in Tennessee. Public reporting of PBM violations is a critical step toward fair practices and patient protection.
NICA appreciates @HouseCommerce and @WaysandMeansGOP for examining rising health care costs today. Insurers must be held accountable for practices that block patients from timely, high-quality infusion care.
ALERT: CA anti-steering bill AB 577 will be heard in Assembly Appropriations tomorrow (Jan 22). AB 577 would stop insurers from forcing patients to use specific providers or self-administer meds when provider-administered care is medically necessary. Take action: bit.ly/4r6opnz
Alert: MO All Copays Count bill SB970 will be heard tomorrow (1/14) in the MO Families, Seniors & Health Committee. The legislation helps protect access to infusion care by ensuring payments count toward patient deductibles and out-of-pocket limits. Take action, send a support letter: bit.ly/3NicVia
NH Senate Health and Human Services Committee considers SB 547 on Wed, Jan 14. This bill takes on PBMs driving up drug costs by ending spread pricing, requiring transparency, and putting patients first.
Take action in support of SB 547 today!
bit.ly/3Nk51EX
Thank you @PhilMurphy for enacting A5217 to protect access to infusion care in NJ. Applying third-party assistance to patient cost sharing reduces treatment disruptions & supports timely, affordable care. NJ now joins majority states, plus DC & Puerto Rico, with All Copays Count laws in place.
Medicare Enrollment Rules Are Changing in 2026
CMS has finalized new rules that could affect Medicare billing, enrollment status, and provider reporting deadlines. Some changes give CMS authority to pause or revoke enrollment & shorten reporting timeframes
Learn More: bit.ly/4s4EMlQ
NICA applauds @KeanForCongress and @RepBarragan for reintroducing the HELP Copays Act to ensure copay assistance actually counts toward patients’ cost-sharing. Insurers’ double-dipping must end.
The #340B program was meant to be a safety net -- not a profit center for large hospitals.
Read more from a new opinion by NICA member Keith Hostetler of Pace Healthcare in @OhioCapJournal on how the program is leaving patients behind in Ohio: bit.ly/4qhiWus
Our health care system needs reform, but MFN gets it wrong. Instead of targeting middlemen driving up costs, it harms the sites of care that keep treatment affordable & accessible. Read why NICA member Constance Moscati says policymakers should reject MFN: bit.ly/4ocwCoQ
NICA is deeply concerned by Colorado PDAB’s decision to set an upper payment limit for Enbrel based on the Medicare MFP. This untested model risks reduced access to essential therapies and added burdens for patients and providers. Read our statement here: infusioncenter.org/national-inf...
Let's talk about the real cause of high drug costs. The president’s most-favored-nation pricing model ignores the unchecked power of pharmacy benefit managers (PBMs). It's time to hold them accountable. dcjournal.com/dont-let-mid...
#NICA #InfusionCenters
What do patients really think about drug costs?
New survey from @eachpic finds affordability is often about access and insurance policies
Learn more: eachpic.org/each-pic-rel...
#DrugAffordability #PatientsFirst
New from the EACH/PIC Coalition: Initial findings from the Patient Experience Survey reveal that “unaffordability” is about more than cost. Patients face complex barriers tied to coverage, access, and system design.
Read the full report eachpic.org/each-pic-rel...
Thank you @RepGregMurphy, @RepAdamGrayCA, and @DrNealDunnFL2 for reintroducing the Protecting Patient Access to Cancer and Complex Therapies Act! Ensuring fair reimbursement for infusion providers is essential to safeguarding patient access to life-saving, provider-administered treatments.
UPDATE: President Trump signs One Big Beautiful Bill Act on July 4th
• One-year 2.5% Medicare physician payment increase (2026)
• Medicaid work reqs + 3.5% cap on provider taxes in expansion states (CBO: 11.8M more uninsured by 2034)
• An expansion to the orphan drug exemption under the MDPNP
Thank you, Gov. Kelly Ayotte, for protecting access to life-saving care by repealing policies that would have imposed harmful reimbursement cuts for NH infusion providers. Your leadership ensures patients with chronic, rare conditions can keep receiving the timely, high-quality treatment they need.
Great news for Nevada infusion providers: Nevada Gov. Joe Lombardo vetoed AB 259, which would’ve tied provider reimbursement to Medicare drug pricing. Thanks to the Governor for protecting provider sustainability & patient access. #InfusionCare #HealthcareVictory #Nevada
Thank you, @GovMurphy, for signing A1825 into law! A1825 helps patients get needed medications faster by allowing common-sense exceptions to step therapy (“fail-first”) protocols imposed by insurers. It puts decisions back where they belong, with patients and doctors. A Big win for New Jersey!
Vermont Infusion Patients, All Copays Count bill S 30 is up for consideration by the VT Senate Finance Committee TOMORROW! Help us show support by sending a letter to urge them to pass the bill.
Date: THUR, FEB 6
Time: 1:00 PM ET
Take action here: infusionaccessfoundation.quorum.us/campaign/109...