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This bill amends the 340B drug discount program, a federal initiative that allows certain healthcare facilities to purchase medications at reduced prices, to include territorial disproportionate share hospitals as eligible participants. Disproportionate share hospitals are medical facilities that serve large numbers of low-income, uninsured, and vulnerable patients. The legislation specifically makes hospitals in U.S. territories—the Northern Mariana Islands, Guam, American Samoa, and the Virgin Islands—eligible for these drug discounts if they meet the same requirements as hospitals designated as Medicaid disproportionate share facilities. This change affects hospitals in these territories and their patients by expanding access to the cost savings provided through the 340B program. The bill contains no new federal funding or specific implementation timelines beyond the definitional changes needed to incorporate these territorial hospitals into the existing program framework.

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