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Decoding 340B: History, Legislative Styles, and Healthcare Policy with Deborah Williams
23 September 2026

Decoding 340B: History, Legislative Styles, and Healthcare Policy with Deborah Williams

DarshanTalks Podcast

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Episode Overview: In this episode of KLF Deep Dive, host Darshan Kulkarni sits down with Deborah Williams, Founder of Health Policy Insights, LLC, to explore over three decades of healthcare policy evolution. Deborah brings a wealth of experience as a policy researcher, former congressional staffer, and former lobbyist to break down the complexities surrounding the 340B Drug Pricing Program, hospital outpatient payments, and legislative mechanics on Capitol Hill.

Key Topics Covered:

    The Origins of 340B: How initial legislative intent, incomplete data, and early Medicaid rebate structures led to ongoing 30-year policy debates.Jurisdiction on Capitol Hill: How different Congressional committees—including Energy & Commerce, Finance, and HELP—shape healthcare and drug pricing legislation.Legislative "Styles": The structural differences between broad, intent-focused drafting versus hyper-detailed, line-by-line statutory writing.The Post-Chevron Landscape: What the end of Chevron deference means for hospital outpatient provisions and agency enforcement.Affordability vs. Funding: Addressing the core systemic issues facing safety-net hospitals and drug affordability in America today.

Connect with Deborah Williams: Reach out directly via Deborah Williams on LinkedIn for questions on 340B compliance and healthcare policy insights.

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