One more piece of the Pelosi plan you might have overlooked 

Pelosi’s plan could seriously impact 340B hospitals, the nonprofit hospitals and clinics that largely serve the poor. Here’s the skinny: Pelosi’s plan would prevent hospitals from getting 340B discounts on any drug that’s involved in the HHS negotiation process at the center of the new legislation. That’s causing some serious heartburn because 340B hospitals make a slew of money by getting steep discounts on high cost drugs and then getting reimbursed at full cost. The hospitals are now rallying to get the provision rewritten before it's too late. For more, check out my new story for STAT.