Last week, the Department of Health and Human Services delayed implementation of its final rule on 340B drug ceiling prices and civil monetary penalties for manufacturers until July 1, 2019. "With skyrocketing prescription drug price increases presenting hospitals, health systems, and patients with remarkable challenges, the 340B program is as critical as ever in helping provide access to health care services for vulnerable patients and communities," said American Hospital Association Executive Vice President Tom Nickels. "The 340B ceiling price and civil monetary penalties rule were intended to shine needed light on drug manufacturer price increases and hold drug manufacturers accountable for price overcharging. These reasons are why we continue to be disappointed in the delays—including five times since the beginning of last year alone—of the final rule and in the short shrift given to the review of the latest public comments. The irony is not lost on us that drug manufacturers continue to lobby for increased reporting for hospitals and others while refusing any transparency on their part."​​​