Our 340B Story
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By the numbers section (FY25): Realized 340B Program Savings – $629M Charity Care & Medicaid Share of Uncompensated Care Costs – $427M Medicare Share of Uncompensated Care Costs – $1.097B Our hospitals have a Medicare Disproportionate Share Adjustment Percentage of at least 22.6%, reflective of UCSF Health's significant Medicaid, Medicare and self-pay patient population |
About UCSF Health
UCSF Health is a leading academic health system serving patients across the San Francisco Bay Area, Northern California and beyond. The system includes UCSF Medical Center, UCSF Benioff Children's Hospital Oakland, UCSF Health Hyde Hospital and UCSF Health Stanyan Hospital, providing world-class adult and pediatric care, research, education and community services.
Across its hospitals, clinics and community programs, UCSF Health is committed to providing high-quality care regardless of income, insurance status or ability to pay. UCSF Health is among the region's largest Medicaid providers and delivers substantial uncompensated care to Medicare, Medicaid, uninsured and underinsured patients. More than 26% of patient services are delivered to Medicaid patients. In FY25, UCSF Health provided more than $1.4 billion in uncompensated care to Medicare and Medicaid patients.
The value of the 340B program at UCSF Health
UCSF Health uses savings generated from the 340B Drug Pricing Program to directly support key community and healthcare priorities, including:
Access to care
- Roving Community Health Initiative: Improves access to care for marginalized communities in San Francisco's Tenderloin neighborhood through pop-up clinics and mobile outreach focused on unhoused and marginally housed individuals.
- Care at Home: Provides home-based primary and palliative care for older adults who face barriers to traditional healthcare settings.
- Supports Medicaid and uninsured patients' access to specialized services, including organ transplantation, cancer treatment, cardiovascular care, neurological care and other lifesaving programs.
- Helps patients navigate medication access and financial assistance through dedicated patient assistance coordinators and pharmacist-led programs.
- Operates California's only pediatric hospital-based Federally Qualified Health Center (FQHC) and supports multiple FQHC and school-based health sites serving low-income children and families.
- Operates the Sister Mary Philippa Health Center, an outpatient clinic offering primary care, internal medicine and a range of specialty services to a diverse community of patients. It also provides dedicated primary medical care to people living with HIV in the city and county of San Francisco, aiming to promote their longevity and quality of life alongside comprehensive support services.
- UCSF Health Hyde Hospital and UCSF Health Stanyan Hospital partnered with CodeTenderloin to launch the Nights and Weekends Navigation Program, addressing a longstanding gap in connecting emergency department patients to services after hours.
- UCSF Hyde and UCSF Stanyan partnered with Curry Senior Center to establish a new 15-bed senior Medical Respite Program.
Behavioral health
- Autism Clinic: Expands care for individuals with autism and other neurodevelopmental disorders through early intervention, innovative treatment models and research.
- Counseling Enriched Education Program: An intensive, trauma-informed outpatient program that integrates a child's educational instruction with therapeutic treatment to support students with emotional and psychiatric issues that interfere with academic and behavioral progress.
- Rally Family Service: Provides a safe and secure structured environment in which children can visit with their court-ordered non-custodial parent when there is a high level of high conflict, including domestic violence, between divorced or separated parents. Staffed by highly trained, licensed mental health professionals, the program operates in San Francisco, Marin and San Mateo.
Economic security and community support
- Food Equity and Food Justice Program: Delivers food access services, including produce prescriptions, home-delivered groceries, teaching kitchens and culinary medicine programs. These initiatives support nutrition security for patients in ambulatory and student-run community clinics.
- UCSF Benioff Children's Hospital Oakland's Family House: Provides free, supportive housing to families whose children are receiving treatment at UCSF Benioff Children's Hospital Oakland. This safe, healing environment relieves the financial and emotional burden of temporary relocation during critical pediatric care.
- Patient Supportive Transportation: Ensures patients facing financial or logistical barriers can reach their appointments by covering costs for rideshare, wheelchair-accessible vans and non-emergency medical transportation. This prevents missed treatments and improves health outcomes for low-income and medically complex individuals.
Impact of scaling back the 340B program
UCSF Health relies on 340B savings to sustain essential services for Medicaid, Medicare, uninsured and underinsured patients. In FY25, UCSF Health reinvested approximately $629 million in 340B savings to support access to care, behavioral health services, medication assistance and other community benefit programs.
Restrictions on 340B program benefits, including limits on contract pharmacy participation, have already reduced access to affordable medications for some patients. Further reductions would threaten specialty care access, behavioral health services, pediatric safety-net programs and other critical resources.
We urge lawmakers to preserve and strengthen the 340B program, so safety-net providers can continue delivering high-quality care and essential services.