Our 340B Program: Oakland

About UCSF Benioff Children's Hospital Oakland

By the numbers (FY 2023): Realized 340B Program Savings: $15,646,537 Charity Care and Community Benefit: $120,294,922 Medicare Disproportionate Share Adjustment Percentage: 51.8%, representative of our Medicaid, Medicare and self-pay mix

UCSF Benioff Children's Hospital Oakland (BCH Oakland) is one of Oakland's largest nonprofit hospitals. We are the Bay Area's only Level 1 pediatric trauma center, as certified by the American College of Surgeons (one of six in California), and we have one of the nation's leading pediatric cancer centers. With experts in 36 pediatric specialties, we are a nationally recognized teaching hospital with a highly competitive pediatric residency program and unique pediatric subspecialty fellowship programs.

BCH Oakland is committed to providing the highest quality care to all children, regardless of their family's ability to pay. As a private institution, we rely heavily on the savings generated from participation in the 340B Drug Pricing Program, as well as other grants, to offset the financial losses incurred in caring for underserved patients and to provide additional services to support our most vulnerable community members.

Benefits of the 340B program

The cost of providing care may exceed what the children's hospital receives to fulfill these services. This is frequently true for children with government-sponsored health insurance, such as Medicaid and other means-tested programs. In 2022, 71% of visits to UCSF Benioff Children's Hospital Oakland were by patients enrolled in government-sponsored health insurance. In each case, the hospital covers any unpaid care costs.

The following are a few additional ways BCH Oakland gives back to the community:

• Provides free or discounted care, also known as charity care, to families who don't qualify for government-sponsored health insurance but do meet certain eligibility requirements.
• Provides primary health care and resources to address the social and environmental needs of about 11,000 underserved children each year, as the only pediatric hospital-based federally qualified health center in California.
• Provides mental health assessments and therapy for children who are homeless or in transitional housing through the Pediatric Encore Medical Clinic, part of the Primary Care Clinic at Claremont.
• Partners with the Oakland Unified School District to provide telehealth and other school-based health services.
• Provides a safety net for children impacted by abuse and violence through the UCSF Center for Child Protection, offering specialized medical and behavioral care for pediatric victims of abuse and exploitation.
• Partners with Whole Foods to maintain a food bank that provides groceries to patients experiencing food insecurity.
• Provides same-day pre-exposure prophylaxis (PrEP) to prevent HIV infection.

Impact if the program were scaled back

Without 340B, BCH Oakland would be far less able to provide or subsidize essential health services to low-income and uninsured children and families – those who need it most.