Sagebrush Health Services v. Kennedy

CourtDistrict Court, District of Columbia
DecidedApril 27, 2026
DocketCivil Action No. 2025-0915
StatusPublished

This text of Sagebrush Health Services v. Kennedy (Sagebrush Health Services v. Kennedy) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sagebrush Health Services v. Kennedy, (D.D.C. 2026).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

SAGEBRUSH HEALTH SERVICES,

Plaintiff, v. Civil Action No. 25-915 (JEB) ROBERT F. KENNEDY, JR., et al.,

Defendants.

MEMORANDUM OPINION

Plaintiff Sagebrush Health Services runs a stable of clinics that participate in Section

340B, a federal program that allows certain providers to buy drugs from pharmaceutical

companies at a discount. More than a year ago, the Health Resources and Services

Administration — housed in the U.S. Department of Health and Human Services — concluded

that several Sagebrush clinics were ineligible for the program and so kicked them out. Thus

began a blizzard of challenges by Plaintiff to HRSA’s actions. Those challenges have now

reached their final stage, as both sides have moved for summary judgment. Plaintiff argues that

HRSA lacked statutory authority to remove its clinics, that the removals were arbitrary and

capricious and procedurally improper to boot, and that the Administration unlawfully ordered it

to repay drug manufacturers for any improper discounts. On all three issues, the Court sides with

HRSA. It will therefore grant summary judgment to the Government.

I. Background

A. Statutory Background

Section 340B lets certain healthcare providers — called “covered entities” in the statute’s

lingo — buy prescription drugs from manufacturers at a discount. See 42 U.S.C. § 256b(a)(1).

1 Qualifying entities include hospitals with a high share of low-income patients, black-lung clinics,

and (relevant here) clinics receiving grants from state or local governments to treat or prevent

sexually transmitted diseases. Id., § 256b(a)(4)(F), (K)–(L). The discounts are steep, typically

knocking 20–50% off the drug’s sticker price. See U.S. Gov’t Accountability Off., GAO-11-836,

Drug Pricing: Manufacturer Discounts in the 340B Program Offer Benefits, but Federal

Oversight Needs Improvement 2 (2011). They benefit uninsured patients, who can visit a

covered entity and get cheaper drugs. Sanofi Aventis U.S. LLC v. HHS, 58 F.4th 696, 699 (3d

Cir. 2023). They also benefit covered entities themselves. Those entities can buy drugs at a

discount, get reimbursed by insurers for the drug’s full price, and pocket the difference. Id.; U.S.

Gov’t Accountability Off., supra, at 13–14.

To enroll in Section 340B, clinics must get certified as eligible by the Health Resources

and Services Administration. See 42 U.S.C. § 256b(a)(7); 340B Drug Pricing Program;

Initiation of the Administrative Dispute Resolution Process, 89 Fed. Reg. 64468, 64468 (Aug. 7,

2024) (while relevant statute says that Secretary of Health and Human Services will certify and

recertify covered entities, “[t]he Secretary . . . has delegated the authority to administer the

340B” program to HRSA’s Administrator). They must then get recertified “on a not more

frequent than annual basis.” 42 U.S.C. § 256b(a)(7)(E). If an entity is no longer eligible for the

program, then HRSA can refuse to recertify it and so end its participation. See 340B Drug

Pricing Program Omnibus Guidance, 80 Fed. Reg. 52300, 52304 (Aug. 28, 2015).

Between recertifications, HRSA can kick providers out in one specific circumstance.

Covered entities may not “resell or otherwise transfer” a discounted drug “to a person who is not

[their] patient,” a practice known as diversion. See 42 U.S.C. § 256b(a)(5)(B). If HRSA finds

that a covered entity engaged in diversion that “was systematic and egregious as well as knowing

2 and intentional,” then it may “remov[e] the covered entity from the drug discount program.” Id.,

§ 256b(d)(2)(B)(v)(II).

Put it together, and HRSA may kick a covered entity out of Section 340B at two points: at

annual recertification, if the Administration finds that the entity is ineligible; or at any time, if

HRSA finds that the entity diverted drugs.

B. Factual Background

Enter Sagebrush Health Services. The company runs a string of clinics across Nevada,

Connecticut, and South Carolina, many of which are enrolled in Section 340B as providers that

receive state funding to treat or prevent STDs. See Sagebrush Health, https://perma.cc/39CT-

HGTL; ECF No. 54 (J.A.) at 36. In February 2024, HRSA informed Sagebrush that it had

spotted “a significant increase in 340B purchases” at most of its clinics — which, the

Administration said, often signals that a clinic is violating program rules. Id. HRSA therefore

opened an investigation into whether Sagebrush’s clinics were eligible for Section 340B and

whether they had been diverting discounted drugs. Id. at 36–37, 191–92.

While the review was playing out, fifteen of those clinics’ annual recertifications rolled

around in June 2024. See ECF Nos. 61 (Pl. Suppl. Br.) at 1; 60 (Def. Suppl. Br.) at 3. That same

month, three more Sagebrush clinics applied to be certified for the first time. See Pl. Suppl. Br.

at 1; Def. Suppl. Br. at 3. One might think that since HRSA was investigating Sagebrush clinics’

eligibility, it would closely scrutinize those applications. Certification and recertification,

however, are rather cursory. Covered entities upload documentation and assert that it shows they

are eligible, and HRSA basically takes their word for it. As the Government explained at a

hearing before this Court, “[T]he entities self-attest that they meet the statutory requirements,”

ECF No. 53 (Mar. 25, 2026, Hr’g Tr.) at 17:25–18:1, and “[i]t’s somewhat automatic that after

3 you attest that the information is correct and accurate, the certification goes through.” Id. at

12:23–25. Sure enough, the Administration certified the three new applicants and recertified the

fifteen incumbents. See Pl. Suppl. Br. at 1; Def. Suppl. Br. at 3.

At the same time, however, HRSA’s review of Sagebrush clinics was proceeding. For

almost a year, HRSA and Plaintiff plodded through a long and fruitless palaver: the

Administration would ask Sagebrush for proof that its sites were eligible, Sagebrush would send

over documents, and HRSA would respond that they did not prove eligibility. See J.A. at 36–37,

42–56, 87–91, 98. Finally, in December 2024, the Administration sent Sagebrush a letter

announcing that the three newly certified and fifteen recertified clinics were all ineligible. Id. at

106–07. Some of those clinics had not received qualifying funding since January 1, 2023; others

had not received such funding since February 1, 2024; and still others had never received it at all.

Id. at 106; Pl. Suppl. Br. at 2; Def. Suppl. Br. at 4–5. The letter advised that “[i]t is Sagebrush’s

responsibility to determine the full scope of non-compliance and repay affected [drug]

manufacturers . . . for the period of time that” these clinics had bought discounted drugs while

ineligible. See J.A. at 107. While HRSA noted that it did not take any position on “the amounts

owed to the affected manufacturers,” it warned that Plaintiff could not re-enroll the clinics until it

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