Special Medicaid rule for some 340B drugs
For some drugs bought through the federal 340B discount program, Medicaid could pay more than the provider actually paid, but only up to what Medicaid would have paid without the discount. The provider would have to report the extra amount in the aggregate to the federal government.
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Why this works
01Lawmakers often don’t know what you think
A Yale field experiment found legislators shown actual district opinion shifted their votes to match it. The ones kept in the dark? No relationship between constituent views and how they voted.
02Congressional offices are built to process this
Offices log, sort, tag, and tally incoming contact, then brief the member. Constituent communications eat roughly a third of House staff resources. Your message gets counted.
03Personalized beats template, by a lot
92% of staff say individualized messages influence undecided lawmakers — versus 56% for form letters. Naming a specific bill with your own reasoning puts you in a different category entirely.
04Silence isn’t neutral
When offices don’t hear from constituents, they ask lobbyists instead. Not contacting your rep doesn’t leave the scale empty — it hands the weight to someone else.