The Trump Administration is proposing to once again push back the effective date of a January 2017 final rule making changes to the calculation of the 340B “ceiling price” that may be charged to covered entities and related civil money penalties. As previously reported, while implementation of this rule has already been delayed until October 1, 2017, the Health Resources and Services Administration (HRSA) now proposes to delay the effective date to July 1, 2018. According to HRSA, this delay is necessary “to allow a more deliberate process of considering alternative and supplemental regulatory provisions and to allow for sufficient time for additional rulemaking.” Comments will be accepted until September 20, 2017.