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340B Advocacy Participation Form

Thank you for taking part in HealthNet’s advocacy efforts to oppose the Indiana State Medicaid Plan Amendment and protect 340B for community health centers. Please complete this form after taking action—your response helps us track participation in real time.
1.Did you participate in HealthNet's 340B Advocacy by submitting a comment to the Indiana Family & Social Services Administration about the proposed Medicaid State Plan Amendment?(Required.)
2.What is your primary HealthNet work location?(Required.)