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President Donald Trump signed two pieces of legislation into law on Wednesday that aim to inform consumers about drug prices.Both measures, the Know the Lowest Price Act and the Patient Right to Know Drug Prices Act, aim to end the drug industry's so-called gag orders of pharmacists, which prevent them from discussing cheaper price options with consumers. These price options include discussing whether a medication may be less expensive if using insurance or paying out-of-pocket.At Wednesday's signing, the President called the gag clauses "unjust" and said the legislation would lower drug prices that are "way out of whack" and "way too high.""It's called the law of supply and demand. They didn't want to have that. But now we have that and it's going to lower drug prices," Trump added.Both the President and Health and Human Services Secretary Alex Azar said at the signing that they expect further regulatory action on reducing drug prices in the coming months.Some states and municipalities have pharmacy gag order bans, but the Patient Right to Know Drug Prices Act, sponsored by Maine Republican Sen. Susan Collins, addresses banning the practice of gag orders on a federal level. The Know the Lowest Price Act, sponsored by Michigan Democratic Sen. Debbie Stabenow, prohibits Medicare drug plans from putting a gag clause on a pharmacy in their contracts.Collins and Stabenow were present at Wednesday's signing, as well as Tennessee Republican Sen. Lamar Alexander, Louisiana Republican Sen. Bill Cassidy, Deputy Attorney General Rod Rosenstein and National Economic Council Director Larry Kudlow.Some pharmaceutical industry experts say that although eliminating the gag clause is step toward consumer transparency, it doesn't address the issue of lowering actual drug costs, making it unclear how much of a tangible effect the legislation will have.The President has frequently expressed his frustration over rising drug prices, and in May, he laid?out his vision for increasing competition, reducing regulations and changing the incentives for all players in the pharmaceutical industry.The administration released a 44-page blueprint of the plan, entitled American Patients First, aiming to increase competition and improve the negotiation of drug prices, as well as reduce consumers' out-of-pocket spending on medicines and create incentives to lower list prices.Ending the pharmacy gag orders was included the plan, as well as speeding up the approval of over-the-counter medications and asking the Food and Drug Administration to require manufacturers to include prices in their TV ads.A gag order on a pharmacy is frequently brought on by clauses in contracts with pharmaceutical benefit managers, which manage most of our nation's prescription drug programs. The benefit managers negotiate prices with drug companies on behalf of insurance companies and other payers and then share those prices to retail pharmacies. They also negotiate rebates from manufacturers and discounts from drugstores. If pharmacists violate the gag rule, they risk losing their contract with the pharmaceutical benefit manager.Daniel Nam, executive director of federal programs at America's Health Insurance Plans, told Kaiser Health News that gag orders on pharmacies are becoming less frequent because these clauses are "not something they are incorporating into their contracts."Mark Merritt, president and CEO of a lobbying group for pharmaceutical benefit managers, the Pharmaceutical Care Management Association, told the publication that these clauses are "very much an outlier." 3635
REPORTER: Does the president condemn the actions of Kyle Rittenhouse, who is accused of shooting protesters?McENANY: The president is not going to weigh in on that pic.twitter.com/MNaL1tkESx— Aaron Rupar (@atrupar) August 31, 2020 238
Protests in response to the death of Stephon Clark, a 22-year-old who was shot and killed by Sacramento Police on Sunday after officers confused his cellphone for a gun, caused major disruptions in Sacramento on Thursday. Most fans were unable to enter the Sacramento Kings' NBA match against the Atlanta Hawks despite a delay in the game. Protesters locked arms around the arena's gates, prohibiting fans from reaching the doors. As the game tipped off Thursday evening, only the first few rows of seats were full in the arena that seats nearly 20,000 fans. "Tonight's game began with a delay," the Kings said in a statement. "Due to law enforcement being unable to ensure ticketed fans could safely enter the arena, the arena remains closed and we ask fans outside to travel home. We will issue further information soon regarding a refund."Some fans left the area outside the arena disappointed. "I"m very disappointed," Fermin Rodriguez told the Sacramento Bee, as he was planning on seeing the game with his wife and four children. "I mean I feel their pain, but why do we have to suffer as well? We paid a lot of money for these tickets. I hope they give us a refund."Protesters also disrupted rush hour traffic earlier in the evening by standing in the middle of Interstate 5 before police cleared the hundreds of protesters off the freeway. Captain Norm Leong of the Sacramento Police Department confirmed on Twitter late Thursday that no one has been arrested in connection to Thursday's demonstration. The protests were sparked hours after Sacramento Police released helicopter and bodycam video of Sunday's incident. It showed Clark running through several yards before being confronted behind his grandmother's door. In the video, police could be heard telling him to put his hands up. Within seconds, officers fired 20 rounds at Clark, killing him. "Prior to the shooting, the involved officers saw the suspect facing them, advance forward with his arms extended, and holding an object in his hands," Sacramento Police said in a statement. "At the time of the shooting, the officers believed the suspect was pointing a firearm at them. After an exhaustive search, scene investigators did not locate any firearms. The only item found near the suspect was a cell phone."Police were originally called to the scene over someone breaking into cars. 2434
RANCHO SANTA FE (KGTV): As the costs to grow avocado and citrus keep rising, farmers in San Diego are trying a new crop to put a jolt in their business: coffee."We’re excited about the possibilities," says Chuck Badger, who runs R.E. Badger and Sons. He's planted about 5,000 coffee plants across several farms that his business manages."The plants are very happy. They’ve got a lot of cherries on them. So we’re super excited for this summer to pick it."Badger says he heard about the possibilities of coffee from growers in Ventura County. San Diego's coastal climate and soil are similar to other coffee producing regions.The timing couldn't be better. In addition to dealing with the lingering drought, many farmers are getting frustrated with the rising production costs of avocado and citrus trees. They're looking for ways to diversify their crops.Badger says the upfront costs of coffee are a little higher, but the profit margins can be much better. He told 10News that coffee needs about 900 trees planted per acre, while citrus uses only 150.But, if the coffee grades out as a "premium" brand, farmers could net as much as ,000 per acre. Citrus and avocado trees bring in anywhere from ,000 to ,000 an acre, depending on the yield and other market factors.Leaders with the San Diego County Farm Bureau are excited about the potential as well, but caution that coffee is still in an "experimental" phase in the area."Nobody's all in at this point," says Executive Director Eric Larson. He points out that San Diego has around 50,000 acres of total farmland. Larson guesses that coffee makes up less than 20 total acres right now."Folks are seeing if it’s going to work here before they make a future decision to be all in," says LarsonHe says it could be a good crop to plant in conjunction with other established crops, doubling up acreage to increase profits.Badger thinks San Diego could become coffee country, in the same way Napa is known for wine."We want to model it after the whole wine growing template, where people are asking for certain varietals, certain regions, organic," he says. "So those coffee snobs become like those wine snobs and will pay for premium coffee."Badger won't be able to harvest any of his beans until next summer. He's looking forward to seeing how it all plays out."If you look at what the world wants and what people are spending money on, I think it will be a good thing." 2447
President Trump has removed Rex Tillerson as his Secretary of State, replacing him with CIA head Mike Pompeo.CIA Deputy Director Gina Haspel will replace Pompeo as the head of the CIA."Mike Pompeo, Director of the CIA, will become our new Secretary of State. He will do a fantastic job! Thank you to Rex Tillerson for his service! Gina Haspel will become the new Director of the CIA, and the first woman so chosen. Congratulations to all!" President Trump tweeted Tuesday morning. 494