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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

President Donald Trump tweeted early Friday morning he and first lady Melania Trump have tested positive for the coronavirus. "Tonight, @FLOTUS and I tested positive for COVID-19," Trump tweeted. "We will begin our quarantine and recovery process immediately. We will get through this TOGETHER!"The president confirmed late Thursday that Hope Hicks, a senior White House staffer who serves as counselor to the president, was infected with the coronavirus."The White House medical team and I will maintain a vigilant watch and appreciate the support provided by some of our country’s greatest medical professionals and institutions," Dr. Sean Conley, physician to the president, said. "Rest assured, I expect the President to continue carrying out his duties without disruption while recovering and I will keep you updated on any future developments."While Conley is optimistic for the president's recovery, according to CDC guidance, given Trump's weight and age, he is at an enhanced risk of complications from the coronavirus. "Hope Hicks, who has been working so hard without even taking a small break, has just tested positive for Covid 19. Terrible! The First Lady and I are waiting for our test results. In the meantime, we will begin our quarantine process!" Trump tweeted Thursday evening.Her infection was first reported by ABC News and Bloomberg.Hicks was on board Air Force One during Trump’s trip to Minnesota yesterday, and to Cleveland on Tuesday. Photos taken by the Associated Press on Wednesday show Hicks was in close proximity of several other senior staffers, including Jared Kushner, Stephen Miller and Dan Scavino. ABC News reported that Hicks was on board the presidential helicopter Marine One with the president on Wednesday. None of the staffers were seen wearing a mask entering Marine One. Earlier this week, Trump mocked his opponent Joe Biden in the presidential debate for his use of a mask."Tonight as an example, everybody had a test and you've had social distancing and all of the things that you have to," Trump said on Tuesday. "But I wear a mask when needed. I wear masks. I don't wear masks like him. Every time you see him he has a mask. He could be speaking 200 feet away and he shows up with the biggest mask I've ever seen."Trump said on Fox News late Thursday evening that he is awaiting test results to find out if he has the virus."I'll get my test back either tonight or first thing tomorrow morning," Trump told Fox News.ABC News said that Hicks was among a “tight group of advisers” to contract the coronavirus.“The President takes the health and safety of himself and everyone who works in support of him and the American people very seriously,” White House spokesperson Judd Deere said in a statement on Thursday. “White House Operations collaborates with the Physician to the President and the White House Military Office to ensure all plans and procedures incorporate current CDC guidance and best practices for limiting COVID-19 exposure to the greatest extent possible both on complex and when the President is traveling."Despite Hicks' diagnosis, Trump remained out of the White House on Thursday. The CDC states that those who have been in close contact with someone who has the coronavirus should quarantine for 14 days. Trump was originally going to meet with supporters on Friday in Washington before heading to Florida for a Make America Great Rally. Those events have been canceled, according to the White House. It's unclear how long President and first lady Trump will quarantine. First lady Melania Trump also tweeted about her diagnosis."As too many Americans have done this year, @POTUS & I are quarantining at home after testing positive for COVID-19," the first lady said early Friday morning. "We are feeling good & I have postponed all upcoming engagements. Please be sure you are staying safe & we will all get through this together." 3926

Proponents of the SDSU West and SoccerCity initiatives both say they'll turn the SDCCU Stadium site into something beautiful. But two new memos from the city attorney Mara Elliott's office say those developments, even if approved by voters, aren't guaranteed.  288

Rep. John Lewis, who died last week after a three-decade career in Congress, will lie in state, Speaker Nancy Pelosi and Senate Majority Leader Mitch McConnell jointly announced on Thursday.The civil rights activist who stood alongside Martin Luther King Jr. in the 60s died last Friday following a six-month battle with pancreatic cancer.Due to the coronavirus pandemic, mourners are encouraged not to travel from outside the D.C. area to pay tribute to Lewis. Those who attend the viewing will be asked to follow social distancing guidelines.The public viewing line will begin next Monday at 6 p.m. ET and continue through 10 p.m. The viewing will continue from 8 a.m. to 10 p.m. on Tuesday.Lewis will be the 33rd person to lie in state in the Capitol rotunda.Prior to Lewis’ viewing, an invitation-only arrival ceremony will be held Monday at 1:30 p.m. ET. 868

President Donald Trump will announce his decision on who to nominate to the Supreme Court on Saturday, and CNN and the New York Times reported Friday per their sources that Trump intends to nominate Judge Amy Coney Barrett to the court.Trump's formal announcement comes at 5 p.m. ET on Saturday.Barrett’s likely nomination will come just eight days following the death of liberal Justice Ruth Bader Ginsburg, who laid in state in the US Capitol on Friday.Barrett, 48, was previously confirmed by the US Senate to the federal Seventh Circuit Court of Appeals in 2017. Her vote garnered the support of three Democrats, Joe Donnelly, Tim Kaine, and Joe Manchin.She is a disciple of Justice Antonin Scalia, serving as his clerk in 1998 and 1999. Given her conservative bona fides, she is expected to give the Supreme Court a clear conservative advantage, fueling hopes from the evangelical right to overturn Roe versus Wade, which has set the precedent for abortion cases for nearly five decades. Liberals say Barrett’s legal views are too heavily influenced by her religious beliefs and fear her ascent to the nation’s highest court could lead to a scaling back of hard-fought abortion rights. She also would replace the justice who is best-known for fighting for women’s rights and equality.Sen. Dianne Feinstein told Barrett her views suggested religious tenets could guide her thinking on the law, the California Democrat telling Barrett: “The conclusion one draws is that the dogma lives loudly within you.”Barrett responded that her views had evolved and that she agreed judges shouldn’t “follow their personal convictions in the decision of a case, rather than what the law requires.”While two Republican senators, Susan Collins of Maine and Lisa Murkowski of Alaska, have said that a confirmation should not come so close to an election, enough Republican senators have said they would be supportive of Trump’s nominee to ensure a confirmation.Trump will likely become the first president to fill three Supreme Court vacancies in a single term since President Richard Nixon’s first term from 1969 through 1973.At just 48, Barrett would be the youngest justice and her tenure could last for decades. She’s made her mark in law primarily as an academic at the University of Notre Dame, where she began teaching at age 30. She first donned judges’ robes in 2017 after Trump nominated her to the 7th Circuit.The Associated Press contributed to this report. 2464