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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 says his campaign will join an improbable case before the Supreme Court challenging election results in Pennsylvania and other states that he lost.That word comes as he tries to look past the justices’ rejection of a last-gasp bid to reverse Pennsylvania’s certification of Democrat Joe Biden’s victory. The high court has asked for responses by Thursday.The suit from the Texas attorney general, Republican Ken Paxton, demands that the 62 total Electoral College votes in Georgia, Michigan, Pennsylvania, and Wisconsin be invalidated. Legal experts dismiss Paxton’s filing as the latest and perhaps longest legal shot since Election Day, and officials in the four states are sharply critical of Paxton.On Thursday, Trump’s official schedule includes a lunch with state attorneys general. Seventeen Republican attorneys general have joined the Paxton/Trump suit.The lawsuit is a last-ditched effort to overthrow the results of the election, which saw more vote cast for Biden than any other candidate in American history.Trump and his legal team has continued to allege that Biden fraudulently won the election. So far, Trump’s legal team has not been able to substantiate any fraud allegations in court, prompting one federal judge appointed by Trump to write in an opinion, “Charges of unfairness are serious. But calling an election unfair does not make it so. Charges require specific allegations and then proof. We have neither here,” 3rd Circuit Judge Stephanos Bibas wrote. Bibas was appointed by Trump to the federal bench in 2017.Last month, a joint statement released by federal and state officials described the presidential election as the “most secure in American history.”The letter was signed by leaders of the Department of Homeland Security’s Cybersecurity and Infrastructure Security Agency, the U.S. Election Assistance Commission and the National Association of State Election Directors, among others. The Cybersecurity and Infrastructure Security Agency was established two years ago as a branch of Homeland Security during the Trump administration.In bold, the authors of the statement wrote, “There is no evidence that any voting system deleted or lost votes, changed votes, or was in any way compromised.” This statement matches those from secretaries of state and boards of election throughout the US.In response to the letter, Trump fired US election security head Chris Krebs. 2434

President Donald Trump visited Arlington National Cemetery on Wednesday as part of a Veterans Day ceremony.Trump laid a wreath at the Tomb of the Unknown Soldier, in an act that has become a Veterans Day and Memorial Day tradition for presidents in the years since the remains of several unidentified U.S. soldiers who fought in World War I were interred at the cemetery in 1921.In the years since, remains of other unidentified soldiers from World War II and the Korean War have since been interred in the area. The remains of a U.S. soldier who fought in the Vietnam War were briefly interred in the tomb before scientists identified them as those of Air Force 1st Lt. Michael Joseph Blassie. Blassie's remains were removed from the tomb in 1998 upon his family's request.The Tomb has come to represent all U.S. soldiers who have been killed or remain missing in action.The wreath-laying ceremony was Trump's first on-camera public appearance since most media outlets projected Joe Biden as the winner of the 2020 presidential election.Prior to Wednesday, Trump's last on-camera public appearance came on Nov. 5 when he held a press conference at the White House to falsely claim victory in the 2020 presidential race citing baseless claims of widespread voter fraud. 1277

Read the letter from now-suspended Cincinnati Reds broadcaster Thom Brennaman apologizing for using a homophobic slur on-air Wednesday evening.As many of you know, I said something hateful on the air Wednesday night, something no one should ever say. Something that someone should ever think.Something that no one should ever feel.Something no one should ever hear.I could try to explain it or tell you about who I am and what I believe, but those things would all be excuses. The simple fact is, what I said was wrong.I used a word that is both offensive and insulting. In the last 24 hours, I have read about its history; I had no idea it was so rooted in hate and violence and am particularly ashamed that I, someone who makes his living by the use of words, could be so careless and insensitive. It’s a word that should have no place in my vocabulary and I will certainly never utter it again.I cannot erase what I have done. The only thing I can do is humbly apologize, accept the consequences of my actions, and resolve to be better and behave differently from now on.To the LGBTQ+ community – I am truly and deeply sorry. You should never be denigrated with crude and hateful language. I failed you and I cannot say enough how sorry I am.To the Cincinnati Reds and all Reds fans – You deserve better from me. I let you down and will work in whatever way I can to show that I am capable of learning from my mistakes and setting an example of which everyone associated with the Reds – management, staff, players, former players, and fans – can be proud.To Major League Baseball – Diversity is a strength of our game, and derogatory language has no place in the booth, on the field, or anywhere else for that matter. I am sorry for the shame I brought upon the game that has been so good to my family and me for nearly 50 years.I have spoken at length with Billy Bean, Vice President, and Special Assistant to the Commissioner of Baseball and an openly gay man, and Evan Millward, WCPO anchorman, who have been generous with their time and patience to help me understand the impact of my actions and provided me with resources to educate myself and work to become a more informed person. With their help, I am going to start improving my understanding of LGBTQ+ issues and not in a way to simply check a box to keep my job but to sincerely have an impact and change. I immediately plan to participate in Diversity, Equity, and Inclusion training and have reached out to PFLAG for resources and guidance.Regardless of what my future holds in broadcasting, my actions have forced me to reflect on who I am and how I want to be seen and thought of. I realize it is more important than ever for us to treat each other with dignity and respect. I need to be better and I must set a better example. I hope the LGBTQ+ community, the Reds and their fans, and the people of Cincinnati can find a way to think better of me. With all the humility I can muster, I ask for your forgiveness.This story was first reported by Thom Brennaman at WCPO in Cincinnati, Ohio. 3065

President Donald Trump, facing a drastically revised death toll in Puerto Rico a year after dual hurricanes devastated the island, offered a still-rosy outlook of his administration's handling of the disaster on Wednesday."I think we did a fantastic job in Puerto Rico," Trump told CNN's Jim Acosta during an exchange with reporters at the White House. "We're still helping Puerto Rico."It was an optimistic accounting of his administration's handling of the natural disaster, which left much of the US territory without power for months and resulted in thousands of deaths.The island's governor formally raised the death toll from 64 to 2,975 on Tuesday following a study conducted by researchers at George Washington University.The study accounted for Puerto Ricans who succumbed to the stifling heat and other after-effects of the storm and were not previously counted in official figures.Trump has trumpeted his handling of the storm's aftermath, including saying in the days afterward the storm had resulted in a relatively small number of deaths compared to a "real catastrophe like Katrina." Hurricane Katrina, which devastated parts of Louisiana in 2005, killed roughly 1,200.He also awarded himself a "10 out of 10" on disaster recovery efforts during an Oval Office meeting last year with Puerto Rico's governor."Did we do a great job?" he asked his guest.Through it all, Trump has maintained that Puerto Rico's languishing infrastructure and geography hampered efforts. He said on Wednesday an outdated electric grid and the territory's status as an island continued to the difficulty."Puerto Rico was actually more difficult because of the fact it was an island," he said. "It's much harder to get things on the island."Trump has come under stiff criticism for his handling of the disaster, principally from Carmen Yulín Cruz, the mayor of Puerto Rico's capital city San Juan."The administration killed the Puerto Ricans with neglect. The Trump administration led us to believe they were helping when they weren't up to par, and they didn't allow other countries to help us," Yulín Cruz said on CNN Wednesday, later adding, "Shame on President Trump. Shame on President Trump for not even once, not even yesterday, just saying, 'Look, I grieve with the people of Puerto Rico.'"Trump did not respond directly to his critics Wednesday, instead saying he hoped the island doesn't suffer a similar fate this year."I only hope they don't get hit again because they were hit by two in a row," Trump said.Trump's comments were reminiscent of former President George W. Bush's comments days after Hurricane Katrina made landfall in Louisiana, when Bush praised his FEMA director Michael Brown during his first visit to the region affected by Hurricane Katrina in 2005."Brownie, you're doing a heck of a job," Bush said then.Trump's comments on Wednesday were not the first time he has praised the federal response in Puerto Rico. And while the death toll was not known when he voiced some of his earlier praise, they did come as disaster relief experts and local officials sounded the alarm about the slow pace of the federal response."Every death is a horror -- but if you look at a real catastrophe, like Katrina, and you look at the tremendous hundreds and hundreds and hundreds of people that died, and you look at what happened here with, really, a storm that was just totally overpowering -- nobody has ever seen anything like this," Trump said in Puerto Rico less than two weeks after Maria struck. "Everybody around this table and everybody watching can really be very proud of what's taken place in Puerto Rico."Trump not only repeatedly praised the federal response, but he also struck out at the news media and critics who highlighted the slow pace of some of the recovery efforts and the dire conditions that much of the island continued to face for weeks and months after the hurricane made landfall.Ten days after the hurricane made landfall, Trump lambasted news reports about the troubled situation in Puerto Rico in a series of tweets."Despite the Fake News Media in conjunction with the Dems, an amazing job is being done in Puerto Rico," Trump tweeted. "The Fake News Networks are working overtime in Puerto Rico doing their best to take the spirit away from our soldiers and first R's. Shame!"In another tweet, he lashed out at San Juan's mayor, who had taken to the airwaves to raise alarm about the slow pace of recovery efforts."Such poor leadership ability by the Mayor of San Juan, and others in Puerto Rico, who are not able to get their workers to help," he tweeted. 4625

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