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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's attorney-turned-enemy Michael Cohen is launching a podcast Monday, titled “Mea Culpa." He tells The Associated Press his first guest will be comedian and talk-show host Rosie O'Donnell. Once at odds, Cohen says he and O'Donnell have become friends and bonded as a result of the grudge they bear toward Trump. “First episode. First interview. First feud. First family,” Cohen told The Associated Press by phone late Thursday.Trump and O’Donnell have engaged in a lengthy public feud. Challenged during a presidential primary debate in 2015 about how he described some women as “fat pigs,” “dogs” and “slobs,” Trump responded by saying: “Only Rosie O’Donnell.”Cohen says his relationship with O'Donnell began while he was imprisoned for tax crimes, lying to congress and campaign finance violations. He says O'Donnell sent him a six-page letter. Cohen wrote an apology in response, which prompted O'Donnell to visit him in prison. 961

Republican Sen. Susan Collins, of Maine, is calling embattled EPA Administrator Scott Pruitt "the wrong person" to head the agency "on policy grounds alone."Collins voted against Pruitt's confirmation, and said Sunday on CNN's "State of the Union" that his actions on the environment, "whether it's trying to undermine the Clean Power Plan or weaken the restrictions on lead or undermine the methane rules," validate her decision.Pruitt has come under fire for a string of ethically questionable actions over the past year, including renewed questions over the amount he is spending on his large security detail?and over his travel and housing arrangements."This daily drop of accusations of excessive spending and ethical violations serve to further distract the agency from accomplishing its very important mission," Collins said. "I think Congress needs to do some oversight."Republican Sen. John Kennedy, of Louisiana, echoed the point in remarks on CBS's "Face the Nation," in which he recounted some of Pruitt's alleged actions."Well, Mr. Pruitt and other members of the President's Cabinet, I would say ethics matter, impropriety matters, the appearance of impropriety matters to the extent that you are, stop acting like a chuckle head, stop the unforced errors, stop leading with your chin," Kennedy said. "If you don't need to fly first class, don't. Don't turn on the siren on your SUV just to watch people move over. You represent the President of the United States. All of this behavior is juvenile. It's distracting from the business that we're trying to do for the American people."When CNN anchor Jake Tapper asked Collins if Pruitt should resign or be fired, the Republican senator said that is a position "only the President can take at this point," adding that "the Congress has no role" now that Pruitt has been confirmed.Trump so far has stood by?his embattled EPA chief, tweeting late Saturday, "Scott is doing a great job!" 1969
RANCHO BERNARDO, Calif. (KGTV) -- A Rancho Bernardo woman wants to warn her elderly neighbors to double check their water bills."Evey Borrelli is not part of the roughly 350 water customers who were overcharged when a now-former city employee misread hundreds of meters this past winter," but she did receive an incorrect bill in April of 2017.RELATED: 381
President-elect Joe Biden says he won’t immediately lift tariffs placed by President Donald Trump on many imports from China or break Trump’s initial trade deal.Biden says he wants to maximize his leverage in future talks with the United States’ geopolitical rival.Speaking to New York Times columnist Thomas Friedman, Biden said, “I’m not going to make any immediate moves, and the same applies to the tariffs.” Biden adds in Friedman’s column published Wednesday: “I’m not going to prejudice my options.”Under Trump, the U.S. and China engaged in a yearlong trade war that has been largely frozen since a Phase One deal was reached in January. While some industries have benefited from Trump’s protectionist policies, the policies have been largely panned by the business community and most experts — and most of the cost of tariffs has been borne by American businesses and consumers.Biden tells Friedman an early priority after his January swearing-in will be to restore relationships with allies to strengthen his negotiating position with China. Biden says key to talks with China is “leverage” and in his view “we don’t have it yet.” 1148
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