Pennsylvania
Reforms Needed to Lower Prescription Costs for Pennsylvania Pharmacies, Families – Senator Ward, J
By Sen. Judy Ward (R-30), Sen. Christine Tartaglione (D-2), Rep. Jessica Benham (D-36) and Rep. Valerie Gaydos (R-44)
It’s hard to believe that right now, in the 21st century, countless Pennsylvanians are losing access to affordable prescription drugs. But that’s exactly what’s happening as more and more community pharmacies are being forced to close their doors due to the little-known role pharmacy benefit managers (PBMs) play in our health care system.
Because of PBMs, our commonwealth’s community pharmacies are faced with Medicaid reimbursement costs that do not cover the expenses incurred to purchase drugs. For some of our pharmacies, this challenge threatens their very survival.
PBMs were created with the best intentions to negotiate pricing with drug companies for prescription drugs through Medicaid to lower costs. But today, three PBMs — CVS Caremark, Express Scripts and Optum Rx — control 80% of the marketplace. With the big three in place, Pennsylvania’s Medicaid spend on the pharmacy benefit has drastically increased, from $1.41 billion in 2013 to $3.7 billion now annually, according to the National Community Pharmacy Association (NCPA).
In February, Mainline Pharmacy announced PBM pricing was forcing the closure of nine of its pharmacies in the greater Pittsburgh region across several counties, including Blair, Cambria and Westmoreland. This happened despite a record year for filling prescriptions because they lost $350,000 in the first six weeks of this year from PBM underpayments. Philadelphia lost several community pharmacies in underserved communities, including the 18th Street Apothecary and Haussemann’s Pharmacy.
We’re seeing this issue repeated across the commonwealth and the nation. The University of Pittsburgh has created a website (ActForPharmacy.com) that tracks community pharmacy closures and provides a sobering view of the challenges Pennsylvania community pharmacies face in staying open — and of Pennsylvanians who desperately need their prescriptions.
That’s why we’re sponsoring bipartisan legislation in the state House (House Bill 1993) and Senate (Senate Bill 1000) to stop this vicious cycle and bring transparency to the process. Transparency is critical to solving this problem because no one really knows how much PBMs are making at the expense of Pennsylvania’s dedicated community pharmacies and their patients.
We’re pleased the need for PBM reforms was cited by Gov. Josh Shapiro in his recent state budget address. Our legislation will direct the state Insurance Department to develop a process for hearing and resolving pharmacy complaints against a PBM. It also will require PBMs to report financial information on rebates and payments received from drug manufacturers and how those rebates and payments were distributed by the PBM. In addition, the legislation will limit or ban several practices by PBMs, including patient steering and spread profit schemes.
The time to enact comprehensive PBM reform is now. Nationally, the issue is taking center stage. A recent White House roundtable on lowering health care costs and bringing transparency to prescription drug middlemen included Pennsylvania pharmacist Dr. Chichi Ilonzo Momah, CEO and founder of Springfield Pharmacy in Delaware County. Speaking for community pharmacists, Dr. Momah detailed what’s happening to community pharmacists and the negative impact PBMs have on the Pennsylvania patients they serve.
Also at the roundtable was billionaire philanthropist Mark Cuban, a co-host of Shark Tank and owner of the NBA’s Dallas Mavericks. An outspoken critic of PBMs, Cuban has formed Cost Plus Drug Company, which provides complete price transparency from manufacturing to prescription delivery.
Let’s stop the needless closure of any more community pharmacies. Pennsylvania has the ability to better protect our commonwealth’s pharmacies, which are vital to their communities through the jobs they create and Pennsylvania families who depend on them for their prescription medications.
Republican Sen. Judy Ward represents Blair County and Democrat Christine Tartaglione represents parts of Philadelphia. Democratic Rep. Jessica Benham and Republican Rep. Valerie Gaydos represent parts of Allegheny County.
Sources:
Mainline closing: https://www.wtae.com/article/mainline-pharmacy-closing-harrison-city-blairsville/46853558
Map of pharmacy closures: https://www.actforpharmacy.com/pharmacy-closures
Legislation: https://www.legis.state.pa.us/cfdocs/billInfo/billInfo.cfm?sYear=2023&sInd=0&body=S&type=B&bn=1000
Statistics:https://ncpa.org/sites/default/files/2023-02/medicaid-managed-care-reform-2-pager_0.pdf
White House:https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/05/readout-of-white-house-roundtable-on-lowering-healthcare-costs-and-bringing-transparency-to-prescription-drug-middlemen/
Media Contact: Nathan Akers
717-787-2421
Pennsylvania
New FDA analysis says US infant formula supply is safe after testing for potential contaminants
Pennsylvania saw a record low number of traffic deaths in 2025, according to PennDOT.
The department said 1,047 people were killed in traffic crashes last year, which is 80 fewer than last year and the lowest since record keeping began in 1928.
“Even one life lost is one too many, so while this decrease is good news, Pennsylvania remains committed to moving toward zero deaths on our roadways,” said PennDOT Secretary Mike Carroll. “PennDOT will continue to do our part to decrease fatalities through education and outreach, but we will only reach zero when we all work together.”
PennDOT said there were 109,515 total reportable crashes, which was the second lowest on record only to 2020 when the COVID-19 pandemic kept drivers off the road. Of those total crashes, 979 were fatal, down from 1,060 last year.
The number of people killed in impaired driver crashes dropped from 342 to 258 last year, which was also the lowest on record. Fatalities in lane departure crashes and fatalities when someone wasn’t wearing a seatbelt declined as well. PennDOT attributes the decrease in deaths to infrastructure improvements and initiatives like enforcement and education campaigns.
Deaths involving a distracted driver were up from 49 to 54, but PennDOT says the long-term trend is decreasing, and a law that went into effect last June makes it illegal to use hand-held devices while driving, even while stopped because of traffic or a red light.
“Please drive safely,” Carroll said. “Put the phone down when you are behind the wheel. Always follow the speed limit and never drive impaired. And buckle up! Your seat belt can save your life in a crash.”
Pennsylvania
Pennsylvania House passes bill to allow PIAA to create separate high school playoff system
PENNSYLVANIA (WJAC) — Pennsylvania lawmakers once again advanced legislation that would allow the PIAA to potentially overhaul the state’s playoff format for high school athletics.
On Wednesday, the House of Representatives passed House Bill 41 by a 178 to 23 vote, nearly one year after the legislation advanced out of the House Intergovernmental Affairs and Operations Committee.
The issue of “fairness” in Pennsylvania high school athletics has been a hot topic in recent years as both lawmakers and schools have debated whether or not the PIAA should create separate playoff brackets for public and private districts.
HB 41 was first introduced by Rep. Scott Conklin (D-Centre), who argues that the current competition structure in Pennsylvania high school “jeopardizes athletes’ health and safety.”
Student athletes and their parents recognize that contact sports pose certain physical risks, which schools try to minimize through protective equipment, training, and policies like concussion protocols,” Conklin said. “Unfortunately, our schools can’t protect against a playoff system that needlessly escalates those risks through unfair competitions.
PIAA’s existing playoff system forces athletes from public schools, which are limited to recruiting from within district boundaries, to compete against athletes from private schools, which can recruit from anywhere and amass larger, stronger teams. The result is unfair, lopsided competitions that leave public school students on a dangerously unlevel playing field, subjecting them to added physical risks and even depriving them of scholarship and recruitment opportunities. School sports are supposed to be about building confidence and teaching kids lessons in fair play, but the current system is teaching all the wrong lessons.
My bill would provide a way to end these increasingly dangerous competitions by allowing the PIAA to establish separate playoffs and championships for boundary and non-boundary schools.
House Bill 41 will now advance to the state Senate for a vote.
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Lawmakers note that if fully approved, the legislation would not mandate the PIAA to change the current format but would rather give them the option to do so.
WJAC
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