Louisiana
Inside the battle over prescription drug prices and pharmacies in the Louisiana Legislature
Independent pharmacies gained the upper hand Wednesday against pharmacy benefit managers following a behind-the-scenes lobbying battle over what has been one of the biggest unsettled policy issues in the final days of the regular legislative session.
The outcome could affect everyone in Louisiana who buys prescription drugs, especially those who purchase specialty drugs that treat such maladies as diabetes, neuropathy and inattention or hyperactivity.
Pharmacy benefit managers are third-party companies that are supposed to negotiate lower drug prices by acting as middlemen between drug manufacturers, insurance companies and pharmacies. Critics say that pharmacy benefit managers pocket too much of the savings.
A measure passed Wednesday by the Senate Insurance Committee, House Bill 264, favored independent pharmacies by prohibiting pharmacy benefit managers from steering customers to pharmacies they own and by mandating that discounts negotiated by pharmacy benefit managers go to employers and consumers. HB264 also requires pharmacy benefit managers to report more details of their activities to government regulators to ensure that they are following the law.
“Today the balance has shifted away from large corporations and their profits back to independent pharmacies and the consumers,” Sen. Adam Bass, R-Bossier City, said in an interview following the insurance committee hearing.
Gov. Jeff Landry has sided with the independent pharmacies, saying when he opened the legislative session nearly two months ago that he favors “reining in the PBMs who are driving the cost of prescriptions.” Landry pitched his views to Republican senators Monday night in the Senate basement, according to senators.
Lobbyists for pharmacy benefit managers had lobbied against HB264 but accepted the changes as inevitable, legislative sources said, to try to head off Louisiana from following Arkansas and adopting more far-reaching legislation that would prohibit pharmacy benefit managers from also owning and operating pharmacies.
Landry also supports that change, according to his staff.
CVS, the biggest drug store company that owns a pharmacy benefit manager, sued Arkansas a week ago to block the new law there from taking effect. CVS has 23 pharmacies in Arkansas but more than 100 in Louisiana.
The CEO of Caremark, CVS’ pharmacy benefit manager, tried to sway legislators in Louisiana with phone calls, legislators said. The CEO of Optum Rx, another pharmacy benefit manager, came to Baton Rouge to personally lobby lawmakers.
A state website shows that CVS has seven lobbyists working the halls of the State Capitol. They are working in alliance with lobbyists for the Pharmaceutical Care Management Association.
“PBMs secure savings on prescription drugs for Louisiana employers and patients and provide employers with a wide range of choices to offer quality prescription drug coverage,” said Greg Lopes, a spokesperson for the association. “Drug companies set drug prices, and the prices are the problem.”
CVS declined to comment, saying the company is still digesting the last-minute changes to HB264.
The Louisiana Association of Independent Pharmacies and their allies have their own phalanx of lobbyists.
“PBMs shouldn’t be allowed to say one thing and do another behind the scenes,” said Randal Johnson, president of the Louisiana Independent Pharmacies Association. “HB264 attempts to shine a light on rebate flows, bans hidden fees and ensures that what’s paid and what’s reimbursed can actually be traced and reviewed. That’s good policy, and more importantly, it’s pro-patient.”
The heavy lobbying by both sides caught the attention of legislators.
“Every lobbyist here is hired,” said Rep. Dustin Miller, D-Opelousas. “You have CEOs from these companies flying in. There are meetings happening in every room of this building.”
Pharmacy benefit managers have become in vogue only in the past dozen years but have quickly faced questions for their activities.
The New York Times reported in a three-part series last year that pharmacy benefit managers operate in an opaque fashion and “are driving up drug costs for millions of people, employers and the government.”
The Trump administration and Congress are moving to adopt less favorable rules for pharmacy benefit managers.
Wednesday’s action is not the final word in the long-running battle in Louisiana between the independent pharmacies and their allies on one side and the pharmacy benefit managers on the other.
The full Senate still needs to approve House Bill 264, and the House would need to agree to the changes made by the Senate before adjournment on June 12.
In the meantime, a separate House measure, House Bill 358 by Miller, could be amended to institute the change that CVS strongly opposes – a prohibition on pharmacy benefit managers from owning or operating pharmacies. House and Senate negotiators are scheduled to meet in the next several days to decide on the final shape of HB358.
“I support any legislation that will stop the anti-competitive practices that I think PBMs do,” Miller said in an interview.
Rep. Mike Echols, R-Monroe, and the sponsor of HB264, also takes a skeptical view of the pharmacy benefit managers.
“We’re putting money into the hands of consumers, which should lower costs,” he told the Senate Insurance Committee.
Driving HB264 forward has been Bass, a 44-year-old Allstate agent who is the vice chair of the insurance committee. Sen. Kirk Talbot, R-Harahan, the committee chair, deputized Bass to try to fashion a bill that could win legislative approval.
Bass said he concluded that pharmacy benefit managers were using their power to block some drugs from coming to market and that employers and consumers are not receiving enough of the discounts negotiated by pharmacy benefit managers with drug manufacturers.
Bass said he met with lobbyists from all sides and worked until midnight with legislative staff late on Monday and Tuesday night to confect the final language for changes in HB264.
The amendments were not shared with lobbyists and some lawmakers until just before Wednesday’s meeting. Echols was quickly familiarizing himself with the changes to his bill just before he presented it Wednesday.
Once the hearing began, Bass explained the changes. A half hour later, the committee approved the amended bill without objection.
The lobbyists on both sides of the issue got up to depart, leaving behind a nearly empty room as the Senate committee moved onto less controversial measures.
Louisiana
Officials confirm Pensacola Beach residue is algae, not oil from Louisiana spill
PENSACOLA BEACH, Fla. — A local fisherman raised concerns about the substance now coating Opal Beach, citing a recent oil spill off the coast of Louisiana.
WEAR News went to officials with the Gulf Islands National Seashore and Escambia County to find out the cause.
They say it’s not related to an oil spill, but is in fact algae.
The Marine Resources Division says they can understand beachgoers’ concerns, and hope to raise awareness.
“You don’t even want to get near it because it’s so gooey and sticky,” local fisherman Larry Grossman said. “It was accumulating on my beach cart wheels yesterday, and it felt like an oil product.”
Grossman messaged WEAR News on Monday after noticing something brown and oozy in the sand. He says it started showing up by Fort Pickens and stretched down to Opal Beach.
Grossman said a park service employee told him it could be oil from a recent spill in Louisiana. So he took a message to social media, sparking some reactions and raising questions.
“it certainly didn’t seem like an algae bloom because I was in the water, I caught a fish and I put some water in the cooler to keep my fish cool and it almost looked like oil in it,” Grossman said. “I know some people think it’s an algae bloom, but it certainly smelled and felt and looked like oil.”
A Gulf Islands National Seashore spokesperson confirmed to WEAR News on Tuesday that the substance is algae.
WEAR News crews were at the beach as officials with the Escambia County Marines Resources Division came out take samples.
“What I found here washed up on the beach is some algae — filamentous algae, single celled algae — that washed ashore in some onshore winds,” said Robert Turpin, Escambia County Marines Resources Division manager. “This is the spring season, so with additional sunlight, our plants, they grow in warmer waters, with plenty of sunlight.”
Turpin says this algae is not harmful.
He also addressed the concerns that this could be oil, saying he’s familiar with what oil spills look like.
He says he appreciates when people like Grossman raise the concerns.
“The last thing in the world we want is something to gain traction on social media that is faults in nature that could harm our tourism,” Turpin said. “Our tourism is very important to our economy, and we want to give the right information out to the public so we all enjoy the beaches and enjoy them safely.”
Turpin says if you see something or suspect something may be harmful on the beach, avoid it and contact Escambia County Marine Resources.
Louisiana
Louisiana Gov. Jeff Landry calls for amendment for teacher pay raises
VIDEO: Louisiana 2026 Legislative Session Previewed in Lafayette
At One Acadiana’s Lafayette outlook event, business and policy leaders discussed the 2026 session and what it could mean for jobs, schools and voters.
BATON ROUGE — Gov. Jeff Landry advocated for a constitutional amendment that would create a permanent teacher pay raise as well as an eventual elimination of the state income tax in an opening address to the Louisiana Legislature on Monday.
Landry pushed for the passage of Proposed Amendment 3 on the May 2026 ballot to free up money for teacher pay raises.
He said the amendment would pay down longstanding debt within the Teachers’ Retirement System of Louisiana and enable the state to afford a permanent increase in teacher income. The proposed increases are $2,250 for teachers and $1,125 for support staff.
“With a ‘yes’ vote, we can strengthen the retirement system, improve their take-home pay, and guess what? We can do it without raising taxes,” Landry said.
A bill proposing the elimination of the state income tax, which takes in about $4 billion annually, was pre-filed earlier in the year by Rep. Danny McCormick, R-Oil City. Where the money will come from to supplement the loss is currently unclear.
McCormick said in an interview with the LSU Manship School News Service that to encourage more young adults to stay in Louisiana, “we need to do away with the state income tax.”
“This is a conversation piece that hopefully we can figure out where to make cuts in the government so we can get the people their money back,” McCormick said.
But Senate President Cameron Henry, R-Metairie, said at a luncheon at the Baton Rouge Press Club that if the Legislature “can be disciplined” this session, residents could anticipate a 0.5% decrease in state income tax during next year’s session. He also said bigger tax cuts have to be planned over a longer budget cycle.
Within education changes, Landry commended the placing of the Ten Commandments in classrooms, approved by the Louisiana Supreme Court in a decision handed down last week.
“You have staked the flag of morality by recognizing that the Ten Commandments are not a bad way to live your life,” Landry said. “Students who don’t read them will likely read the criminal code.”
Landry’s budget proposed an $82 million increase for corrections services following 2024 tough-on-crime legislation that eliminated parole and probation, increased sentencing and encouraged harsher punishments.
Landry directed his criticism toward the New Orleans criminal justice system, which he feels is lacking accountability, especially in courtrooms.
“Judges hold enormous power, but they are not social workers with a gavel,” he said. “They are the final gatekeepers of public safety.”
The Orleans Parish criminal justice system relies on state and local funding stemming from revenues from fees imposed on those arrested, according to the Vera Institute. Landry said the state spends twice as much on the Orleans system as it does in East Baton Rouge Parish, the largest parish in the state.
“Being special does not mean being exempt from accountability,” Landry said.
Overall, Landry pushed for fewer and different ideas compared to the sweeping agenda he laid out at the start of previous legislative sessions. Henry mentioned at the Baton Rouge Press Club that the governor would like for this session to be a “member-driven session instead of an administrative session.”
Landry spoke only in general terms about his proposal for more funding for LA Gator, his program to let parents use state money to send their children to private schools.
“We must find a path so that the hard-earned money of parents follow their child to the education of their choice,” he said.
He has proposed doubling funding for the LA Gator program from $44 million a year to $88.2 million. The likelihood of this occurring is yet to be seen, as prominent lawmakers such as Sen. Henry are hesitant to approve an increase in funding.
Landry similarly did not mention carbon capture projects, despite the issue gaining traction from affected parish residents and lawmakers.
House Speaker Phillip DeVillier, R-Eunice, told the Baton Rouge Press Club last week that 22 bills have been filed in the House that he would consider “anti-carbon capture.”
Landry also cited data centers and other giant industrial development projects and touted his administration’s success in bringing more jobs to Louisiana and in helping to lower insurance premiums over the past year.
“May we continue to employ courage over comfort, and if we do, there is really no limit to what we can do for Louisiana,” Landry said.
Louisiana
Louisiana’s LNG exports are driving out fishermen and driving up utility bills across the U.S.
Phillip Dyson once tried working a job that wasn’t shrimping. He lasted three days on an oil rig before going right back to his boat.
“The man said, you just tell me you want the job, we’ll fire the other guy,” he said with a laugh. “I said, don’t fire that man, ’cause I ain’t coming back.”
For more than half a century, Dyson has been fishing the coastal waters of Cameron, Louisiana. Forty years ago, Cameron Parish was the top seafood port in the United States. Today, it’s ground zero for America’s LNG export boom, a multibillion-dollar industry — the U.S. is the top exporter in the world — that has reshaped the landscape, the economy, and the daily lives of the people who have lived here for generations.
When Dyson looks out from the shrimp dock now, he doesn’t recognize what he sees: spindly cranes, cylindrical cooling towers and the constant hum of the construction and processing of liquified natural gas (LNG) terminals rising above the marsh.
Ian McKenna
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More Perfect Union
The terminals run day and night, super-cooling natural gas into liquid form where it’s loaded onto massive tanker ships for export to places like Europe and Asia.
Shrimpers like Dyson are catching about half of what they used to, driving many out of the industry.
“There used to be 200 shrimp boats in this town — down to 15,” Dyson said. “You went from a fishing town to a town that didn’t care less about the fishermen.”
Dyson is stubborn and set in his ways. Shrimping is all he knows. He doesn’t want to leave Cameron. He buried his parents here. Scattered his daughter’s ashes in the water.
“I would never want to leave her behind,” he said. “But I’m gonna have to.”
‘You’re just surrounded’
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More Perfect Union
Cameron Parish was an attractive destination for reasons both geographic and financial. It sits close to the Haynesville Shale formation, one of the country’s most productive natural gas fields, has no parish-wide sales tax and LNG companies have secured industrial tax exemptions that, according to community advocates, amount to nearly a billion dollars a year across the three operating terminals — roughly $6 million per permanent job created.
“They don’t only export gas — they export the profits,” said James Hiatt, a former oil and gas worker who founded For a Better Bayou, a southwest Louisiana environmental community organization. “That’s the key.”
The company at the center of the expansion is Venture Global, which operates the Calcasieu Pass terminal, known as CP1, just outside of Cameron. In a March earnings call, the company reported it made more than $6 billion in 2025 alone — tripling its profits from the previous year.
In an interview last year on CNBC, Venture Global’s CEO, Mike Sabel, described the company in terms residents find difficult to square with their daily reality: “Ultimately our business is that we manufacture and operate machines that produce money.”
President Donald Trump’s administration approved a second Venture Global terminal in Cameron — CP2 — just two months after taking office in 2025. Nationally, 17 new export terminals are either under construction or have won approval from the Federal Energy Regulatory Commission (FERC). Six of them are in southwest Louisiana.
Robyn Thigpen, a local resident and executive director of the advocacy group Fishermen Involved in Saving Our Heritage (FISH), described the sense of encirclement many people feel.
“When you turn here,” she said, pointing in different directions from the beach in Cameron, “the cranes off in the distance is the expansion to CP1. 12 miles back into town is Hackberry LNG. Probably about 30 miles this direction is Sabine LNG. So you’re just surrounded.”
‘No shrimper can make it here’
Ian McKenna
/
More Perfect Union
Last August, while Venture Global was dredging a shipping channel at CP1 — pumping out mud and sediment to clear a path for vessels — something went wrong. The company spilled hundreds of acres of sediment into the surrounding marsh.
The mud blanketed the area where Tad Theriot, a shrimper turned oysterman, had been growing his harvest. He pivoted to oyster farming two years ago, after years of declining shrimp catches made the traditional livelihood impossible to sustain.
The dredge spill devastated his oyster operation almost overnight.
“Half of them died,” Theriot said. “We lost 50% on the big ones, even more than that.”
Out on the water, the evidence was plain — oysters pulled from cages bore what his farming partner Sky Leger called “mud blisters,” deposits of silt visible inside the shell.
Ian McKenna
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More Perfect Union
“Before you try, tell me — would you eat it if you knew that that was there?” Leger said, pointing to dark splotches on the iridescent cup of a fresh oyster. “How does that get there?”
Venture Global told More Perfect Union and Gulf States Newsroom in a statement that the “isolated discharge was quickly contained,” and that there were “no significant offsite impacts” as a result of the spill.
The Louisiana Department of Wildlife and Fisheries documented increased oyster mortality near the spill site in September, and fishermen have since requested a more comprehensive government study.
To date, no significant enforcement action has been taken against the company.
But according to documents obtained by More Perfect Union, Venture Global offered some affected fishermen $20,000 — on the condition they could never sue or speak negatively about the company again. When asked about the offer, Venture Global said the company “has communicated directly” with local fishermen “to develop mitigation and remediation plans, and minimize the potential for an event like this again.”
Theriot said he’d never take the money.
“That’s not right,” he said flatly. “I have hundreds of thousands of dollars worth of oysters. I want hundreds of thousands of dollars.”
Advocates like Hiatt called the settlement offers part of a pattern the company is using to sidestep accountability through financial and political power.
“After this spill, more people are understanding that these corporations don’t give a f— about you,” he said. “All they care about is how much money they can make.”
Last month, a pipeline part of an under-construction project operated by Delfin LNG ruptured near Holly Beach in Cameron Parish. The ensuing explosion resulted in “catastrophic injuries” to a contractor working for the company, according to a lawsuit filed in Texas that accused the company of negligence and failing to “ensure the pipeline was free of flammable vapors and materials.”
“It’s a reminder that these things are happening in a community that doesn’t even have a hospital,” Thigpen said, noting that the worker was taken to a hospital in Port Arthur, Texas, roughly 45 minutes away. “It’s another example of why we can’t trust these companies to do the right thing.”
‘You can’t afford this and food’
Ian McKenna
/
More Perfect Union
The impacts of Cameron’s transformation don’t stop at the bayou’s edge. The LNG export boom is being felt in the utility bills of Americans across the country.
Eight LNG export terminals now consume more natural gas each day than all 74 million American households connected to gas utility service combined. The federal government projects the benchmark price of natural gas will average 22% higher in 2026 than in 2025, citing LNG exports as a driving factor.
A Public Citizen analysis found domestic natural gas prices were $12 billion higher for residential customers in just the first nine months of 2025 compared to the same period the year before — roughly $124 per household.
“It’s simple supply and demand,” Slocum said. “You’re forcing Americans to compete with their counterparts in Berlin and Beijing for access to U.S. natural gas. And that pushes the domestic price up. The more we export, the higher the prices the rest of Americans will pay to heat and cool their homes.”
In Hackberry, Louisiana — minutes down the road from Cameron Parish’s other export terminal — fisherman Eddie Lejuine and his wife Michelle have watched their bills climb. Lejuine depends on a refrigerated storage container to keep his catch marketable. Without it, he can’t work.
“You can’t afford this and food,” Michelle Lejuine said. “What are you gonna do? You gonna eat or are you gonna have electricity?”
Eddie Lejuine put it plainly: “We’re catching less fish, [making] less money, paying higher bills.”
Trump’s promise, the industry’s windfall
During the 2024 campaign, Trump pledged to cut Americans’ energy bills in half within 12 months. He repeated it at rallies and put it in writing in a Newsweek op-ed.
On his first day back in the White House, one of his earliest executive orders undid former President Joe Biden’s pause on pending LNG export approvals — a pause that was implemented, in part, because consumer advocates argued the existing review process failed to account for domestic price impacts.
The ties between Venture Global and the Trump administration run deep. According to reporting by the Wall Street Journal and the Washington Post, the company’s CEO was present at a private 2024 meeting at which Trump reportedly asked oil and gas executives to contribute $1 billion to his campaign.
Slocum argued the gap between Trump’s promise and his policy is not an accident.
“What Trump has done is to prioritize the financial interests of the natural gas industry,” he said. “And the natural gas industry’s primary financial directive is to maximize LNG exports.”
Electricity prices jumped 6.9% in 2025 year over year, according to Goldman Sachs.
‘Find somewhere else to build this’
Ian McKenna
/
More Perfect Union
More than 90% of Cameron Parish voted for Trump in 2024. The mood among the fishermen who remain is harder to categorize than partisan politics.
When asked if he’d vote for Trump again, Lejuine said: “No, I’m not. I’m hoping we have a better selection of something.”
Hiatt, a self-described third-generation oil and gas worker, framed it as a matter of basic fairness rather than ideology.
“This is ‘America Last’ policy,” he said, “to export our natural resources to the highest bidder at the expense of every American.”
Dyson, standing at the dock in the late afternoon light, said what he would tell Venture Global and the politicians like Trump and Louisiana Gov. Jeff Landry, who championed the expansion: “Find somewhere else to build this s—. I never thought I’d have seen this place like this. Never in my lifetime.”
His electricity bill runs $350 to $500 a month for a 990-square-foot house, he said. He and his wife receive about $1,300 a month together on Social Security. With what he’s catching, it’s not enough.
He said he won’t stop shrimping, but he can’t do it in Cameron.
“This is what I do. That’s what I’m gonna do till they throw dirt on me. That might not be here, but I will fish till it’s over.”
This story was produced by the Gulf States Newsroom, a collaboration between Mississippi Public Broadcasting, WBHM in Alabama, WWNO and WRKF in Louisiana and NPR. This story was produced in collaboration with More Perfect Union.
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