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Inside the battle over prescription drug prices and pharmacies in the Louisiana Legislature

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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.

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“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.

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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.

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“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.”

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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.

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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.

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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.



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Officials probing how Louisiana gunman who killed 8 children got the weapon

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Officials probing how Louisiana gunman who killed 8 children got the weapon


SHREVEPORT, La. — Investigators are looking into how a former National Guardsman identified as the gunman who killed eight children in Louisiana on Sunday got a gun — despite an illegal firearms conviction on his record.

Shreveport Police Chief Wayne Smith said the federal Bureau of Alcohol, Tobacco, Firearms and Explosives is probing how the man obtained the assault-style pistol used in the shooting, which he described as a domestic violence incident.

Shamar Elkins was arrested in 2019 and convicted of illegal use of a firearm. Shreveport Police spokesman Christopher Bordelon said Elkins was likely prohibited from legally owning firearms because of that conviction.

In an interview, Bordelon said Elkins shot most of the children in the head and “probably still in their sleep.” Elkins was the father of seven of the eight children who were killed, Bordelon said; one of the children was a cousin, according to the coroner’s office.

“It is a disgusting and evil scene,” Bordelon told NBC News.

Elkins also shot and seriously injured his wife and another woman believed to be his girlfriend, police said.

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He fled the scene and died in front of a home nearby, authorities said. It was not known whether he was fatally shot by law enforcement officers or died by suicide, Smith told reporters at a news conference Monday.

The mass shooting, one of the worst in the U.S. in recent years, sent waves of shock and grief through Shreveport. Shreveport Mayor Tom Arceneaux described it as “maybe the worst tragic situation we’ve ever had” in the city.

In an emotional news conference Monday, city and state officials condemned the bloodshed and called on community members to advocate for victims of domestic violence.

“We cannot afford to treat domestic violence as an afterthought. We must ensure that every victim, every mother, every father, every child has access to safety,” Caddo Parish Sheriff Henry L. Whitehorn Sr. said.

The Caddo Parish Coroner’s Office, citing information provided by the children’s mothers, identified the victims as Jayla Elkins, 3, Shayla Elkins, 5, Kayla Pugh, 6, Layla Pugh, 7, Markaydon Pugh, 10, Sariahh Snow, 11, Khedarrion Snow, 6, and Braylon Snow, 5.

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Elkins served in the Louisiana Army National Guard as a signal support system specialist and a fire support specialist from August 2013 to August 2020, the Army said. He never deployed and left the National Guard as a private.

Shreveport police officers responded to the 300 block of West 79th street just after 6 a.m. local time after reports of a domestic disturbance, authorities told reporters.

Elkins first shot a woman on nearby Harrison Street before he went to the West 79th Street home, where he killed the children, authorities said. He then fled and carjacked a person at gunpoint near the intersection of Linwood Avenue and West 79th Street.

Police officers exchanged gunfire with Elkins in neighboring Bossier Parish after a pursuit, Smith told reporters Monday.

Police initially said that officers fatally shot Elkins at that scene, but Smith said Monday that Elkins’ cause of death was still under investigation.

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In September 2017, a judge granted Elkins and Sariahh’s mother joint custody following a petition to determine paternity and establish child support, according to court records reviewed by NBC News.

The photo at the top of Elkin’s Facebook profile, which has been verified by NBC News, shows him posing with eight children, including a baby seated on his lap.

On April 9, Elkins reposted a poem addressed to God. “Today I ask You to help me guard my mind and my emotions,” it reads in part. “When negativity arises, remind me to say, ‘It does not belong to me, in the name of Jesus.’”

Ryan Chandler reported from Shreveport, and Daniel Arkin from New York.

If you or someone you know is facing domestic violence, call the National Domestic Violence hotline for help at (800) 799-SAFE (7233), or go to www.thehotline.org for more. States often have domestic violence hotlines as well.

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Louisiana shooter Shamar Elkins made chilling remarks about ‘demons’ weeks before killing his 7 kids and their cousin

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Louisiana shooter Shamar Elkins made chilling remarks about ‘demons’ weeks before killing his 7 kids and their cousin


The deranged Army vet dad who gunned down his seven children and their cousin confessed he was drowning in “dark thoughts” and told his stepdad that some people “don’t come back from their demons” just weeks before the heinous killings, according to a report.

Shamar Elkins, 31, killed eight children — five girls and three boys ages 3 to 11 — and seriously wounded two women believed to be his wife and girlfriend when he went on a shooting rampage through Shreveport following an argument with his spouse around 6 a.m. Sunday.

Shamar Elkins, 31, told family he was drowning in “dark thoughts” just weeks before he gunned down his seven children and their cousin. Facebook/Shamar Elkins

Just weeks ago, on Easter Sunday, Elkins called his mother, Mahelia Elkins, and his stepfather, Marcus Jackson, and chillingly told them he was drowning in “dark thoughts,” wanted to end his life, and that his wife, Shaneiqua Pugh, wanted a divorce, the New York Times reported.

“I told him, ‘You can beat stuff, man. I don’t care what you’re going through, you can beat it,’” Jackson told the publication. “Then I remember him telling me: ‘Some people don’t come back from their demons.’”

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Mahelia Elkins said she was unclear what problems her son and his wife, who were married in 2024 and had four kids together, were dealing with, the Times reported.

But a relative of one of the wounded women said the couple was in the middle of separation proceedings and was due in court on Monday.

They had been arguing about their relationship coming to an end when Elkins — who was later killed by cops — opened fire, Crystal Brown told the Associated Press.

The killer father worked at UPS and served with the Louisiana Army National Guard from August 2013 to August 2020 as a signal support system specialist and fire support specialist, according to the Times.

A UPS coworker described Elkins as a devoted dad, but said he often seemed stressed and would pull his hair out, creating a lasting bald spot, the publication reported.

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Elkins worked at UPS and served with the Louisiana Army National Guard from August 2013 to August 2020 as a signal support system specialist and fire support specialist. Facebook/Shamar Elkins

Elkins’ mother noted that she had reconnected with her son more than a decade ago after leaving him to be raised by a family friend, Betty Walker. She had Elkins when she was a teenager and struggling with a crack cocaine addiction.

Walker said that she did not witness the shootings on Sunday morning but knew that Elkins shot his wife several times in the head and stomach, the paper reported.

She last saw the deranged father when his family came over for dinner just last weekend — but noted he did not appear off at the time.

“I was getting up this morning to make myself some coffee, and I got the call,” Walker recalled. “My babies — my babies are gone.”

Elkins also had two previous convictions, including for driving while intoxicated in 2016 and for the illegal use of weapons in 2019, the outlet said.

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In March 2019, a police report detailed that the National Guard vet had pulled a 9 millimeter handgun from his waistband and shot at a vehicle five times after a driver pulled a handgun on him — with one of the bullets being discovered near a school where children were playing.

Most of the victims were shot in the head while they slept. AP

The victims killed by Elkins have been identified as Jayla Elkins, 3; Shayla Elkins, 5; Kayla Pugh, 6; Layla Pugh, 7; Markaydon Pugh, 10; Sariahh Snow, 11; Khedarrion Snow, 6; and Braylon Snow, 5. Seven of the eight were his own children, and the eighth was their cousin. They were all found dead inside their home in Shreveport.

Most of the victims were shot in the head while they slept, Shreveport Police Department spokesman Christopher Bordelon told NBC News.

One child was killed on the roof while trying to escape, police said.

Elkins, who was later killed by police during an attempted carjacking, also shot and wounded two women — the mothers of his children — during his murderous rage.

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He shot his wife in the face at the home with the eight kids, Bordelon told the outlet. The other injured victim is believed to be Elkins’ girlfriend, who was shot in a separate house nearby, the police spokesperson added.

Elkins shared four of the slain children with his wife and three with the other injured woman, according to Brown.

If you or someone you know is affected by any of the issues raised in this story, call the National Domestic Violence Hotline at 1.800.799.SAFE (7233) or text START to 88788.



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At least 8 children killed in shooting in Louisiana, US

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At least 8 children killed in shooting in Louisiana, US


Yasin Gungor

19 April 2026Update: 19 April 2026

At least eight children were killed and two others were wounded in a shooting in the US state of Louisiana, local police said Sunday.

Shreveport Police Department spokesperson Christopher Bordelon said officers responded to the shooting just after 6 am (1100GMT), following a domestic disturbance call.

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The age of the deceased ranged from one to 14 years, he said, adding that the incident involved at least 10 individuals across four separate locations.

The suspect attempted to flee by carjacking a vehicle and driving to neighboring Bossier City, where police located and shot him dead.

Bordelon said Shreveport police officers pursued the suspect’s vehicle into Bossier, where three officers discharged their firearms, killing him. He said investigators believe the suspect was the only person who opened fire at the locations.

Shreveport Mayor Tom Arceneaux described the attack as “maybe the worst tragic situation we’ve ever had,” adding: “It’s a terrible morning.”

No immediate information was available about the condition of the injured.

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