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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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Troy basketball rolls past Louisiana behind barrage of 3s, 90-70

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Troy basketball rolls past Louisiana behind barrage of 3s, 90-70


Troy scorched the net for a season-best 17 3-pointers in a 90-70 victory over Louisiana at the Cajundome in Lafayette, La., on Saturday.

Brothers Cobi and Cooper Campbell hit four 3-pointers and scored 12 points each for the Trojans, who improve to 11-6 overall and 4-1 in Sun Belt Conference play. After Georgia Southern lost at South Alabama on Saturday, Troy is now tied for first place in the league standings.

Troy scored the first nine points of the game, and led by double-digits from the 12-minute mark of the first half. The Trojans were up 53-35 at halftime and by no less than 10 the rest of the way.

Thomas Dowd was Troy’s leading scorer (15 points, including three 3-pointers) and rebounder (8) while also dishing out five assists. Victor Valdes added 12 points, five rebounds and seven assists, while Jerrel Bellany contributed 11 points, Kerrington Kiel 11 and Theo Seng nine.

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Dorian Finister scored a game-high 25 points for Louisiana, which falls to 4-14 overall, 2-4 in the Sun Belt. Dariyus Woodson was the only other Ragin’ Cajuns player in double-figures scoring with 13 points.

Troy is back home Wednesday, hosting Southern Miss at 6 p.m. at Trojan Arena. That game will stream live via ESPN+.



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McGlinchey Stafford vote to shut down reshuffles Louisiana legal landscape

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McGlinchey Stafford vote to shut down reshuffles Louisiana legal landscape


The decision by McGlinchey Stafford PLLC leaders this week to shutter their powerhouse law firm after more than 50 years sent shock waves across south Louisiana’s legal community, and even took some of the firm’s attorneys by surprise.

It also began reshaping the local legal landscape. In the days since the announcement, at least two firms have announced that McGlinchey attorneys will be joining them, bringing lucrative practices and longtime clients along.

New Orleans-based Adams and Reese said Thursday it is hiring nearly a third of McGlinchey’s Baton Rouge office — 11 attorneys and two paralegals — from the real estate and corporate transactions group. More announcements are expected to follow, as firms try to snag top McGlinchey talent before the competition does.

Amid the reshuffling, the full picture of what caused McGlinchey’s partners who own the firm, known as equity members, to vote to dissolve is starting to emerge. According to attorneys familiar with the situation and a statement from the firm’s managing partner, Michael Ferachi, McGlinchey had been struggling for a while. It had lost several highly skilled attorneys that had lucrative client lists, announcements from rival firms show, and departures had accelerated in recent months.

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Now, dozens of secretaries and back-office staff are scrambling for positions, according to social media posts. Some younger attorneys or attorneys without large books of business are also looking for work.

Loyola University law professor Dane Ciolino said they’ll be doing so in a Louisiana legal market that’s more competitive and less lucrative than it used to be.

“Big cases with high billable hours are fewer and father between than 30 or 40 years ago because we don’t have the big companies that generated that kind of work,” said Ciolino. “As the business community goes, so goes the legal community.”

Big dreams

It’s not unusual for mid-sized law firms like McGlinchey to experience ups and down, lose groups of attorneys and merge or sell to other firms. But according to 10 other attorneys in New Orleans and Baton Rouge who agreed to be interviewed for this is story but declined to give their names, it was surprising that McGlinchey’s owners voted to dissolve.

The New Orleans-based firm was among the most aspirational and aggressive in the city when it was founded in 1974. Back then, the city’s legal community was dominated by a handful of old-line firms populated by socially prominent attorneys.

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McGlinchey sought to be different.

Founding partners Graham Stafford and Dermott McGlinchey were young, ambitious and smart, those who knew them remember. They wanted their firm to be taken seriously, setting up offices in One Shell Square, now the Hancock Whitney Center, then the city’s newest and tallest skyscraper.

The firm started out doing mostly insurance defense, which bills at a lower hourly rate and isn’t as prestigious as corporate transactions. But it quickly expanded as attorneys logged long hours and pursued out-of-state clients, which was less common then than today. They also sought to recruit the best and brightest young talent coming out of law school.

By the late 1980s, the firm had bought its own office building on Magazine Street in the newly trendy Warehouse District. In a nod to the New York-style firms it sought to emulate, McGlinchey had its own cafeteria, gym and showers, signaling that its attorneys were expected to live at the office.

Both founding partners died young. Stafford in 1987; McGlinchey, at age 60, in 1993. The firm continued to grow in their absence, but some longtime competitors said it didn’t hum with the same intensity.

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String of departures

In a statement released Tuesday, Ferachi, a Baton Rouge-based commercial litigation specialist who became the firm’s managing member in 2021, said that no single factor had led to the vote to dissolve. Rather, troubles had been building.

“This is not because of any specific attorney’s departure, or any individual financial decision or leadership action that led us to this point,” he said. “This is the result of a combination of market factors, such as lagging collections, compounded with various internal factors over several years.”

The statement also said the firm’s leaders made the decision after “assessing several strategic alternatives.”

Ferachi declined to make additional comment or respond to additional questions. His predecessor, Rudy Aguilar, also a Baton Rouge attorney who is leading the group going to Adams and Reese, also did not respond to requests seeking comment.

Prominent departures have been ongoing for at least a decade and began building in recent months.

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In 2015, two prominent attorneys in the real estate and commercial transactions division took their practice to Kean Miller, according to an announcement from Kean Miller at the time. In 2020, five partners from McGlinchey’s consumer finance litigation practice went to Hinshaw, a national firm based in Chicago with more than 500 attorneys across the country, a release from Hinshaw shows.

Around the same time, the firm downsized its footprint in the Pan American Life Center in New Orleans, where it had moved in 2008 after vacating the Magazine Street building, according to real estate sources familiar with the move.

According to Law.com, an online trade publication for the legal industry, the firm’s head count declined from 199 in 2016 to 37 in 2021, though it was back up to between 150-160 attorneys the time of the announcement.

In 2024, defense attorney Ally Byrd left McGlinchey for Jones Walker. More recently, in late November 2025, Deirdre McGlinchey, daughter of the late founding partner, moved her successful corporate litigation practice, which represented national clients and included three attorneys, to Jones Walker.

By then, the Baton Rouge McGlinchey office was already in serious talks with Adams and Reese, according to a statement from Adams and Reese.

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On Jan. 2, three days before the McGlinchey vote, Hinshaw announced it had hired four attorneys from McGlinchey’s Washington D.C, and Fort Lauderdale, Florida offices, the firm announced. All specialize in defending consumer financial services companies in high stakes lawsuits.

At the same time it was losing some of its top rainmakers, the firm was continuing to sign new leases for offices. In 2023, it moved its Boston office into One Beacon Street, among the city’s most prestigious office towers, with estimated rents of near $50 per square foot.

In May, it moved its Baton Rouge offices from their longtime headquarters in One American Place to the newly renovated II Rivermark Centre down the street.

Late last year, the firm announced it had created four new administrative positions, hiring from within. The move, the firm said at the time, was designed to strengthen and improve back-office functions.

The firm had also “reconfigured its governance structure and compensation system,” Ferachi said in his statement.

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‘Dignity and grace’

The effect of McGlinchey’s closure is already reverberating across the markets where it operated.

Adams and Reese Managing Partner Gyf Thornton said bringing on McGlinchey’s real estate practice in Baton Rouge will not only benefit the individual attorneys from both firms but create new opportunities.

“With these kinds of combinations, we have found that we typically get a one plus one equals three,” he said. “We start with their current book of business and together we grow to something bigger than the sum of the two parts.”

Partners may bring their associates and paralegals with them when they move, though they don’t typically bring back-office staff.

In a LinkedIn post, McGlinchey’s Chief Business Development Officer Heather Morse posted on behalf of her colleagues, saying “There are people, the #McGlinchey Family, who need to find their next beginning. Many of us are blessed with wide networks, but others are not.”

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She tagged 20 colleagues from the firm’s administrative staff, noting she also was “open to new opportunities.”

There’s no word on how long the wind down will take, but Ferachi said the firm “was committed to comporting ourselves with dignity and grace during this process.”

Ciolino said it’s hard to say what exactly the departure of McGlinchey will mean for the market, noting it “does seem odd the way it all went down.”



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DOJ ends another desegregation consent decree in Louisiana

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DOJ ends another desegregation consent decree in Louisiana


Donald Trump is leading the most openly pro-segregation administration in recent American history, and it advanced that agenda this week when it killed yet another school desegregation agreement with a Louisiana parish. 

The Associated Press reported Thursday that the Trump administration got a George W. Bush-appointed judge to lift another decades-old anti-segregation consent decree in the Bayou State. 

Per the AP:

A federal judge on Monday approved a joint motion from Louisiana and the U.S. Justice Department to dismiss a 1967 lawsuit in DeSoto Parish schools, a district of about 5,000 students in the state’s northwest. It’s the second such dismissal since the Justice Department began working to overturn desegregation cases it once championed. Louisiana Attorney General Liz Murrill thanked President Donald Trump and Attorney General Pam Bondi on Wednesday for ‘helping us to finally end some of these cases.’

The AP quoted Murrill saying, “DeSoto Parish has its school system back,” and that “for the last 10 years, there have been no disputes among the parties, yet the consent decree remained.”

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Of course, the absence of disputes under a consent decree is not exactly proof that the consent decree is no longer needed. To borrow an analogy from the late Justice Ruth Bader Ginsburg in her dissent from Shelby County, to throw out a consent decree because there’s been no resegregation or discrimination “is like throwing away your umbrella in a rainstorm because you are not getting wet.”

This follows the administration in February removing language that banned federal contractors from operating segregated facilities, and its decision last spring to quash a different consent decree with Louisiana’s Plaquemines Parish.



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