Colorado
Colorado moves to cap price of arthritis drug Enbrel in first-in-the-nation action by state affordability board
A Colorado board voted to move forward with setting a price ceiling on the arthritis drug Enbrel on Friday, a first-in-the-nation step that raises questions about whether a single state can reduce drug costs without unintended consequences.
Colorado would be the first to set a price ceiling on any drug, meaning the state can’t look to others for clues to how drugmakers and other players will respond. Opponents of the process say patients could lose access to drugs under a price ceiling, while supporters say drugmakers can’t easily cut states out of their distribution chains and still make money.
The vote by the Prescription Drug Affordability Board kicks off a six-month process to determine what price would be appropriate for Enbrel. The board also has the option to ultimately vote against a price ceiling at the end of the process.
The move by the state board is different than the Colorado legislature’s limits on how much customers pay out-of-pocket for insulin or EpiPens, as an Enbrel price ceiling would also apply to how much pharmacies pay to stock the drug.
The board previously had determined the drug cost about $46,000 for one patient to take it for one year in 2022, with patients responsible for an average of $2,295 in Colorado if they have commercial insurance or Medicare Advantage. Some patients pay less because they qualify for assistance programs to cover their out-of-pocket costs.
The vote came one day after a state Senate committee voted to advance a bill that would remove all medications that have an “orphan drug” designation from the board’s list to consider in future years. The orphan status means a drug is approved for a rare condition, meaning it may not be profitable for drugmakers to develop such treatments.
The Colorado Consumer Health Initiative estimated that about 400 of the 600 drugs that the board identified as possibilities for review have orphan drug status for at least one condition.
Enbrel, which is approved for six conditions, has an orphan drug designation for one of them, polyarticular juvenile idiopathic arthritis.
Friday’s meeting capped a months-long process of reviewing data about how much Enbrel costs, and how much patients typically pay.
Drugmaker Amgen and some patient groups criticized the board’s reliance on a survey that garnered responses from only 38 patients in Colorado to determine that the drug isn’t broadly affordable. Eight of those respondents said they went into debt because of their drug costs, 20 said they had to cut back on other expenses and nine said they sometimes stretched their doses to save money.
The board previously voted that the cystic fibrosis drug Trikafta and the HIV antiviral Genvoya both are affordable to patients because of assistance programs from drug manufacturers or the federal government. Neither drug will be subject to a price ceiling.
Cosentyx and Stelara, which both treat conditions where the body attacks its own tissues, will undergo affordability reviews later this year. The board’s charge is to determine if drugs are affordable to patients, not to the system as a whole.
Earlier in the review process, some trade groups had raised concerns about implementing a maximum price.
The Colorado Hospital Association said it worried that its members could be reimbursed less than the cost of drugs they buy if the board set upper payment limits. In a comment sent last year, the association said some of its members are part of multi-state purchasing groups, so they wouldn’t necessarily be able to buy drugs below the price ceiling, but insurance would still reimburse them at the rate the state set.
The Colorado Pharmacists Society also sent a comment with concerns that its members wouldn’t be able to recoup the costs of stocking drugs that require more complicated handling, while the Colorado Association of Health Plans said insurers might not be able to change their formularies to bring patients’ out-of-pocket costs down to whatever level the board sets.
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Colorado
Imagine a world where the Colorado gas pump knows your credit score (Letters)
Imagine a world where the gas pump knows your credit score
Re: “Polis vetoes ‘surveillance pricing’ bill,” June 3 news story
Gov. Jared Polis’ veto of the anti-surveillance pricing bill proves once again he’s just a Republican wearing a liberal costume. His excuse? The bill, which would have banned companies from using AI and “big data” to manipulate prices and wages based on your personal circumstances, might “interfere with the free functioning of markets.”
Sure. Because nothing says “free market” like corporate algorithms tracking your every vulnerability to extract maximum blood from your stone. This isn’t capitalism; it’s corporate sharecropping scaled to the state level.
Consider this hypothetical: A software engineer gets laid off but has some savings. On the way to a job interview, he pulls up to a gas pump. Between inserting his card and pumping, the oil company runs an instant “wealth check.” Seeing his healthy savings balance, the algorithm spikes his price per gallon.
He arrives at the interview. Instead of offering a salary based on market value and experience, the employer scrapes data on his time out of work, his dwindling savings, and his chronic illness. They craft an offer just high enough to keep him from drowning, complete with a health plan that conveniently excludes his condition.
Is this the “free functioning of markets?” No. It’s an asymmetric data war where citizens are completely outgunned. But hey, as long as Gov. Polis can keep defending the “freedom” of monopolies to pickpocket your data, who cares about the actual people?
For someone who just moved from Florida in part to escape this nonsense, Polis disappoints.
Tom Gawronski, Evergreen
Climate crisis is front-page news
Re: “U.N.: Next five years could smash temperature records,” May 29 news story
Banging the climate crisis drum: Last Friday, The Denver Post relegated a major U.N. climate report to page 12. Ho-hum, the world scientific community keeps banging that old drum about the climate. No big deal. We haven’t gone off the cliff — yet.
But there is a cliff there. Scientists just don’t know when the edge — the tipping point — will be reached.
Have you noticed all the floods, droughts and temperature records we are experiencing (again) this year? Are you concerned about this being a really bad fire year? Drill, baby drill continues as President Trump says we have to produce more oil, while the report concludes that oil and gas is the major contributor to the issue. Ho-hum.
As a committed climate activist, I plan to keep banging that old drum and supporting the rapid transition away from oil and gas to renewable energy.
Marc Alston, Denver
Sarah Woodson for House District 42
Sarah Woodson is a breath of fresh air for the residents of House District 42. A new voice of reason and common sense for everyday Aurorans stressed out by politicians on the far right and left who only support special agendas, not their constituents.
It was 40 years ago that Aurorans trusted another homegrown centrist political newcomer who went door to door to listen to his neighbors and represent them, not the special interest lobbyists that swarm over our Capitol like the miller moths and locusts of summer.
It takes a strong voice from a future leader like Sarah Woodson who listens first to the people and serves them, and not the special political insects. Too many people are again suffering real economic hardships, like how to simply pay for this week’s groceries, while the politicians of the far right and left play off one another and do nothing to help the common people.
It is time again to support a homegrown political newcomer who will serve us, the people, not them, the special interests.
Steve Ruddick, Aurora
Editor’s note: Ruddick is a former Aurora state representative.
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Colorado
Colorado governor vetoes bill that would have allowed lawsuits against federal immigration officers, signs another to regulate detention centers
Two immigration protection bills passed by Democrats in the state legislature met different fates this week, with Gov. Jared Polis vetoing one and signing the other into law.
Polis vetoed Senate Bill 5 on Wednesday, June 3, a measure that would have allowed people to sue federal immigration officers in Colorado civil court if those officers violated their constitutional rights.
It was sponsored by Sens. Mike Weissman, D-Aurora, and Julie Gonzales, D-Denver, and Reps. Javier Mabrey, D-Denver, and Yara Zokaie, D-Fort Collins.
Supporters of the bill said it was aimed at holding federal agents, like Immigration and Customs Enforcement, or ICE, accountable. The measure was passed following national backlash to the January shootings and deaths of Renee Good and Alex Pretti in Minnesota, which involved federal agents.
In a letter describing his reasons for the veto, Polis said the bill was too narrow and could weaken other civil rights protections if it were to be struck down by a court. Polis said the bill only applies to violations during immigration enforcement, and does not provide an avenue to sue the federal government for violating rights during protests, elections, prisons or in the workplace.
“It’s that narrow focus that unfortunately creates legal jeopardy,” Polis wrote. “I believe Colorado has a chance to get this right — and we must pass a broader version of this bill that protects all constitutional rights, including in the immigration context, that will serve to truly hold public officials accountable.”
The same Democrats who sponsored SB 5 tried to pass a broader version of the legislation that would have allowed lawsuits against any government employee, including local, state and federal officials, for any civil rights violations.
That measure, Senate Bill 176, dubbed the “No Kings Act,” was killed during a committee hearing in May after two Democrats — Sens. Dylan Roberts of Frisco and Lindsey Daugherty of Arvada — joined the committee’s two Republicans in voting it down. The bill faced pushback from local governments, police groups and district attorneys, as well as from Colorado Attorney General Phil Weiser, who criticized the legislation for being overly broad and said it would lead to a flood of lawsuits against local and state officials.
Polis, in his veto letter, wrote that he supported that bill and that his office worked with sponsors on the legislation, which he believed “would withstand legal scrutiny.” Polis blamed “overly intense and misleading lobbying from local governments and public entities” for the bill’s failure.
Polis, who is term-limited after this year, urged lawmakers and groups involved with that bill to continue working toward a solution. He also acknowledged the need to hold federal officials to the same standards as state and local ones, writing that “we have seen too many examples of senseless deaths and constitutional rights violations during immigration enforcement operations and raids in recent years, and there is an urgent need for federal immigration agents to be held accountable for these lawless actions.”
So far this year, Polis has vetoed 12 bills, the most of his tenure as governor.
Alex Sanchez, president and CEO for the Western Slope-based immigrant advocacy group Voces Unidas, said in a text message that he is “deeply disappointed” in the governor’s veto.
“This veto caps one of the most disappointing legislative sessions for Latinos and immigrants in recent Colorado history — and Democrats, who control state government, are responsible,” Sanchez said.
Sanchez criticized a bill passed by Republicans and some Democrats that raises the hourly threshold for overtime pay for agricultural workers from 48 hours to 56 hours, which Polis signed last month. He also blasted Democrats for killing a bill earlier this year that would have required state and local law enforcement to arrest federal immigration officers who violate state law and prohibited state and local law enforcement from concealing their identity.
“Colorado’s Latino communities deserved strong leadership,” Sanchez said. “We got excuses instead.”
Polis signs bill on immigration detention facilities
Polis did sign another immigration-related measure on Thursday.
House Bill 1276 expands the state’s ability to inspect and regulate immigration detention centers. The measure allows the state to inspect detention centers’ food, water quality and other conditions, and requires those centers to pay for the inspections. Detention centers will also need to submit data annually to the state on the health outcomes of detainees and pass an environmental impact study.
Additionally, the measure bans local and state transit services from transporting immigrants for detention and requires state agencies to publicly disclose when they have received a subpoena from federal immigration officers.
A previous version of the bill would have held state agencies, not just their employees, liable for violating state laws on immigration information sharing, but that provision was removed after bill sponsors said they heard concerns from Polis.
“We won’t let the federal government operate dangerous and inhumane detention centers without oversight, and our bill ensures facilities are regularly inspected,” said bill sponsor Rep. Elizabeth Velasco, D-Glenwood Springs, in a statement. “All Coloradans deserve to be treated with respect and dignity, and this law establishes some important guardrails for detention centers and safeguards Coloradans’ privacy.”
The bill’s other sponsors were Weissman, Sen. Iman Jodeh, D-Aurora, and Rep. Lorena Garcia, D-Adams County.
Colorado
Anyone can fish for free — without buying a license — this weekend in Colorado
Colorado will host its annual Free Fishing Weekend on Saturday and Sunday, June 6-7.
This weekend, the state is waiving its usual fishing license and habitat requirements, allowing residents, non-residents and anglers of all ages to fish for free, according to a news release from Colorado Parks and Wildlife.
“Fishing is a great activity to share with family and friends, and the perfect chance to get outside and enjoy Colorado’s natural resources,” said Colorado Parks and Wildlife Angler Education Coordinator Andre Egli in a statement.
Colorado has more than 6,000 miles of streams and over 1,300 lakes, including spots that the agency’s biologists have rated as Gold Medal and Quality Waters for anglers due to their abundance of fishing opportunities. The state offers a diverse range of fish for anglers to catch, including over 35 species, according to Parks and Wildlife.
All Colorado fishing regulations still apply this weekend, so anyone who is planning to fish for free should review the 2026 Colorado Fishing Brochure. Anglers can find out more about Colorado fishing locations, classes, events, tournaments and regulations by visiting CPW.State.co.us/fishing.
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