Hawaii
‘Big Three’ PBMs to Face House Oversight Accountability as Hawaii Court Delivers Legal Victory
The three biggest pharmacy benefit managers will come before the House Committee on Oversight and Accountability to explain their role in the increasing medication prices in the U.S., according to an announcement on Tuesday by committee Chairman James Comer (R-Ky.).
The hearing, set for July 23, will include Adam Kautzner, president of Evernorth Care Management and Express Scripts, David Joyner, executive vice president of CVS Health and president of CVS Caremark, and Patrick Conway, CEO of OptumRx. According to Comer’s announcement, the session will probe how these pharmacy middlemen reinforce anticompetitive practices in the industry, in turn increasing prescription drug prices and compromising patient care.
Comer added in the statement that lawmakers across the aisle have “sounded the alarm” on the role of pharmacy benefit managers (PBM)—and their “anticompetitive tactics”—in increasing drug prices.
“Spread pricing and rebates benefit PBMs and have helped the three largest PBMs monopolize the pharmaceutical market,” Comer continued. “It’s clear these self-benefitting practices only serve to help their bottom line rather than patients.”
Also on Tuesday, the Federal District Court of Hawaii tossed the state’s lawsuit alleging that the three biggest PBMs were artificially and unlawfully hiking drug prices. Hawaii’s state attorney general has 45 days to file an amended complaint.
The state of Hawaii sued the top three PBMs—CVS Caremark, Express Scripts and OptumRx—in October 2023, claiming that they employed unlawful business practices, which in turn “have driven skyrocketing prices for brand-name prescription medications.” Among the practices that the lawsuit named was charging pharma companies rebates in exchange for favorable formulary placements for their drugs.
PBMs also charged drugmakers several other fees, none of which helped lower drug prices for patients at the point of sale, the lawsuit alleged. “Pay-to-play practices directly harm consumers both by artificially inflating the price of medications and by restricting consumers’ access to medications that could save or greatly increase the quality of their lives,” deputy attorney general Ciara Kahahane said at the time.
These double developments on Tuesday come amid mounting scrutiny of PBMs. Earlier this month, the U.S. Federal Trade Commission (FTC) published an interim report showing that the top three PBMs handled nearly 80% of all prescriptions dispensed by pharmacies across the country. The antitrust watchdog also found that these middlemen “can hike the cost of drugs” and overcharge patients for cancer therapies, according to FTC Chair Lina Khan.
A few days later, The Wall Street Journal reported that the FTC was gearing up to sue CVS Caremark, OptumRx and Express Scripts over alleged anticompetitive practices.
Hawaii
Honolulu City Council adopts nearly $5B budget package | Honolulu Star-Advertiser
Hawaii
Gov. Green responds to lawsuit challenging Hawaiian Homes program | Maui Now
Gov. Josh Green today issued a statement regarding a federal lawsuit challenging the eligibility requirements within the Hawaiian Homes Commission Act.
“The Hawaiian Homes Commission Act was established to address the historic dispossession of Native Hawaiians and reflects a longstanding commitment to them by both the federal government and the state of Hawaiʻi,” said Green.
“This lawsuit threatens that commitment. I have directed the Department of the Attorney General to vigorously defend the Hawaiian Homes program. We will fight this lawsuit with everything we have,” he said.
The lawsuit was filed by Eric Ryan, an Oʻahu resident who is not Native Hawaiian and tried to apply for a lease, but was denied due to the 50% Native Hawaiian blood quantum requirement, according to Hawaiʻi News Now and court documents published at Courthouse News Service.
The Class Action Complaint argues that the “explicitly ancestry-based requirement” establishes a “permanent government mandate for state officials to engage in outright racial discrimination, perpetuates stereotypes, and limits housing opportunities for most Hawai‘i residents. The blood-quantum requirement thus violates the Equal Protection Clause of the Fourteenth Amendment and the Due Process Clause of the Fifth Amendment to the United States Constitution,” the complaint alleges.
Green said the administration “stands firmly with the Department of Hawaiian Home Lands and the thousands of Native Hawaiian beneficiaries who rely on this program and its promise for future generations.”
Attorney General Anne Lopez also issued a statement saying the state of Hawaiʻi has both a legal and moral obligation to uphold the commitments embodied in the Hawaiian Homes Commission Act.
“This lawsuit seeks to dismantle a program that has provided opportunities, stability and hope to generations of Native Hawaiian beneficiaries,” said Lopez.
Solicitor General Kalikoʻonālani Fernandes, who has extensive experience handling complex constitutional litigation on behalf of the state, will lead the legal team in defending the state against the challenge.
“We are prepared to vigorously defend the Hawaiian Homes program and the promises it represents,” said Lopez.
Under the Green administration, the Department of Hawaiian Home Lands has accelerated the delivery of homestead opportunities and expanded pathways to homeownership for Native Hawaiian beneficiaries.
In 2025 alone, DHHL offered more than 2,500 lease awards and continues to advance major housing projects, including Hale Mōʻiliʻili on Oʻahu, which will provide 278 affordable rental units for beneficiaries.
“These efforts reflect the administration’s commitment to reducing wait times, strengthening Native Hawaiian communities and fulfilling the promise of the Hawaiian Homes Commission Act,” according to the governor’s announcement.
Hawaii
Bystander video shows damage after concrete falls at Ala Moana Center
HONOLULU (HawaiiNewsNow) – Concrete fell from the exterior of an Ala Moana Center parking structure Monday afternoon near the Kapiolani Boulevard exit, damaging a vehicle.
No injuries were reported.
Security blocked an exit lane as debris scattered across the roadway. Ala Moana Center said they are grateful no one was hurt, and the lane will remain closed while structural engineers and construction professionals assess the damage and make repairs.
Copyright 2026 Hawaii News Now. All rights reserved.
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