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‘Big Three’ PBMs to Face House Oversight Accountability as Hawaii Court Delivers Legal Victory

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‘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.”

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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.

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Hawaii Foodbank Kauai provides help for TSA workers – The Garden Island

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Hawaii Foodbank Kauai provides help for TSA workers – The Garden Island






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Kay’s Crackseed: The Manoa shop preserving Hawaii’s favorite childhood snack

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Kay’s Crackseed: The Manoa shop preserving Hawaii’s favorite childhood snack


HONOLULU (HawaiiNewsNow) – If you grew up in Hawaii, a visit to your local Crackseed shop is likely a core childhood memory.

Let’s go holoholo to one of the oldest shops in Honolulu, Kay’s Crackseed.

Any time Lanette Mahelona of Kaneohe is in Manoa, a stop at Kay’s Crackseed is a must!

“I stop by here, and I always grab two pounds of this seedless creamy ume because it’s hard to find on our end of the island, Kaneohe,” said Mahelona.

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Kay’s Crackseed sits in a four-hundred-square-foot shop at Manoa Marketplace.

The original owner, Kay, opened the shop in 1978 and ran it for 18 years.

Mei Chang now runs the shop. Her family took it over in 1996. They’ve been selling an assortment of crack seed and products, which Mei says is a healthy snack in the eyes of the Chinese.

“Yeah, so like the ginger, the Chinese always say it’s Chinese medicine, so they help your motion sickness, the stomach, and even the kumquat,” said Chang. “It’s like honey lime ball, if you catch a cold, sore throat, they help a lot.”

Customers are encouraged to sample the different treats.

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Now working in a crack seed shop isn’t anything new for Chang.

She said these kinds of shops are in common in Taiwan that her grandparents used to sell different kinds of li hing mui.

Chang lived right above her grandparents’ shop and was in the second grade when she started helping them with the business.

“Every day when I finish school first thing open a jar,” said Chang. “I really like the football seed, so every day I eat a football seed for my snack.”

And talk about a full circle moment, her daughter would also help around the Manoa shop.

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Through Kay’s Crackseed, Chang hopes to carry on traditional recipes she learned from her grandparents.

“Crack seed for us is not only the snack, but it’s like childhood memory, yeah, the happiness, so we try to keep doing the tradition. So, all the juice we make here is from our grandpa and grandma’s recipe,” said Chang. “So, a special yeah, secret sauce, so we have some customers that live far away, the other side of the island, drive so far to come here to get the li hing one. The wet li hing mui, the rock salt palm, is really popular.”

“The li hing mui ones are not as sweet, sweet as other places, and it’s soft,” said Crystal Kaluna of Kauai.



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Kolekole Pass cleared for emergency evacuations out of West Oahu

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Kolekole Pass cleared for emergency evacuations out of West Oahu


HONOLULU (HawaiiNewsNow) – The Kolekole Pass is officially allowed to be used as an evacuation route in the event of an emergency on West Oahu.

U.S. military and civilian officials signed an updated official memorandum of understanding Wednesday, opening Kolekole Pass for emergency use.

The first document was signed just prior to July 29, 2025, when Hawaii faced a tsunami warning, and the pass was opened for West Oahu residents to evacuate.

Nearly 500 vehicles made their way through the pass that day as many evacuated the Leeward Coast, officials said.

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Maj. Gen. James Batholomees, U.S. Army Commander, Hawaii, was joined by his counterparts from Joint Base Pearl Harbor-Hickam and the state Department of Transportation officers for Wednesday’s signing.

Batholomees said he took command the day before the tsunami warning.

“The next day, the first order that I had the blessing of giving was in conjunction with the Navy opening the pass during the tsunami,” he said.

Kupuna from the Leeward Coast also attended the signing, saying they were happy for a much-needed secondary route in the event that Farrington Highway is shut down.

Leeward Coast resident William Aila recalled when Farrington Highway was closed for 11 days due to Hurricane Iwa in 1982.

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“We need an opportunity to bring in first aid, to bring in food, and to bring in other emergency supplies,” said Aila.

Officials say they are committed to conducting a mass evacuation rehearsal using Kolekole Pass every year.

Ed Sniffen, director of the state Department of Transportation, said it’s the key to a successful activation to use the route.

“The road is safe,” said Sniffen. “When we rode through this, and we did this twice with large operations, the road is safe.”

He added, “That being said, there are improvements that we still want to make.”

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HDOT continues to work with the U.S. Army and U.S. Navy on upgrading the roadway, which may total $20 million in improvements.



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