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AARP study shows Medicare negotiations will bring massive savings for consumers in 2026

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New abilities for Medicare to negotiate prescription prices mean certain drugs should be 50% to 70% cheaper for many Floridians in 2026.

That’s according to an analysis by AARP.

“That’s real relief for older adults who have been stretched to the breaking point by high drug prices for far too long,” said AARP Executive Vice President Nancy LeaMond in a media briefing.

The study looked specifically at how negotiated prices impact customers in five states with a high number of Medicare users: Florida, California, New York, Pennsylvania and Texas. Medicare has selected 25 drugs so far to start price negotiations.

The AARP study shows out-of-pocket costs for the first 10 Medicare-negotiated prescription drugs, which are used by 9 million Medicare seniors to treat diabetes, heart disease, autoimmune disorders and cancer, will drop by more than half for those on standalone Medicare Part D plans.

AARP attributes those savings to a law signed by former President Joe Biden in 2022 and backed by the AARP for years.

LeaMond said it’s especially valuable now, at a time when upward of 95% of Americans age 65 and older have at least one chronic condition, and close to 80% are dealing with two or more.

“The law now requires Medicare to identify high-cost drugs and negotiate lower prices on behalf of beneficiaries and the taxpayers who help fund the program,” she said.

“The law also stops price gouging by requiring rebates when companies raise prices faster than inflation. It caps insulin at $35 per month for people on Medicare, makes vaccines for things like shingles free, and limits what folks in Medicare drug plans pay out of pocket for their prescriptions. And today’s new AARP analysis shows that the 2022 law will continue to make a big impact, helping older Americans save money on their prescriptions.”

Medicare Part D currently provides prescription drug coverage for nearly 56 million Americans, according to Leigh Purvis, the AARP Public Policy Institute’s Prescription Drug Policy Principal and the author of the report.

“Rising drug prices have placed an immense burden on many of these enrollees, leading far too many to make difficult choices like not filling prescriptions or skipping doses to make ends meet,” Purvis told press. “This is particularly troubling for those on fixed incomes, where every dollar counts.”

But AARP cautioned that the policies could also draw reaction from pharmaceutical companies.

“Beware: big drug companies are spending millions to delay negotiation and keep prices sky high — while lining their own pockets,” LeaMond said. “As the voice for 125 million Americans age 50 and over, AARP will keep fighting any attempts to undermine Medicare’s ability to negotiate prescription drugs.”

In total, the change should provide a collective $1.5 billion in out-of-pocket costs to Medicare enrollees in 2026, based on figures available from the Centers for Medicare & Medicaid Services.

AARP has also supported state policies, like giving the ability to import cheaper drugs internationally. Florida in January 2024 received a long-sought approval to import certain prescription drugs, making it the first state to win such an approval.

Megan O’Reilly, AARP Vice President of Public Affairs, stressed that AARP supports importation efforts.

“We know there’s a number of states in different processes and discussions with the federal government,” she told Florida Politics. “As we talk about AARP support across the board for all the different levers that we think can have an impact on lowering drug prices and the costs that seniors pay, importation has been one of those issues we’ve been strongly advocating on.”

But Purvis cautioned that the process for such approvals is a lengthy one. Florida’s request to the federal government was pending for two years.

“Most of the states that have engaged in this still have not fully completed that process,” Purvis said. “But one really important criteria is that they have to be able to demonstrate savings, and so should a program be finally approved and implemented? The expectation is yes, they should see savings from having that program in place.”

The study came out as Congress debates health care reforms and the best way to address health care costs. The U.S. House on Wednesday passed a Republican-crafted plan that leadership said should reduce insurance premiums for most Americans, but which notably included no extension of pandemic-era tax credits tied to the Affordable Care Act insurance marketplace.

Will that change impact drug costs? AARP officials noted that the legislative package included a pharmacy benefit manager (PBM) policy. The senior advocacy organization has yet to take a public stance on that specific measure, but said it broadly supports reforms to the PBM system.

AARP has backed Senate language in a bipartisan health care proposal from U.S. Sens. Mike Crapo, an Idaho Republican, and Rob Wyden, an Oregon Democrat. LeoMand said the organization will ultimately support any proposal with proven opportunity to “bring relief and efficiencies to prescription drug pricing and make improvements in the drug supply chain.”



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Miami Beach Commission censures Fabián Basabe, prompting heated exchange at City Hall

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After months of public criticism by Rep. Fabián Basabe that culminated in the approval of a state audit of Miami Beach’s government operations, the City Commission has formally censured the lawmaker.

The seven-member panel unanimously approved a resolution denouncing Basabe’s allegations of corruption, mismanagement, favoritism, unethical behavior, improper contracting and cronyism — claims that city officials say are unsupported by evidence.

“Unsubstantiated allegations made by public officials undermine public trust, harm the City’s reputation, disparage City employees and elected officials, and create unnecessary doubt in the integrity of municipal governance,” the resolution states.

The item passed Wednesday as part of the Commission’s consent agenda, but not before a heated exchange during public comment between Basabe and Mayor Steven Meiner, who at one point threatened to have the lawmaker removed from the chamber.

Basabe used his remarks to reiterate criticism of the city’s homelessness ordinance, which he has argued is weaker than state law. City officials dispute that claim, citing census data from the Miami-Dade Homeless Trust and noting that Miami Beach’s ordinance prohibits public camping at all times, while state law bans it only overnight.

Basabe also claimed several people had privately told him Miami Beach needs to be audited, including “the Mayor’s most trusted adviser.” While the city already has an independent Inspector General, Basabe has argued internal oversight mechanisms are compromised by local influence.

Meiner said he welcomes the state audit and any corrective findings it may produce, but argued Basabe’s broader accusations go far beyond legitimate oversight.

“The reason why this item is on the agenda is because you move from issue to issue, saying things that are completely fabricated, untrue and have no basis in any evidence whatsoever,” Meiner said. “That is intolerable.”

Meiner accused Basabe of seeking headlines to distract from what he characterized as a weak legislative record. “You’re a failed legislator,” the Mayor said.

Of 36 bills Basabe has been the prime sponsor of since winning office in 2022, he has passed 10, nine of which passed in the 2025 Session. He has also brought millions in state appropriations back to his district.

Asked to provide evidence of poor fiscal or operational oversight, Basabe cited a 2021 city contract with FPI Security Services, alleging the company was not in good standing at the time. City Attorney Richard Dopico later said city and state records show that assertion is incorrect.

A brief shouting match followed, during which Basabe challenged Meiner to a public debate. Commissioner Alex Fernandez dismissed the idea as a “waste of time.”

“I spent two hours trying to find peace with the Representative, extending yet another olive branch,” Fernandez said. “It’s not about the public. It’s all about him and elevating himself.”

Fernandez said that during their meeting, Basabe airdropped him an endorsement from an elected official from another municipality and asked for a similar one from him. Fernandez said he refused.

“Two weeks later, we’re getting audited,” he said. “Let that sink in.”

Basabe denied ever seeking Fernandez’s endorsement. “I would never take it unless you give the city an apology,” he said.

Commissioner Tanya Bhatt — a co-sponsor of the resolution along with Meiner, Fernandez and Commissioner Laura Dominguez, whom Basabe has also accused of impropriety — said she rarely responds to comments Basabe makes in public and online because they are “so fallacious.”

“It’s really disappointing to see an elected Representative who’s supposed to represent all of us attacking the city, its leadership and its residents,” Bhatt said, adding that while she welcomes the audit, she takes exception with what she called “one-sided and vitriolic on our policies, the truth (and) individuals with no backup. It’s exhausting.”

Commissioner Joseph Magazine said he remains open to dialogue with Basabe, but objected to the lawmaker blaming the City Commission for a pair of attacks by homeless people on Miami Beach residents in the past two years.

“These were people (who) were arrested … and released numerous times, people that had no business whatsoever being on our streets, and I don’t mean in a homeless fashion; I mean outside the prison system,” he said. “If we want to make our region better, let’s work with our partners at the state, at all levels, to try and fix that broken criminal justice system.”

Basabe has accused the resolution’s sponsors of turning a routine oversight issue into a political fight and criticized placing the item on the consent agenda.

“This alone tells you how uncomfortable they are with transparency,” he said.

Several residents spoke in Basabe’s defense. Larry Shafer urged Commissioners to defer the resolution until after the audit, while Sharon Weiss said the state review could produce constructive reforms rather than punishment.

Hotelier Mitch Novick questioned consent agenda items approving large incentives — including $800,000 over four years for Playboy — and utility rate increases, noting the city’s budget has more than doubled in 12 years.

Wayne Roberts raised concerns about city spending, citing a Fire Department contract he claimed boosted average annual salaries to “$350,000 with benefits.”

City Manager Eric Carpenter disputed that figure, saying the average firefighter salary is roughly half that amount.

___

Editor’s note: This report was updated to include information about Basabe’s legislative record.



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Paul Renner launches Flagler County Leadership Committee

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Gubernatorial candidate Paul Renner became House Speaker while representing people in Flagler County. Now, he’s emphasizing those local connections with his newly launched Flagler County Leadership Committee.

The coalition of elected officials, faith leaders and members of the business community will help with grassroots outreach as Renner pursues the Republican nomination.

“Flagler County is my home. It is a growing and vibrant community, and I’m incredibly grateful and honored for the leadership, trust, and support of these men and women,” Renner said “This committee represents the best of Flagler County.”

Renner added that these locals “are hardworking Floridians who understand the values that make our state strong — faith, freedom, economic opportunity, and safe communities.”

The committee launches with these members:

James Gardner Jr., Flagler County Property Appraiser

Greg Hansen, Flagler County Board of County Commissioners, District 2

Christy Chong, Flagler County School Board Chair

Donald O’Brien, former Chair of Flagler County Board of County Commissioners

David Ayres, civic leader and radio personality

Michael Chiumento, lawyer and Flagler County business leader

Sharon Demers, Republican grassroots leader

Ed Fuller, civic leader and Flagler Tiger Bay Board member

Patrick Juliano, first responder union leader

Samuel Royer, U.S. Marine Corps veteran and community advocate

Lacy Martin, marketing strategist and community advocate

Greg Peters, co-founder and lead pastor at Parkview Church

Denise Peters, co-founder of Parkview Church

Randy Stapleford, retired U.S. Navy Captain and civic leader



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Senator Geraldine F. Thompson Way to be unveiled Friday in Orlando

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Officials are scheduled Friday to officially recognize Senator Geraldine F. Thompson Way — a renamed portion of South Street in downtown Orlando honoring the late Senator who died this year.

Sen. LaVon Bracy Davis and Orlando Mayor Buddy Dyer are expected to attend the 10:30 a.m. ceremony to unveil the new road sign.

Bracy Davis, who won a Special Election to finish the remainder of Thompson’s term, said on social media that the event is paying tribute to Thompson to “honor her decades of leadership, her dedication to preserving African American history, and her unwavering service to the people of Florida.”

Thompson died at age 76 in February from knee replacement surgery complications.

Thompson was the Director of the Wells’Built Museum of American-American History in Orlando’s Parramore district. Fittingly, Senator Geraldine F. Thompson Way will be renamed on West South Street between South Division Avenue and U.S. 441, which passes by the museum.

“Sen. Geraldine Thompson was a force — a trailblazer, a historian, a fierce advocate, and a devoted mother and grandmother who worked every day to uplift all Floridians, ensuring that no one was left behind,” U.S. Rep. Maxwell Frost said in a statement at the time of her death.

Other lawmakers, both Republicans and Democrats, put out statements of support and tributes after her death.

Thompson, a Democrat, had represented Orlando in the Legislature for two decades. At one point, the Orlando Sentinel described her as the “epicenter of Black history in Orlando.”

She took people on bus tours of the city’s Black history, wrote a book on Orlando’s African American community, hosted Juneteenth events and helped launch Orlando’s early celebrations to honor Martin Luther King Jr. 

Last month, officials gathered to open Harris Rosen Way, the honorary roadway on International Drive between State Road 528 and Sand Lake Road.

Rosen, the CEO of the largest independent hotel chain in Florida, died at age 85 in 2024.



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