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Drug companies threaten Florida’s health care safety net

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Taxpayers, get ready for another round of bailouts.

However, unlike Wall Street executives who begged Uncle Sam to cover their risky bets, cash-strapped nonprofit rural health care providers have not gambled away their resources.

Quite the contrary, they have done nothing irresponsible. The best part is that the bailout is not a fait accompli. And state lawmakers do not have to stand by and wait for a federal solution. The Florida Legislature and Governor DeSantis are not powerless. The simplest way to protect providers, and by extension, medically underserved Floridians, is by codifying the process by which eligible providers attain critical savings under the 340B Drug Pricing Program.

If drug makers get their way, they will shred Florida’s health care safety net. Their new scheme involves converting the current 340B payment model from upfront savings on drug purchases to rebates on the backend of transactions. The problem is that nonprofit health care providers rely on these critical savings to offset losses from delivering high-quality care that often receives below-cost reimbursements.

Here is what drug companies want: Delay.

The plan is to reimburse providers at an indeterminate future date, on their own terms, making every 340B claim subject to dispute and protracted payment. Drug companies understand that many rural providers operate on shoestring budgets. If they can slow-walk how covered entities attain 340B savings, providers face resource deficits they cannot overcome.

What if drug makers deny every initial rebate claim, extending the lifecycle of payments months down the road? The clinical outcomes of millions of rural Americans depend on their providers, often the sole provider they can access, receiving upfront 340B savings to keep their doors open.

In August, the Trump administration released guidance for a rebate model pilot program that displeased providers and the pharmaceutical manufacturers. Providers worry that savings from rebates will not be distributed to them in a timely manner. Drug makers fret that instead of a universal change, the administration opted for what they view as a half measure, and only for a subset of prescription drugs.

And here is where Florida’s Legislature has a role to play. The pilot program limits rebate conversion to the 10 drugs selected for the Medicare Drug Price Negotiation Program, an initiative in the Inflation Reduction Act. Florida has the authority to pass legislation shielding prescriptions paid for by private payers and the state Medicaid fund, limiting rebate conversion in 340B to only those drugs selected for negotiation in federally funded Medicare. Such legislation would not interfere with federal prerogatives, as states have the authority to control the dispensing of prescription drugs within their borders when they or private actors are the payors.

Florida should act now to preempt drug companies that seek to convert all 340B savings, regardless of the payor, into rebates. If state lawmakers remain idle, expect foreseeable consequences.

Since 2010, 89 rural hospitals have closed, including five in Florida. Another 65 underwent “converted closures,” defined by reducing or eliminating services, changing locations and/or closing facilities. According to a 2025 analysis from the Center for Healthcare Quality and Payment Reform, 760 rural hospitals are at risk of closing, with 40% facing immediate risk. In Florida, nine rural hospitals (41%) are at risk of closure, with two hospitals facing imminent peril.

Recognize that the current financial reality would have occurred even with the critical savings enabled by the 340 B program. The fundamental changes to the 340B program sought by drug companies would cause catastrophic harm to health care in rural America.

Gov. Ron DeSantis signed landmark pharmacy benefit reform legislation into law in 2023. The Prescription Drug Reform Act loosened the stranglehold PBMs had over the state’s prescription drug supply chain. State lawmakers, however, have yet to protect 340B providers from drug companies bent on limiting the number of prescriptions available at discounted prices.

Florida is one of five states where contract pharmacy protection legislation died in its Legislature in 2025. HB 1527 would have prohibited drug manufacturers from taking actions that interfere with how 340B providers acquire drugs and PBMs from discriminatory reimbursements to said providers.

Florida should not leave its rural 340B providers to the whims of national politics. Federal solutions take too long to materialize, if they happen at all. The attorney general should file suit against any drug company that attempts to expand rebate conversion beyond the parameters of the pilot program. Lawmakers should reintroduce HB 1527 with the added provision that prohibits drug companies from expanding their rebate scheme.

Drug companies are undertaking a multi-pronged effort to dismantle 340B. The Legislature has the power to protect rural nonprofit providers. The time to act is now.

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John Arcano is the senior manager of policy and government affairs at AIDS Healthcare Foundation.



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Miami Beach committee leadership reshuffle excludes women from every top post

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Miami Beach Mayor Steven Meiner unveiled his new committee appointments for 2026, and there’s a commonality among them: no women Chairs.

In all three of the city’s Commission committees, which are appointed solely by the Mayor and composed exclusively of City Commission members, men hold the top post.

That’s despite three of the Commission’s six non-Mayor members being women.

On the Land Use and Sustainability Committee, Meiner elevated previous Vice Chair David Suarez to Chair and demoted prior Chair Alex Fernandez to Vice Chair.

He did the same with the Public Safety and Neighborhood Quality of Life Committee, where Fernandez rose from Vice Chair to Chair, and Laura Dominguez switched to Vice Chair.

Only on the Finance and Economic Resiliency Committee did last year’s arrangement remain the same, with Joseph Magazine keeping his Chairmanship, with Suarez staying on as the panel’s second-in-command.

Commissioner Tanya Bhatt holds membership posts in two of the three committees and is an alternate member for a third, in which Monica Matteo-Salinas — who won election to the City Commission in December — serves as a member.

Florida Politics contacted Meiner, Bhatt, Dominguez and Matteo-Salinas for comment, but received no response by press time. We also reached out to Lynette Long, who chairs the Miami Beach Commission for Women, but she did not immediately respond.

Suarez said by text that he doesn’t believe Meiner’s appointments have anything to do with gender.

“Commission committee assignments rotate and are based on merit and experience, and suggesting otherwise leans into a false narrative where none exists,” he said. “Women have long chaired committees — both Commission committees and other City committees — and continue to serve today as chairs and vice chairs on both.”

Magazine said he looks forward to continuing his work leading on economic resiliency.

“Given my long financial background in the private sector and our success in the last two budget seasons, I’m happy to be appointed Chair again,” he said. He declined to comment on other appointments.

Fernandez said he is proud of the record he built as Chair of the Land Use and Sustainability Committee, which secured critical exemptions from the 2024 Resiliency and Safe Structures Act, helped preserve architectural design standards under the Live Local Act and modernized historic preservation regulations, among other accomplishments.

“Serving as Chair of the Land Use Committee was something I was proud of and I will continue to be proud of the committee’s record of accomplishments during my tenure,” he wrote in a statement that did not touch on the women-as-Chairs subject.

Last year, Dominguez and Matteo-Salinas each defeated opponents who participated in a campaign event for Meiner also attended by one of the officers who questioned resident-activist Raquel Pacheco at her home last week after she wrote disparagingly about the Mayor on Facebook.

The visit has since made national headlines.



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Emily Duda Buckley family business gets philanthropic, gives $200K to cancel student lunch debt

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As part of its 100th anniversary celebrations, family-operated agriculture and real estate company DUDA has donated $200,000 to the nonprofit All for Lunch program to eliminate school lunch debt for students in Seminole County who qualify for free or reduced meals.

The company, which owns a suite of brands across the country in both agriculture and real estate development, includes leadership from Emily Duda Buckley, who is running for House District 38 to replace term-limited incumbent David Smith.

Duda Buckley is the senior manager for external affairs for DUDA, where she leads the company’s external engagement strategy with a primary focus on community relations, philanthropy and industry partnerships. She also monitors public policy and regulatory developments that may impact business operations.

“Education begins with meeting basic needs,” Duda Buckley said of the company’s donation to All for Lunch. “Clearing school lunch debt helps remove a quiet but very real barrier for students and families, and our family business is honored to support Seminole County schools in this meaningful way. When we support students, we support the entire community.”

The Duda family presented a check Tuesday to All for Lunch and Seminole County Public Schools, at Pine Crest Elementary.

“As we celebrate 100 years, it’s important for us to give back to the community that helped shape who we are,” said Tracy Duda Chapman, Chief Legal and Administrative Officer at DUDA.

“Our family firmly believes in sharing our blessings, and eliminating this lunch debt allows us to put those values into action and support Seminole County families in a tangible way. No child should carry the weight of a lunch debt, and we’re honored to help ensure students have access to the nutritious foods they need to optimize learning.”

The donation from DUDA will clear lunch balances for more than 3,600 Seminole County students who qualify for free meals and another 1,425 who receive reduced-price meals, collectively helping more than 5,000 students eliminate stress and focus on learning.

“DUDA’s donation made an immediate difference for thousands of students. When a partner steps forward at this scale, it allows us to lift a burden that many parents quietly struggle with. This gift didn’t just erase debt — it offers relief for families navigating tight household budgets month-to-month,” All for Lunch founder and Executive Director Alessandra Ferrara-Miller said.

It’s estimated that 1 in 6 kids in Central Florida face hunger on any given day, and Seminole County school leaders say this type of philanthropic support is a huge relief to those students and their families.

“The extraordinary generosity of DUDA exemplifies that community partnerships make a significant impact on the lives of our students and families,” Seminole County Public Schools Superintendent Serita Beamon said.

“This support provides a fresh start for many of our families and helps to ensure students and their families can focus on learning. On behalf of our students, families, and staff, thank you for making such a meaningful difference.”

And Seminole County Schools are also using the Duda family philanthropy as a tool to attract additional donors. All for Lunch has established a special donation page in honor of DUDA’s 100th anniversary contribution, allowing anyone in Central Florida to chip in to make a difference.

Emily Duda Buckley is one of three Republicans currently vying for the HD 38 seat, and she’s off to an early lead, with nearly $134,000 raised. The other two Republicans in the race are far behind, with Marcus Hyatt banking more than $35,000 and Austyn Cydney Spell hasn’t reported any fundraising.



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Have Democrats given up on the Pinellas County Commission?

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Three Pinellas County Commission seats are up for election this year, and Republicans incumbents are seeking re-election in all of them. Those office-holders appear relatively safe if 2025 campaign finance reports are any indication.

Brian Scott, who represents the countywide District 2 seat, is so far unopposed. Qualifying in the races runs June 8-12, so there is still time for a challenger to emerge. However, any would-be challenger would enter the race at an immediate funding disadvantage, with Scott raising more than $94,000 as of the end of 2025.

The other two incumbents facing re-election this year — Dave Eggers in District 4 and Kathleen Peters in District 6 — have drawn challengers, though neither have posted significant fundraising activity since entering the race.

There isn’t a Democrat challenging Eggers so far, but he faces intraparty opposition from fellow Republican Tony Ringelspaugh. Ringelspaugh, who describes himself as retired, raised just $1,000 since entering the race in October, and half of that was a contribution from himself to his campaign. As of Dec. 31, he hadn’t spent any of it.

Eggers, meanwhile, has raised nearly $19,000 and retains about $13,000. It’s a small sum compared to fundraising activity in past Pinellas County Commission races — note Scott’s nearly six-figure haul for a so far unopposed race — but it’s still enough to create a wide funding gap between his opponent.

And Ringelspaugh doesn’t appear to be actively campaigning at this point. His most recent post to his campaign Facebook page was on Oct. 15 announcing his bid. Ringelspaugh does not appear to have a campaign website, either.

Eggers also has strong institutional support, including recent nods from U.S. Reps. Gus Bilirakis and Anna Paulina Luna.

Eggers faced intraparty opposition four years ago, but won re-election that year with 68% of the vote. If no Democrat enters the race, and no one files as a write-in to close the Primary, the GOP Primary will be open to all voters.

District 4 covers the northernmost parts of Pinellas County, including Palm Harbor, East Lake, Tarpon Springs, Dunedin and Safety Harbor.

Peters is the top fundraiser among incumbents up for re-election this year, with $103,000 raised as of Dec. 31. Her opponent, architect David Glenn Jr., a Democrat, has collected less than $2,300.

While Glenn entered the race in December and only had three weeks of fundraising to report, his early activity doesn’t show a lot of momentum. All of his funds came from the candidate himself. Still, he has been at least somewhat active on social media and in the community, speaking at local Democratic clubs. His campaign website, though, doesn’t list any upcoming events.

Glenn previously said he was running to disrupt what he describes as entrenched county leadership. His platform emphasizes land use and development policy, arguing the need for more density and carefully planned growth. He also favors increased support for public transportation and affordable housing, and wants to crack down on nuisance short-term rental properties, among other priorities.

But getting that message to voters amid a six-figure funding deficit will be a challenge, and like her colleagues on the dais, Peters will have plenty of support from the county’s donor class.

Peter’s fourth-quarter haul, which was nearly $40,000, included top $1,000 donations from a number of local businesses and interests, including Marine construction companies Speeler Helicals, Bayside Dredging, Tampa Bay Marine Contractors, Haven Dock & Marine, Decks & Docks Lumber, Waterfront Property Services, and BCJ 2.

She also received top donations from a couple of bowling alleys, and from interests in real estate development, insurance, restaurant and automotive industries. The political committee supporting state Rep. Linda Chaney cut a $1,000 check in the fourth quarter, as did former state Rep. Jackie Toledo, both Republicans, among other donors.

First elected in 2018 with 60% of the vote over Democrat Amy Kedron, Peters was re-elected in 2022 without opposition.

Taken collectively, the three County Commission seats up for election this year may prove to be sleepy affairs unless current challengers step up campaign efforts.

The lack of competitive races so far may be a result of Pinellas County’s position as an increasingly red region. For Scott, countywide voter registration favors Republicans by about 47,000 voters. In Eggers’ District 4, Republicans outnumber Democrats by about 29,000 voters, and Democrats trail Republicans in Peters’ District 6 by about 23,000 voters.



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