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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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James Uthmeier endorses Jon Maples for HD 87

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‘Jon Maples brings real-life experience, strong values and a deep commitment to Florida families.’

Fresh off a commanding Republican Primary win in the Special Election for the empty House District 87 seat, former Lake Clarke Shores Council member Jon Maples has notched an endorsement from Florida’s top cop.

Attorney General James Uthmeier announced on X that he is fully behind Maples, who he said will be “a principled voice in Tallahassee.”

“Jon Maples brings real-life experience, strong values and a deep commitment to Florida families. He understands the challenges facing our state and is ready to lead with common sense,” he said.

“I’m proud to endorse Jon Maples for FL House 87.”

Uthmeier’s endorsement Tuesday adds to others from President Donald Trump, Republican Reps. Anne Gerwig, Griff Griffitts, Jon Snyder and “MAGA” Meg Weinberger, Palm Beach County Commissioner Sara Baxter, Lake Worth Beach Commissioner Mimi May, former Rep. MaryLynn Magar, the Florida House Republican Campaign Committee and business group Associated Industries of Florida.

Maples won last Tuesday’s Primary with 84% of the vote over one opponent. He’s set to face Democrat Emily Gregory, who took 88% of the vote against a single Primary foe.

The winner of the March 24 Special Election will succeed former Republican Rep. Mike Caruso, who vacated the HD 87 seat in August for an appointed post as Palm Beach County Clerk and Comptroller.

HD 87 covers Palm Beach County’s coast from Juno Beach south to Lantana, spanning Palm Beach Gardens, Jupiter, and Hypoluxo along the way.



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Stacy Hahn files to challenge GOP incumbent Donna Cameron Cepeda in Hillsborough Commission race

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Republican Hillsborough County School Board member Stacy Hahn has filed to run for the Hillsborough County Commission, challenging another Republican in a gambit for the countywide District 5 seat.

Hahn, who has served on the Hillsborough County School Board since 2018, announced her candidacy by citing her experience with the School District as evidence of her fiscal responsibility and belief in limited government.

The countywide District 5 seat is currently held by incumbent Republican Commissioner Donna Cameron Cepeda, who won election in 2022 as part of a broader GOP sweep that flipped control of the Hillsborough County Commission

The race is already drawing significant attention, with well-funded Democratic challenger Neil Manimala also vying to claim the seat. Manimala has a significant lead in funds raised, with his campaign already reporting more than $121,000 compared to $6,000 raised by Cepeda, according to Supervisor of Elections records. Hahn has not yet been required to submit a funding report.

Hahn described herself as a conservative who supports limited government and fiscal discipline, arguing that government is most effective when it empowers individuals, families and businesses rather than expanding bureaucracy.

In a statement, Hahn said her time on the School Board gave her a firsthand view of how county-level decisions affect classrooms, neighborhoods and the local economy, touching on issues such as public safety, infrastructure, housing affordability and budgeting.

“As a School Board member, I worked closely with families, educators, and community partners, and I saw firsthand how county decisions impact our classrooms, neighborhoods, and local economy — from public safety and infrastructure to housing affordability and responsible budgeting,” Hahn said.

“Hillsborough County is a unique and beautiful place with tremendous potential. To unlock that potential, we need common-sense leadership at the County Center — leaders who are focused on improving quality of life for every neighborhood, supporting local businesses, and being responsible stewards of taxpayer dollars.”

First elected to the School Board in 2018, Hahn has focused her tenure on financial transparency, literacy initiatives, workforce and career pathways, and early childhood education. She has pointed to her oversight of the School District’s roughly $4.4 billion budget and management of the county’s largest employer as preparation for the demands of county government, saying that experience helped her balance budgets, manage growth and deliver results.

Hahn has also been involved in a range of community and nonprofit efforts, including literacy- and STEM-focused programs, according to her campaign materials. She lives in Tampa with her husband, Jeff, their three children, Ethan, Jackson and Aidan, and their dog Rocky.

Hahn said she is “excited about the work ahead and the opportunity to serve.”



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Senate panel advances bill establishing task force to propose e-bike regulations

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A Senate bill proposing more regulations on e-bikes and scooters is gaining traction, though with some modifications.

The Senate Transportation Committee unanimously approved a measure (SB 382) sponsored by Sen. Keith Truenow, a Tavares Republican, that calls for increased regulation and data collection on e-bikes and scooters. Those devices have grown in popularity in recent years, with more accidents involving the devices occurring as well.

In the committee meeting, Truenow said he provided a strike-all amendment to revise his original draft of the bill.

“As we know it’s been a fad for a lot of reasons,” Truenow said of the growing popularity of e-bikes. “They’re causing more and more problems.”

He said his original draft called for an increase in enforcement of e-bikes and scooters. But he acknowledged that, as the original bill was scrutinized, stakeholders worried provisions in the original proposal “would be difficult to accomplish.”

A major amendment calls to establish an “electric bicycle task force.” Truenow said the issue of e-bikes in particular needs thorough study before enforcement stipulations are settled.

“The purpose of the task force is to examine and recommend improvements to state law and regulatory framework governing electric bicycles in order to encourage the safe operation of electric bicycles and to prevent traffic incidents, injuries, and fatalities involving such bicycles,” the bill states.

The Electric Bicycle Safety Task Force would collect data on e-bike and scooter accidents, provide recommendations on enforcement, and submit a report to the Florida Department of Highway Safety and Motor Vehicles. The e-bike task force would be composed of representatives of law enforcement, the e-bike industry and other “stakeholders,” and will be charged with completing its report in the Fall.

The amended bill still calls for e-bike operators to be restricted “above a certain speed limit.” Truenow said, at least initially, he would like to see speeds capped at 10 mph on sidewalks, trails and pathways.

But Sen. Shevrin Jones, a Miami Gardens Democrat, wondered how that speed limit would be enforced.

Truenow acknowledged that would have to rely on “best judgment,” and it’s doubtful that radar detector devices would be readily available in pedestrian areas.

Other members of the committee wondered if increased enforcement of e-bikes and scooters would reduce access to easy and affordable transportation for some Florida residents who rely on them.

“We’re not seeing the problems coming from those folks,” Truenow said, noting that more rowdy operators and “YouTubers” are the main target of increased enforcement, which would ultimately result in a noncriminal infraction.

Republican Rep. Yvette Benarroch is sponsoring a similar bill in the House (HB 243). That bill has three committee stops ahead.

E-bikes have been increasing in presence on roads, especially in the Sunshine State, where tourist-rich areas are seeing a striking rise, with accidents increasing as well.

Some local governments have already enacted some e-bike regulations. The Palm Coast City Council passed an ordinance in October that makes it illegal for owners of the vehicles to modify the battery-powered engines to exceed 30 mph, along with other stipulations.

The St. Johns County Commission passed a resolution in August to join forces with the Sheriff’s Office and the St. Johns County School District to promote more awareness and safety for the operators of e-bikes, e-scooters and other electronic motorized devices.



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