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GOP lawmaker moves to overhaul bill protecting drug discounts critical to some KY hospitals • Kentucky Lantern

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kentuckylantern.com – Deborah Yetter – 2025-02-12 14:35:00

GOP lawmaker moves to overhaul bill protecting drug discounts critical to some KY hospitals

by Deborah Yetter, Kentucky Lantern
February 12, 2025

A Northern Kentucky lawmaker has proposed a new version of a bill meant to protect a program that generates income for charity health care that some Kentucky hospitals say is essential for their survival.

“This is a very critical program for our hospitals and access to care in rural communities,” Nancy Galvagni, president of the Kentucky Hospital Association, told a legislative committee Feb. 5, referring to the federal 340B Drug Pricing Program.

But Sen. Gex Williams, R-Verona, has filed an amendment to Senate Bill 14 to replace it with a measure he said is critical to getting more information about how much money from the program, subsidized by the pharmaceutical industry, is generated and spent before further legislative action.

“It tries to collect some data so we can better understand what we’re dealing with,” said Williams, whose legislative page describes him as an engineer and technology consultant. “The data we collect will enable us to better ascertain the fiscal impact on the state of Kentucky.”

Sen. Gex Williams

The program, which generates income for charity care from deep discounts drug manufacturers provide hospitals and other entities, such as health clinics, has come under fire from consumer advocates and the pharmaceutical industry for what they say is its rapid growth and lack of oversight.

“When hospitals, other covered entities and their contract pharmacies have free rein to mark up medicines, patients, employers and taxpayers across Kentucky pay the price,” Reid Porter, a spokesman for Pharmaceutical Research and Manufacturers of America, or PhRMA, said in an emailed statement. “Transparency and accountability are needed to ensure 340B is being used appropriately.”

PhRMA, along with other groups including the Kentucky Association of Manufacturers, oppose SB 14 as filed by Sen. Stephen Meredith, R-Leitchfield and a former hospital CEO.

Meredith did not respond to a request for comment about the changes Williams proposes to SB 14. He has argued his SB14 would preserve an essential income stream especially important to rural hospitals in Kentucky.

At the Feb. 5 meeting of the Senate Health Services Committee he chairs, Meredith said his bill simply mirrors legislation passed in a handful of other states that prevents pharmaceutical companies from restricting drugs sold in Kentucky at discounts of up to 50%. He said some companies have begun imposing such restrictions that limit revenue to Kentucky providers.

“Why should we not be allowed to have this funding when other states do?” asked Meredith, who said it brings in about $122 million a year for Kentucky hospitals, clinics and other entities that serve low-income patients.

The Kentucky Hospital Association, which supports Meredith’s bill, agrees.

While Williams’ proposal may be “intended to be helpful,” it doesn’t account for how the program generates savings for hospitals by requiring manufacturers to provide them drugs “at the same price the drug companies charge their best customers,” said Jim Musser, senior vice-president with the association.

“The savings generated from that discounted price allow the hospitals to put the savings toward stretching scarce resources,” he said.

Several supporters of the bill testified the 340B program is especially helpful for expanding access to costly cancer infusion drugs which can cost tens of thousands of dollars.

KY health care providers depend on drug discount program that’s facing fire on several fronts

Williams said he hadn’t discussed his amendment to SB 14 with Meredith other than to notify him he planned to file it.

“I’m presuming we’ll discuss it in caucus,” Williams said, referring to the meeting of the Republican majority that controls the Senate. He said he doesn’t know when it might be called on the floor for a vote after committee passage Feb. 5.

Williams’ amendment would strip out Meredith’s language from SB 14 and replace it with a bill that would require all hospitals and any affiliated facilities, such as health clinics, to file a detailed annual report with the Cabinet for Health and Family Services about how much money they gain from the program and how they use it.

The bill also would apply to “contract” or outside pharmacies used by those hospitals and clinics which critics say have expanded rapidly to include major drugstore chains and industry middlemen known as pharmacy benefit managers or PBMs.

Williams said the legislature could consider changes to state law after it determines details about how much money the program generates and where it goes.

“I don’t know how we can make a decision … without data,” he said.

Hospital officials who spoke in support of Senate Bill 14 on Feb. 5 include, from left, Angela Portman, CEO of Breckinridge Health; Nancy Galvagni, president of the Kentucky Hospital Association; Don Lloyd, CEO of UK St. Claire Regional Medical Center, and Brian Springate, CEO of Appalachian Regional Healthcare’s Hazard hospital. (Kentucky Lantern photo by Deborah Yetter)

Williams’s proposal does not apply to clinics not affiliated with hospitals such as the state’s system of “safety-net” health clinics authorized by the federal government to provide care for low-income and uninsured patients.

Advocates for the about 30 such clinics across Kentucky had expressed alarm at potential reduction of the funds they say are vital to care they provide.

Molly Lewis, executive director of the Kentucky Primary Care Association, said the 340B program brings in about $19 million a year to the community health clinics, funds she said are essential to caring for patients who can’t pay for services.

“We support Senate Bill 14,” she said, referring to Meredith’s original bill.

Meanwhile, some advocates continue to seek reforms at the federal level since the federal government oversees the program.

Meredith has said he agrees overall change must come from Congress, which is considering proposals to tighten controls and improve oversight of the 340B program. His bill, he said, is meant to protect Kentucky health providers in the meantime.

“I don’t think there’s a person involved in health care that doesn’t realize there need to be some changes, some adjustments to it,” he said at the Feb. 5 hearing. “But that’s not why we’re here today.”

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Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

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Smiths Grove man arrested after motorcycle pursuit

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www.wnky.com – WNKY Staff – 2025-06-17 13:28:00

SUMMARY: A Warren County man, Steven Dye, 38, of Smiths Grove, was arrested after leading Kentucky State Police on a high-speed motorcycle chase in Bowling Green. The pursuit began when troopers attempted a traffic stop for a missing taillight. Dye fled, reaching 75 mph in a 35 mph zone, ran a red light, nearly caused a head-on collision, and eventually lost control on Rock Creek Drive. Authorities found meth, pills, marijuana, a handgun, digital scales, cash, and a stolen motorcycle. Dye faces multiple charges including drug trafficking, fleeing police, possessing a firearm as a felon, and driving under the influence.

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Two-thirds of those in nonpartisan poll view GOP’s tax and spending cut bill unfavorably

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kentuckylantern.com – Jennifer Shutt – 2025-06-17 06:37:00


A KFF poll reveals broad public opposition to the GOP’s House-passed “big, beautiful bill,” with 64% of Americans disapproving, including 87% of Democrats and 73% of independents, though 61% of Republicans and 72% of MAGA supporters favor it. Opposition grows when informed of impacts like a $700 billion Medicaid cut and 10 million losing insurance. The bill risks reducing funding for hospitals and blocks Medicaid funds for Planned Parenthood, a provision opposed by 67%-80% of respondents. Despite controversy, 83% support Medicaid overall. Senate Republicans are modifying the bill, facing vote-a-rama debates before approval.

by Jennifer Shutt, Kentucky Lantern
June 17, 2025

WASHINGTON — Republicans and backers of President Donald Trump’s Make America Great Again platform support the party’s “big, beautiful bill” as passed by the U.S. House, though Americans overall view the legislation unfavorably, according to a poll released Tuesday by the nonpartisan health research organization KFF.

The survey shows that nearly two-thirds of those polled, or 64%, don’t support the tax policy changes and spending cuts Republicans have included in the sweeping House version of the bill that the Senate plans to take up this month.

When broken down by political affiliation, just 13% of Democrats and 27% of independents view the legislation favorably. Those numbers are in sharp contrast to Republicans, with 61% supporting the bill and 72% of those who identify as MAGA supporters.

But those views fluctuated when the people surveyed were asked specific questions about certain elements of the package and the real-world impacts of the legislation:

  • The overall percentage of those surveyed with an unfavorable view of the bill increased from 64% to 67% when they were told it would lower federal spending on Medicaid by more than $700 billion, an estimate by the nonpartisan Congressional Budget Office.
  • Dislike of the legislation rose to 74% when those polled were told policy changes would lead to 10 million people losing their health insurance coverage, another estimate from the CBO analysis.
  • Opposition rose to 79% when people were told the legislation would reduce funding for local hospitals.

“The public hasn’t had much time to digest what’s in the big, beautiful, but almost incomprehensible bill as it races through Congress, and many don’t have a lot of information about it,” KFF President and CEO Drew Altman wrote in a statement. “Our poll shows that views toward the bill and its health-care provisions can shift when presented with more information and arguments about its effects, even among MAGA supporters.”

Senators wrestling with what to do

The House voted mostly along party lines to approve its 11-bill package in late May, sending the legislation to the Senate.

GOP senators have spent weeks internally debating which parts of the House legislation to keep, which to change and which to remove, while also conducting closed-door meetings with the parliamentarian to determine which parts of the bill comply with the rules for the complex reconciliation process.

Senate Majority Leader John Thune, R-S.D., plans to bring his chamber’s version of the package to the floor next week, though that timeline could slip. Before the Senate can approve the rewritten bill, lawmakers will spend hours voting on dozens of amendments during what’s known as a vote-a-rama.

Significant bipartisan support for Medicaid

The KFF poll released Tuesday shows that 83% of Americans support Medicaid, slated for an overhaul and spending reductions by GOP lawmakers.

That support remains high across political parties, with 93% of Democrats, 83% of independents and 74% of Republicans holding a favorable opinion of the state-federal health program for lower-income people and some with disabilities.

Those surveyed appeared supportive of a provision in the House bill that would require some people on Medicaid to work, participate in community service, or attend an educational program at least 80 hours a month.

The change is supported by about two-thirds of those surveyed, though the numbers shift depending on how the question is asked.

For example, when told that most adults on Medicaid already work and that not being able to complete the paperwork associated with the new requirement could cause some to lose coverage, 64% of those polled opposed the new requirement. 

Planned Parenthood

There was also broad opposition, 67% overall, to language in the House bill that would block any Medicaid funding from going to Planned Parenthood for routine health care. There is a long-standing prohibition on federal funding from going toward abortion with exceptions for rape, incest, or the life of the pregnant patient.

Opposition to the Planned Parenthood provision increased to 80% when those polled were told that no federal payments to Planned Parenthood go directly toward abortion and that ending all Medicaid payments to the organization would make it more challenging for lower-income women to access birth control, cancer screenings and STD testing.

Republicans are more supportive of that change, with 54% backing the policy and 46% opposing the new block on Medicaid patients going to Planned Parenthood. But 78% of independent women and 51% of Republican women oppose the change.

Food assistance program

Those surveyed also had concerns about how changes to the Supplemental Nutrition Assistance Program, or SNAP, would impact lower-income people’s ability to afford food, with 70% saying they were either very or somewhat concerned.

Democrats held the highest level of concern at 92%, followed by independents at 74% and Republicans at 47%.

Overall, Republicans hold the highest share of people polled who believe the dozens of GOP policy changes in the “big, beautiful bill” will help them or their family.

A total of 32% of Republicans surveyed believe the legislation will benefit them, while 47% said it will not make much of a difference and 21% said it will hurt them or their family.

Thirteen percent of independents expect the legislation will help them, while 39% said it likely won’t make a difference and 47% expect it will harm them or their family.

Of Democrats polled, just 6% said they expect the GOP mega-bill to help them, while 26% said it wouldn’t matter much and 66% expected it to hurt them or their family.

When asked whether the bill would help, not make much of a difference, or hurt certain groups of people, the largest percentage of those polled expect it to help wealthy people.

Fifty-one percent of those surveyed said they expect wealthy people will benefit from the bill, 21% believe it will help people with lower incomes and 20% said they think middle-class families will benefit.

Seventeen percent think it will help immigrants, 14% expect it to help people who buy their own health insurance, 13% believe it will help people on Medicaid, 13% think it will help people on SNAP and 8% expect it will benefit undocumented immigrants.

KFF conducted the poll June 4 – 8, both online and by telephone, among a nationally representative sample of 1,321 U.S. adults. The margin of error is plus or minus 3 percentage points for the full sample size. 

Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

The post Two-thirds of those in nonpartisan poll view GOP’s tax and spending cut bill unfavorably appeared first on kentuckylantern.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This article presents data from a nonpartisan poll while highlighting public opposition to a Republican-backed bill, emphasizing the negative impacts of proposed GOP policy changes, particularly in areas like Medicaid, SNAP, and Planned Parenthood funding. The framing often underscores how public support drops when consequences are explained, and it presents the perspectives of Democrats and independents more sympathetically. Although factual and sourced, the tone and selective emphasis on adverse outcomes and dissent suggest a modest Center-Left bias in how the information is contextualized and presented.

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Unsettled weather pattern hangs tough the next few days

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www.wtvq.com – T.G. Shuck – 2025-06-16 15:51:00

SUMMARY: After a warm, muggy weekend with scattered storms and flooding in parts of Central and Eastern Kentucky, similar weather continued into Monday. A new system from the southwest is bringing increased storm chances Tuesday, with Gulf moisture potentially causing heavy rain and localized flooding. Midweek may see a temporary lull before a strong cold front late Wednesday into Thursday, bringing more widespread and possibly severe storms with gusty winds. The Summer Solstice arrives Friday, ushering in drier air and sunny, hot days. Highs will climb into the upper 80s, possibly reaching 90, but with lower humidity for a more pleasant weekend.

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