As Governor, I’ll take real action to lower healthcare costs across the Commonwealth.
My Affordable Virginia Plan will crack down on PBMs driving up the costs of drugs, improve affordable healthcare options in our rural communities, and stop predatory billing practices.
My Affordable Virginia Plan will crack down on PBMs driving up the costs of drugs, improve affordable healthcare options in our rural communities, and stop predatory billing practices.
October 17, 2025 at 7:01 PM
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BIG NEWS: @gavinnewsom.bsky.social signed my bill (SB 41) to end abuses by pharmacy benefit managers (PBMs) — behemoth corporate drug middlemen that increase the cost of Rx drugs & destroy local pharmacies to favor their own mail order pharmacies.
Huge win to lower drug costs & benefit consumers.
Huge win to lower drug costs & benefit consumers.
October 11, 2025 at 9:12 PM
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Your single best "we could remove this with very little damage to the system as it is almost completely vestigal and it would see meaningful cost decreases" are PBMs.
But very few people even know PBMs exist, and they like to keep it that way.
But very few people even know PBMs exist, and they like to keep it that way.
October 11, 2025 at 4:18 PM
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Because insurance companies and PBMs just aren’t sticking it to us enough…right?
October 12, 2025 at 1:05 PM
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#GoodNews #GovernorNewsomeSignsPrescriptionPricingBill
Yesterday Governor Newsome (CA) signed into law a bill reining in abusive behavior by pharmacy benefit managers (PBMs) that raise drug prices and kill neighborhood pharmacies.
sd11.senate.ca.gov/news/governo...
Yesterday Governor Newsome (CA) signed into law a bill reining in abusive behavior by pharmacy benefit managers (PBMs) that raise drug prices and kill neighborhood pharmacies.
sd11.senate.ca.gov/news/governo...
Governor Newsom Signs Nation-Leading Bill To Crack Down on Prescription Drug Price Gouging By Megacorporations
Official website of Senator Scott Wiener, representing California Senate District 11.
sd11.senate.ca.gov
October 13, 2025 at 6:14 AM
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Signed: @scottwiener.bsky.social’s SB 41 to regulate PBMs (prescription middlemen). Newsom had previously vetoed a broader version, SB 966, in 2024, but included provisions for licensing PBMs through the state in the 2025 budget. This bill would add additional regulatory guardrails.
Governor Newsom signs SB 41 to lower the cost of prescription drugs | Governor of California
www.gov.ca.gov
October 11, 2025 at 9:52 PM
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That's just a happy side effect, they sell user data and cut deals with the Pharmacy Benefit Managers (PBMs) who are notorious for being a major part of the ridiculously inflated medicine prices. This also hurts small independent pharmacies.
It's just taking advantage of the systems already there.
It's just taking advantage of the systems already there.
October 3, 2025 at 6:26 PM
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former EMT here to say this is a fucking asinine take! immigrants did not build a for profit health care system with immense administrative bloat, nor did they invent insurance companies, PBMs, or other made up middlemen who screw people out of needed care that could keep them out of the ER
Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"
October 1, 2025 at 10:39 PM
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According to Adventurer Magazine #7 back in 1987, Games Workshop were exploring the potential for a Warhammer Fantasy Roleplay Play-By-Mail game.
Originating in their modern form in the 70s with games like Rick Loomis' Nuclear Destruction, PBMs became hugely popular in the 80s. 1/3
Originating in their modern form in the 70s with games like Rick Loomis' Nuclear Destruction, PBMs became hugely popular in the 80s. 1/3
October 2, 2025 at 8:10 AM
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Legal experts and policy analysts widely expect TrumpRX.com to face immediate lawsuits from pharmacy groups, insurers, PBMs, some pharmaceutical manufacturers, and healthcare law experts. It oversteps executive legal authority and would require explicit Congressional legislation to exist lawfully.
What is "TrumpRx"? White House unveils new prescription drug website
The announcements come after Trump’s deadline for drug companies to lower prices for Americans expired Monday.
www.newsweek.com
September 30, 2025 at 5:42 PM
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i mean if Trump of all people sidesteps the PBMs and bankrupts them its a legit good thing.
now somehow I really doubt that's what is going to happen!!
now somehow I really doubt that's what is going to happen!!
NEWS
The White House is planning to unveil a direct-to-consumer website for Americans to buy drugs, dubbed TrumpRX, as well as announce that Pfizer plans to lower prices on several of its medications in the U.S.
Full Story: on.wsj.com/4q2H6Jc
The White House is planning to unveil a direct-to-consumer website for Americans to buy drugs, dubbed TrumpRX, as well as announce that Pfizer plans to lower prices on several of its medications in the U.S.
Full Story: on.wsj.com/4q2H6Jc
September 30, 2025 at 2:45 PM
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—Bans “spread pricing,” where PBMs charge health plans more than they pay pharmacies & pocket the difference
—Bans PBMs from pocketing rebates — PBMs now make more when they favor higher cost drugs (rebates are often a percentage of drug costs & PBMs get a percentage of these jacked up rebates)
—Bans PBMs from pocketing rebates — PBMs now make more when they favor higher cost drugs (rebates are often a percentage of drug costs & PBMs get a percentage of these jacked up rebates)
September 21, 2025 at 3:33 PM
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Bans PBMs from forcing/manipulating people to use the PBMs’ own mail-order pharmacies instead of neighborhood pharmacies, which kills pharmacies & eliminates consumer choice. It’s a super anti-competitive practices that makes health care worse for patients & harms neighborhoods.
September 21, 2025 at 3:33 PM
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It hasn’t gotten a ton of attention, but I have a bill on the Governor’s desk to ban the most abusive & rent-seeking practices by pharmacy benefit managers (PBMs) that drive up Rx drug costs & kill off pharmacies.
SB 41 received broad bipartisan support in the Legislature. Specifically, the bill:🧵
SB 41 received broad bipartisan support in the Legislature. Specifically, the bill:🧵
September 21, 2025 at 3:33 PM
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in pbms, there are scenes that directly mirror scenes in the original novel & i do nods to the original narrative (the first person "this is true story that actually happened"). most obviously, i pull character dynamics & names (paola = raoul, morgan & miguel = meg, julie = giry but persian)
September 19, 2025 at 4:28 PM
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I have 12 bills on the Governor’s desk, including big ones to allow more homes near transit, shore up funding for transit & avoid big service cuts, cap insulin copays at $35, crack down on abusive practices by PBMs, prioritize AI safety & innovation, & advance safety & downtown revitalization in SF.
Newsom faces big decisions on AI, housing, and transit bills
State lawmakers this year sent the governor 800-plus bills, many with far-reaching consequences for the Bay Area.
sfstandard.com
September 18, 2025 at 1:58 PM
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Our bill banning abusive practices by pharmacy benefit managers (PBMs) — which drive up drug costs & kill neighborhood pharmacies — received final legislative approval & is on its way to the Governor.
SB 41 will make health care more affordable & our system more consumer-focused.
SB 41 will make health care more affordable & our system more consumer-focused.
September 10, 2025 at 10:11 PM
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Kennedy claims that pharmacy benefit managers have “pledged transparency”.
Narrator: This is an absolute joke. This is code for they aren’t gonna do shit about PBMs.
Narrator: This is an absolute joke. This is code for they aren’t gonna do shit about PBMs.
September 4, 2025 at 3:21 PM
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Blackburn (TN) is taking PBMs and how they drive up costs. CVS is the largest PBM in America.
How do we deal with this? #Medicare4All
How do we deal with this? #Medicare4All
September 4, 2025 at 3:59 PM
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Sen. Lankford bringing up PBMs -- what is HHS doing on this issue?
RFK says Trump talks to him about PBMs at least once a week.
RFK says Trump talks to him about PBMs at least once a week.
September 4, 2025 at 3:16 PM
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Our state Board of Pharmacy put out a notice that unless the ACIP changes guidelines, all current protocols that are in place will stand and we can continue to give the vaccines as previously arranged. Now to make sure the PBMs pay!
September 4, 2025 at 11:53 PM
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RFK Jr is friends with the PBMs? Least surprising thing ever
(PBMs are the reasons why insurance companies get in the way of what medications I can prescribe to my patients, whom I’m seeing and caring for as their doctor.)
(PBMs are the reasons why insurance companies get in the way of what medications I can prescribe to my patients, whom I’m seeing and caring for as their doctor.)
Kennedy claims that pharmacy benefit managers have “pledged transparency”.
Narrator: This is an absolute joke. This is code for they aren’t gonna do shit about PBMs.
Narrator: This is an absolute joke. This is code for they aren’t gonna do shit about PBMs.
September 4, 2025 at 3:41 PM
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Not true. We have a growing number of brand meds. The only reason we don’t have all brand meds is because the big PBMs threaten to reduce sales of the brand’s meds if they work with us.
They know we will do to brand pricing what we did to generics.
They know we will do to brand pricing what we did to generics.
Unfortunately Cuban can only work his magic on generic drugs. Patent holders control the pricing of their own drugs.
August 30, 2025 at 5:41 PM
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The PBMs are invisible to most of us, yet they hold a lot of power.
August 30, 2025 at 6:01 PM
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