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Economy

Md. Ponders New Board to Regulate Prescription Drug Prices

WASHINGTON INFORMER —

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By William J. Ford

ANNAPOLIS — Residents, health care advocates and faith leaders converged Thursday on the State House in support of legislation that would create a prescription drug affordability board in Maryland.

According to the legislation from Delegate Joseline Peña-Melnyk (D-District 21) of College Park and state Sen. Kathy Klausmeier (D-Baltimore County), one of the board’s responsibilities would be to “review the cost of a prescription drug product … [and] determine whether use of the prescription drug product … has led or will lead to affordability challenges for the state health care system or high out-of-pocket costs for patients.”

The board would consist of members with expertise in health care economics, or clinical medicine.

The body, which would operate as an independent unit, can make a drug company that introduces a new brand new at $30,000 or more per year, or wholesale acquisition increase of at least $3,000 must validate the cost.

After review, the board could set “an upper limit” on the drug.

“Wherever you go, people talk about the high cost of prescription drugs,” Klausmeier said. “There are so many new drugs out there. The bottom line is we have to get prescription drug cost down.”

One resident, Jo Saint-George, relayed how she and her husband needed to use their entire savings after she was diagnosed with a brain tumor.

In addition to costly surgeries and doctor appointments, her prescription drug medication runs $700 per bottle. Sometimes she split her medication so it could last longer, but eventually ended up back in the hospital, she said, “creating another bill that I still have on my credit today.”

“I’m willing to get transparent and personal around this issue because I never thought I would be on medication,” said Saint-George, an attorney and member of the Maryland State Conference of the NAACP. “But when tragedy strikes, you don’t know when that’s going to happen. So we need these types of supports and affordability to make sure when people goes through these things, they can transition and be alive.”

Politically, there are nearly 100 co-sponsors of the legislation in the House with seven Republicans. One of the most outspoken supporters, Harford County Executive Barry Glassman, said it costs his jurisdiction nearly $7 million a year on prescription drugs for about 900 employees.

“For local governments, health care prescription costs are one of the leading drivers of the problems we are having,” said Glassman, a Republican. “This is a Maryland problem. It’s a national problem. This bill is a good first step at bringing those folks in to justify these enormous price increases.”

Both bills are scheduled for hearings in both the Senate and House on March 6, which could receive some opposition.

Nick McGee, spokesman for the D.C.-based Pharmaceutical Research and Manufacturers of America (PhRMA), said in a statement Thursday the legislation would enact price controls on prescription medicines that would limit patient access.

“It recycles failed ideas that give government broad authority to arbitrarily set prices and undermine the competitive market that is critical to bringing down costs and delivering new treatments to patients,” he said. “This misguided approach could also have a chilling effect on new innovation and the thriving biotech industry that supports thousands of jobs in Maryland.”

This article originally appeared in the Washington Informer. 

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Economy

Mayor Lee Delivers 2026 State of the City Address: ‘Oakland Continues to Be on the Move’

To create a police force that better serves and protects Oakland, the city is working toward the goal of reaching 700 sworn police officers, she said. These steps include recruiting from Oakland, holding academies, reinstituting a cadet program, and increasing foot patrols.

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Mayor Barbara Lee.

Mayor Barbara Lee, speaking this week to Oakland residents and elected leaders in City Council chambers, delivered the annual mayoral State of the City Address, highlighting the city’s accomplishments as well as the challenges Oakland is facing going forward.

Lee began her remarks praising city workers, who picketed outside City Hall before the meeting, and are currently negotiating with the city for a wage increase and ending understaffing that leaves many departments shorthanded.

“We are working very hard (not) just to get a contract, but to get a fair contract,” she said. “I know that our City Council and myself are working constantly toward that end.”

The mayor also praised Councilmember Carroll Fife for her legislation for a 45-day moratorium on data center construction, which passed unanimously at the council meeting Tuesday following Lee’s presentation.

Speaking bluntly, she said, “Oakland continues to be a city on the move, (but) I want to tell you the truth about the state of our city.”

“We have made real progress, and we still face real challenges.”

She said the city has balanced its budget but has a structural deficit, which is decreasing, and must operate within the context of federal funding cuts.

“Too many Oaklanders are unhoused, too many families are struggling with the cost of living, and too many neighborhoods still need basic services that they deserve, and too many people are living in fear,” Mayor Lee said.

“We’re not sweeping these realities under the rug,” she continued. “We are being intentional and transparent about how we must face these challenges, but we will not ignore our progress.”

Substantial progress includes:

• Bringing crime down;

• Building affordable and deeply affordable housing;

• Cleaning the streets and fixing the roads;

• Helping small businesses.

“We are bringing new investment to Oakland,” she said. “We’re making City Hall work better. There’s more to do, but make no mistake, Oakland is on the move.”

Speaking broadly about the city’s public safety initiatives, she said that crime continues to decline. Burglaries fell by 26%, and violent crime fell by 17%.

In recent years, homicides and shootings have fallen by double digits, and gun violence has dropped by more than 50% in the last 33 months.

“These aren’t just statistics: these are lives. These are families. These are people who never made it home,” Mayor Lee said.

She talked about what to expect now that federal court oversight of the Oakland Police Department ended last week after 23 years. “Ending federal oversight does not mean ending accountability; quite the opposite,” she said. “Accountability and civilian oversight must remain our standard. Community trust must be our standard.”

Mayor Lee also emphasized that Oakland remains a city of refuge.

“We do not work with ICE; we do not cooperate with ICE; our police do not cooperate with ICE; we will not be militarized,” she said.

The mayor also emphasized that investing in youth is a top priority of her administration and should be considered a public safety strategy.

“We advocated for almost $2 million to restore the mayor’s youth summer employment program,” she said. “We connected youth with Oakland businesses to develop skills that will support them for years to come, and that’s a big deal.”

To create a police force that better serves and protects Oakland, the city is working toward the goal of reaching 700 sworn police officers, she said. These steps include recruiting from Oakland, holding academies, reinstituting a cadet program, and increasing foot patrols.

The city also is strengthening other programs, including the Department of Violence Prevention and Ceasefire, she said. “We must have this comprehensive public safety strategy, because we must also prevent violence before it happens.”

Continuing, Lee said public safety is connected to unsanitary conditions in city neighborhoods.

“Illegal dumping is unacceptable, and it’s a moral disgrace,” she said. “No child should have to walk past piles of garbage on their way to school; no senior should have to live next to it; no small business should have to clean it up outside its door.”

She said the city is changing the way it fights illegal dumping, securing a $9.2 million investment to develop a new strategy. “We’re not just cleaning it up; we’re working to stop it before it starts. We have the three E’s – Eradication, enforcement, and education,” she said.

Focusing on the continuing crisis of Oakland’s unhoused residents, she said, “We consider housing a basic human right, and homelessness remains one of Okland’s greatest challenges.”

“There are two things we must do: keep people from becoming unsheltered and help people who are unsheltered get back into housing with services that they need,” Lee said.

Since 2024, homelessness in Oakland has fallen by 20%, she said. In the past year prevention programs helped keep 1,000 families in their homes, and over 1,300 affordable homes opened over the past two years.

Addressing community tensions over encampments, she said, “We should never have to choose between compassion for people experiencing homelessness and the health and safety of our neighborhoods.”

“A strong city has to deliver both,” she said. “That’s the work we’re advancing through Oakland’s new homelessness strategic action plan.”

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Business

Marin County Supes Expand Small Business Options with Home Kitchen Pilot Program

“This will deliver immediate financial relief to entrepreneurs in areas like Marin City, West Marin and the Canal neighborhood, removing barriers right where economic opportunity is needed the most,” said Shannon Bell, consumer protection supervisor with Marin County Environmental Health Services, at the meeting.

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A plate of food is served in an undated photo. The Marin County Board of Supervisors adopted a three-year pilot program allowing cooks and food entrepreneurs to prepare and sell meals from their homes through the Microenterprise Home Kitchen Operation, or MEHKO, program. Mika Ruusunen/Marin County via Bay City News.

The Marin County Board of Supervisors adopted a three-year pilot program that will allow cooks and food entrepreneurs to prepare and sell meals from their homes on Sept. 29

The Microenterprise Home Kitchen Operation program, or MEHKO, will establish a permitting process for small-scale home food businesses. California state law allows licenses if local governments opt in.

“This will deliver immediate financial relief to entrepreneurs in areas like Marin City, West Marin and the Canal neighborhood, removing barriers right where economic opportunity is needed the most,” said Shannon Bell, consumer protection supervisor with Marin County Environmental Health Services, at the meeting.

MEHKO licenses fill the gap between cottage food permits, which only apply to non-potentially hazardous foods like baked goods and jams, and full commercial kitchens.

Microenterprises can serve as commissaries for up to two mobile food operations; they require food to be prepared and served the same day. They are exempt from commercial facility requirements, such as industrial grease traps and commercial stove hoods.

The program allows takeout or on-site dining with strict limits of 30 meals per day, or 90 meals per week, and an annual sales cap of $100,000.

The pilot would begin March 1, 2027, and permits would be capped at 100 per year. Application fees are $725 with an annual renewal fee of $414, but fee waivers for a third of the permits are reserved for low-income communities.

After two years, supervisors will consider making the program permanent.

“By eliminating the need for commercial leases and expensive equipment, entrepreneurs can safely test their businesses and ideas with minimal financial risk,” Bell said. According to statewide data from the Cook Alliance, 85% of MEHKO operators are women, immigrants, and people of color, and over 70% rely on this income to support their families, she said.

Bell also said unpermitted sales are already happening in areas like the Canal.

Local Vendors Seek a Legal Path

Marina Palma advocates for San Rafael’s Canal neighborhood, which is home to a vulnerable community of over 13,000 low-income residents. About 84% are Latino and roughly half of all households spend more than 50% of their income on housing.

Palma told the board that the pandemic caused many Canal residents to lose their jobs, and that’s why the neighborhood has so many vendors selling food in public. Because they have no license, enforcement actions can be harsh.

“They have really high tickets of $600, and their food has been thrown away,” said Palma.

She said MEHKO would help vendors get an official license, but she questions whether vendors will need a Social Security number and be legally in the country.

According to the home-chef’s national nonprofit Cook Alliance, MEHKO applicants need no proof of citizenship nor a Social Security number to obtain a permit.

“I’m from Mexico, and I’m one of the mobile vendors,” said Elsie Vega through a Spanish translator. “I have two jobs. Everything is pricey — house, food, everything. I am here to work hard, to pay taxes. I don’t make enough money to pay the community kitchens.”

MEHKO license holders must pass inspection under the oversight of the Marin County Department of Environmental Health Services and comply with local zoning, parking and noise ordinances.

California authorized MEHKO programs in 2019. Seventeen counties have since adopted them, including Sonoma, San Mateo, Solano, Contra Costa, Alameda and Santa Clara counties.

Other commenters who spoke in favor of the program represented a range of food system and small business organizations. They included the Agricultural Institute of Marin, which operates nine Bay Area farmers markets, the University of California Cooperative Extension, the Cook Alliance, the West Marin Food Systems Group, which coordinates farm-to-school food access, and the Marin Small Business Development Center.

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Business

OP-ED: Proposition 44 Would Put a Price on Trust

The danger in Proposition 44 is not only its 90 percent figure. It is that the meaning of “qualifying” spending will be worked out later. A clinic preparing a budget today may not know whether a navigator, health educator, transportation program, outreach worker, technology upgrade, or other patient-support service will be counted the way it expects. Yet the financial consequence of getting it wrong could be immediate.

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iStock.

Oakland’s public conversation about health care must begin with a simple truth: a doctor’s appointment is not the same thing as access to care.

For a mother juggling work and child care, access may mean a text-message reminder, a bus pass, an evening appointment, or someone who can explain what Medi-Cal covers. For an older patient managing diabetes, it may mean help scheduling a specialist visit and understanding new medications. For a family that has been dismissed or misunderstood in medical settings, access may begin with meeting a community health worker who knows the neighborhood, speaks their language, and treats their concerns with respect.

Community health clinics make that kind of care possible. They are part medical provider, part navigator, part educator, and part trusted local institution. Proposition 44 threatens to narrow the definition of what counts as patient care in a way that could undermine the very supports that allow patients to receive it.

The statewide measure would require covered nonprofit community clinics to spend at least 90 percent of their annual revenue on health care or qualifying program services. The ballot measure directs the Attorney General to establish more detailed guidance on what expenses qualify. Clinics that do not meet the threshold could face penalties for the difference. The Legislative Analyst’s Office reports that affected clinics currently spend an average of about 80 percent of revenue on health care services.

A percentage may look like a clean measure of accountability. But health care is not cleanly divided between what happens inside an examination room and everything that enables a patient to enter one.

Consider the work that happens before and after a visit. Clinic staff maintain confidential patient records. They follow up after missed appointments. They keep information systems secure. They recruit and train employees in an expensive and competitive health care labor market. They coordinate referrals, process claims, purchase supplies, maintain buildings, and make certain that patients are not lost somewhere between diagnosis and treatment.

Oakland families should not be asked to accept the fiction that these functions are unrelated to care.

The danger in Proposition 44 is not only its 90 percent figure. It is that the meaning of “qualifying” spending will be worked out later. A clinic preparing a budget today may not know whether a navigator, health educator, transportation program, outreach worker, technology upgrade, or other patient-support service will be counted the way it expects. Yet the financial consequence of getting it wrong could be immediate.

The Legislative Analyst’s Office says clinics falling short of the requirement could be required to pay the shortfall amount to the state and could seek to recover the money only if they show compliance within five years. The same analysis estimates state enforcement costs in the low tens of millions of dollars annually, supported by fees.

That is a troubling arrangement for organizations that are expected to provide care to people with the fewest alternatives.

Oakland has learned that trust is not built through slogans. It is built when a patient is listened to, when a parent can secure an appointment for a child, when a clinic returns a call, and when a person receives help without being shamed for their income, insurance, language, immigration history, or prior experience with the system.

For Black residents in particular, trustworthy care is not an abstract goal. Persistent inequities in health outcomes and patient treatment are real. Community-centered clinics can help bridge the gap with culturally responsive staff, patient navigators, behavioral-health programs, and partnerships that understand the conditions shaping health outside the clinic door.

Proposition 44 could pressure providers to treat those supports as expendable because they do not fit neatly into a state-enforced formula. That would be a mistake.

Accountability is necessary. Clinics that receive public resources should be transparent, well governed, and focused on their mission. But good oversight asks whether patients are being served well, whether money is managed responsibly, and whether communities can obtain needed care. It should not rely on a rigid ratio that may punish clinics for doing the hard work of reaching people who need more than a brief medical encounter.

A broad coalition of providers and community organizations opposes Proposition 44, including the California Primary Care Association, the California Medical Association, the California Hospital Association, Planned Parenthood Affiliates of California, and the California Teachers Association.

Oakland needs health policy that expands the circle of care. Proposition 44 risks drawing that circle smaller.

The Oakland Post editorial board urges a No vote on Proposition 44.

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