Category: The Hill
Your lawmakers’ big drug-price stunt could strand millions without meds
State lawmakers, desperate to address America’s sky-high drug prices, have turned their fire on pharmacy benefit managers. Their chosen tools — outright bans in Arkansas and suffocating regulations in Indiana — will not rein in drug costs. They will close pharmacies, however. And disabled Americans will feel the pain first and worst.
For millions of people living with disabilities or chronic illnesses, the neighborhood pharmacy isn’t just a place to pick up a prescription. It is a medical anchor — often the only dependable access point in a fragmented health care system.
Policy leaders must hold three truths at once: Drug prices are too high, access is too fragile, and for disabled Americans, both problems collide.
When states make it harder for pharmacies to operate, they aren’t tightening consumer protections. They are tightening a noose around the patients they claim to protect.
Proximity is key
Healthy, mobile adults can switch pharmacies with mild frustration. Disabled Americans can’t. They rely on stable, nearby pharmacy relationships to manage complex regimens, limited transportation, and conditions that make in-person care indispensable.
A person with epilepsy juggling multiple medications cannot suddenly travel to a pharmacy two towns over. A disabled veteran with hearing loss cannot sit on hold for an hour to fix a refill problem. A parent caring for a child with developmental disabilities needs a pharmacist who knows her family and can explain changes — especially potential interactions — face to face.
For disabled patients, proximity isn’t convenience. It is continuity, safety, and sometimes survival.
Long before I served as commissioner for the Administration on Disability at Health and Human Services, I was a teacher who learned that real service depends on presence. You must know the person in front of you. The same holds true in every field: the banker who helps you fix a missed payment, the pastor who walks beside his congregation. Their influence comes from relationship.
Pharmacists are no different. They cannot be replaced with apps, compliance checklists, or centralized call centers. Their work depends on knowing their patients — and being close enough to serve them.
What happens when pharmacies disappear?
Imagine telling a cancer patient he now needs to drive 20 miles for treatment because a state ban forced his local pharmacy to close.
Imagine telling a parent managing her child’s seizure medications that she must start over with a new pharmacy because the compliance burden became too much to stay open.
Imagine telling a stroke survivor who no longer drives that “it’s only a few minutes farther.” For many disabled Americans, a few minutes farther means losing independence — or tipping into crisis.
Pharmacies provide far more than prescriptions. They monitor complex drug regimens and catch dangerous interactions. They manage refills when cognitive disabilities make self-management difficult. They offer immediate, walk-in guidance when something feels wrong. They coordinate with doctors on sudden changes. And maybe most importantly, they provide calm, in-person clarity that no software platform can match.
Lawmakers say they want to help, but they are ignoring what disabled Americans need most: stable, nearby pharmacies that can remain open.
RELATED: The maligned and misunderstood player that Big Pharma wants gone
Oleg Elkov via iStock/Getty Images
Access is a crisis
Drug prices in America are too high. Disabled Americans feel that burden more than anyone because they use more medications, more often, and for longer durations. Many rely on mail-order programs and already face delays and shortages.
So yes, policymakers should push for lower prices. They should demand transparency from pharmacy benefit managers so patients know what they are paying. They should pressure pharmaceutical companies to create pricing structures that serve consumers instead of shareholders.
But none of that will matter if the pharmacies disabled Americans depend on are regulated out of business.
Policy leaders must hold three truths at once: Drug prices are too high, access is too fragile, and for disabled Americans, both problems collide.
You cannot help vulnerable people by making their closest health care providers harder to reach. If states want to protect patients, they should create a regulatory environment where pharmacies can survive — and where the communities that depend on them can too.
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Trump’s DOT claims 53% of New York’s non-domiciled CDLs were issued illegally
President Donald Trump’s Department of Transportation announced new action against another Democratic-led state that it claims has been illegally issuing non-domiciled commercial driver’s licenses.
On Friday morning, Transportation Secretary Sean Duffy revealed that an audit from the Federal Motor Carrier Safety Administration found that over half of New York state’s non-domiciled CDLs were issued illegally. The audit sampled 200 records and discovered that 107, or 53%, were issued in violation of federal law.
‘What we uncovered in New York is not an administrative oversight.’
There are reportedly 32,000 active non-domiciled CDLs that were issued by New York.
According to the DOT, the New York Department of Motor Vehicles defaulted to issuing eight-year licenses to foreign drivers who applied for non-REAL ID licenses, regardless of when their legal status expired.
“This systemic failure allows the state to blindly grant long-term commercial driving privileges to foreigners that expire long after the expiration of their lawful presence in the country,” the DOT stated.
Additionally, the department claimed that New York failed to provide any evidence that it had verified the lawful presence of foreign individuals before issuing them commercial driver’s licenses. In some instances, New York allegedly relied on expired lawful presence documents to issue licenses.
Sean Duffy. Photo by Eric Lee/Getty Images
As a result of the concerning findings, the DOT has demanded that New York immediately pause the issuance of new or renewed non-domiciled CDLs and commercial learner’s permits.
The state has also been asked to conduct an internal audit to identify licenses that were issued in violation of federal regulations. The DOT warned that the state risks losing $73 million in federal highway funding if it fails to revoke all illegally issued licenses held by foreign drivers immediately.
“When more than half of the licenses reviewed were issued illegally, it isn’t just a mistake — it is a dereliction of duty by state leadership. Gov. [Kathy] Hochul must immediately revoke these illegally issued licenses. If they refuse to follow the law, we will withhold federal highway funding,” Duffy stated. “This administration will never stop fighting to keep you and your family safe on our roads.”
Photo by GEORGE FREY/AFP via Getty Images
During a Friday morning press conference announcing the findings, Duffy explained that states that illegally issue CDLs endanger American drivers nationwide, since the licenses allow interstate operations.
Duffy described New York as the worst offender for issuing licenses in violation of federal law. The DOT has given New York 30 days to come into compliance.
California and New York account for half of the non-domiciled CDLs issued in the nation, Duffy stated.
“What we uncovered in New York is not an administrative oversight,” FMCSA Administrator Derek Barrs stated during the press conference. “It’s a systematically, grossly unacceptable deviation from a federal safety regulation that has been on the books for a long period of time.”
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