Consumer advocates have long detailed how older adults struggle to manage the cost of their medications but hope is emerging in Minnesota and elsewhere with federal changes taking shape.

Under the Inflation Reduction Act, several provisions were established to address the skyrocketing costs of prescription drugs, with most of the efforts focused on Medicare enrollees.

Michael Cabonargi, regional director for the U.S. Department of Health and Human Services, visited Minneapolis this month to help outline some of the estimated savings. The Biden administration recently unveiled price reduction agreements for the first group of Medicare-covered drugs included in negotiations with manufacturers.

"This is the first 10 drugs, again, the most prescribed, most expensive for things like hypertension, diabetes, cardiovascular disease," Cabonargi explained. "We're going to be expanding that."

The first wave of price controls takes effect next year and in 2025, Medicare will select up to 15 additional drugs covered under Part D for negotiation. The group Protect Our Care Minnesota said over time, the federal law will save older Minnesotans more than $113 million. Drugmakers have criticized the policy changes, arguing they will hurt innovation.

Separately, AARP said out-of-pocket drug cost caps of $2,000, also beginning next year, will result in average savings of roughly $1,500 for those who qualify.

Cabonargi noted when you take a step back, it appears consumers are beginning to get a fair shake under the Inflation Reduction Act.

"It really is going to change the trajectory of health care expenses in this country," Cabonargi contended. "For seniors in particular, they're going to have money back in their pocket."

The federal moves have faced political headwinds, with Republican lawmakers facing calls from conservative groups and strategists to roll back provisions. Meanwhile, Protect Our Care said nearly 30,000 Minnesotans on Medicare who use insulin are now saving on average $672 annually under a monthly price cap.

Arizona ratepayers could end up paying more for utilities if state regulators decide to change the ratemaking process.

The Arizona Corporation Commission is set to vote on a proposed policy statement today, which would allow Arizona utilities to move from a historical "test year" model to a formula rate plan. A formula rate plan is used to adjust a utility's base rates outside a general rate case, many times because of increases in the average cost of utility service.

Diane Brown, executive director, Arizona Public Interest Research Group Education Fund, called the proposed change "seismic," and is concerned ratepayers could experience "higher utility bill aftershocks on an annual basis," as a result.

"There appears to be a full-court press to approve a policy statement that essentially upends a long-standing ratemaking process without providing the necessary time and attention to details," Brown contended.

Supporters of formula rate plans said they can help stabilize a utility's rate of return without a full rate case review. Brown argued ratepayers in states using formula rate plans have experienced "higher costs alongside decreased transparency and less opportunities for public engagement." Groups are calling on the commission to grant more time for the decision, to allow experts and consumers a chance to weigh in.

Consumer groups believe the proposed policy statement, which was made public late last month, has been rushed for a vote. Brown argued there is no need to change a system that has worked well, for one lacking specificity, which could usher in unintended effects.

"The commission should slow down the significant shift in ratemaking by addressing questions and requests that stakeholders have presented to commissioners and staff," Brown asserted.

The commission countered stakeholders have had enough time to voice their opinions following workshops held in March and October of this year on the issue, all in an effort to provide Arizonans with reliable service and predictability in utility costs.

When surveyed, 77% of Americans prefer to buy goods made in the United States, especially during holidays, and 82% said they would buy more if available.

A new poll from the American Alliance for Manufacturing conducted the survey.

According to Amazon's Small Business Impact report, independent sellers in Kentucky sold more than 22 million items last year. But despite a strong consumer preference, online retailers are not required to provide country-of-origin labeling.

Scott Paul, president of the Alliance for American Manufacturing, said while U.S.-made gifts may have a slightly higher price tag, they do not come with ethical baggage as some items made in other countries.

"There's no tariffs paid on them. They're not necessarily subject to inspection," Paul outlined. "We know from reports that a lot of them are not made particularly well, that have some toxins in them, and may come from supply chains that have forced labor. "

Around 20% of holiday shoppers will use Chinese apps such as TikTok and Temu this holiday season. The Alliance's online 2024 Holiday Gift Guide lists products from more than 100 manufacturers and makers from all 50 states.

Paul pointed out shoppers have a variety of reasons for seeking out U.S.-made products ranging from sustainability to ethical supply chains. He noted three in five Americans said they have made a conscious effort to buy American-made products in the past year.

"It could be about patriotism and supporting local jobs but whatever the reason for it, it's actually something that I think unites a lot of people in our country," Paul asserted. "That's really important, especially as we get closer to the holidays."

More than 363,000 small businesses operate in Kentucky, employing 42% of workers in the Commonwealth, according to federal data.

Small businesses are reminding people to shop locally as the holiday shopping season kicks off this week.

Local communities around the country, including in Idaho, are readying for Small Business Saturday, which takes place the day after Black Friday.

Jenn Hensley, executive director of the Downtown Boise Association, said small businesses donate 250% more to community causes than big businesses, and keep the money spent at them local.

"Sixty-eight of every $100 spent at a locally owned business stays in the community. That's compared to $43 spent at a national chain," Hensley pointed out. "So, $25 more stays here. We're supporting local causes when we shop local businesses. We're also keeping our money local."

Hensley noted there are more than 700 businesses in downtown Boise and 96% are locally owned. She argued small businesses provide a more curated shopping experience than big businesses. Downtown Boise has events planned to mark Small Business Saturday this weekend.

Up to 90% of new jobs are created by local businesses. Hensley emphasized shopping locally can also help address issues communities are facing, such as housing affordability.

"When you are shopping in those stores, you are directly addressing those issues," Hensley contended. "In the sense that you are keeping your dollars here locally with a person who lives in a house down the street, who supports your kid's soccer team, who shops at other local shops. And so it's really important that we support these folks."

Small Business Saturday has been around since 2010, as a counterpart to Black Friday and Cyber Monday, which take place after Thanksgiving.


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