Senate Majority Coalition Website

State Senator District E

Senate Majority Leader

 

Senator Cathy Giessel Newsletter

UPDATES



Issues affecting

your family, community and jobs.

August 10, 2023

Dear Friends and Neighbors,

 

Photo: One of the 64 varieties of Rhubarb at the UAF Experimental Farm in Palmer. This one is Crimson Cherry P12. Who knew there are so many varieties!! The Experimental Farm is an amazing place to visit.

 

Pharmacy Benefit Managers (PBMs)

Today I'm focusing on Healthcare Costs - specifically medication costs.

 

I am continuing my work in support of our Alaska independent/tribal pharmacies and patient choice through legislation (SB 121) that reins in the questionable practices of pharmacy benefit managers (PBMs).

 

If you don’t know what a PBM is, do an internet search and you will find a plethora of articles and links that tell the story of why PBMs were created, what they were supposed to do, and how they have devolved into highly questionable multi-billion-dollar entities that are driving up the cost of health care.

 

Originally PBMs were created to negotiate on behalf of employers to protect them and their employees from drug overpricing by Big Pharma. Fast forward to today and you will see a business model that focuses on lining its own pockets as they scheme in the shadows to control drug prices on all sides of the market.

 

Finally, their questionable tactics are garnering attention: the Feds are taking note and bills are being introduced in Congress to curb their unfair practices. The Federal Trade Commission is looking at their vertical integration model. And the National Association of Insurance Regulators have produced a not-so-flattering white paper on PBM practices. I’ve included some links below and I encourage you to take a look for yourself.

 

PBMs, acting as middle men, perform the administrative transaction of processing prescription claims between insurers and pharmacies. Sounds mundane and simple, right? Wrong! The “business model” of the PBM is often described as one of the most opaque and convoluted there is, which is why they have been able to continue as they have for so many years. 

 

The top 3 PBMs in the U.S. that control 85% of the drug-spend market are:

1) CVS-Caremark

2) Express Scripts-Cigna

3) United Health Care-Optum Rx

 

Find these companies and other PBMs listed in the top 20 Fortune 500 list for 2023.

 

Watch this for a humorous and simplified spin on the problem, a great 2-minute video from Dr. Glaucomflecken, Pharm.D., titled “The Middlemen of Healthcare” about OptumRx’s vertical integration.

If this has piqued your interest, here are some more simple videos to help you understand the Pharmacy Benefit Manager maze of issues:

·      Pharmacy Benefit Managers – How the Money Flows

·      Pharmacy Benefit Managers’ Games

·      5 PBM Tricks

 

If you want to see what’s on the minds of members of the U.S. Senate Finance Committee regarding PBMs, here is a link to a committee meeting from March of 2023. It begins about 22 minutes into the video. It starts off slow but gets into the nitty-gritty as they go along.

 

Here is a link to my Senate Bill 121.

 

Items in this Newsletter:

·     Alaska Energy Authority receives $22.1M Federal Grant for Transmission Upgrades

·     Alaska Ombudsman Newsletter

·     Block ParTAY Invitation

·     Alaska Common Grounds is Hiring

·     Alaska Trails August Newsletter

·     Current Topics, Economy, Health Care, Energy

·     Alaska History

·     Resource Values, Permanent Fund

PRESS RELEASE

Brandy M. Dixon

Communications Director

(907) 771-3078

 

 

FOR IMMEDIATE RELEASE

August 9, 2023

 

 

Alaska Energy Authority Awarded $25.6 Million for

Grid Resilience Formula Grant Program

 

(Anchorage) — The Alaska Energy Authority (AEA) was awarded $22.1 million for Alaska’s Grid Resilience Formula Grant Program through the Grid Resilience State and Tribal Formula Grants from the United States Department of Energy (DOE). A required state match of 15 percent or $3.6 million was also received for a total of $25.6 million.

 

These funds were awarded as an aggregate allocation of the first two fiscal years of federal funding, as authorized under Section 40101(d) Formula Grants to States and Indian Tribes of the Infrastructure Investment and Jobs Act. A key objective of the Grid Resilience Formula Grant Program is to assist with electric infrastructure projects, which seek to improve electric grid reliability and resilience against disruptive events. As part of this program, Alaska expects to receive another $38 million in federal funds, which will require an additional 15 percent match from the State, or $5.4 million, over the next three years to support grid resilience projects across the state.

 

“Funding from the Grid Resilience Formula Grant Program will build upon existing efforts throughout Alaska to strengthen electric grid infrastructure,” said AEA Executive Director Curtis W Thayer. “It will help incentivize critical investments that enhance energy resilience, increase beneficial electrification, and address other evolving system needs for the benefit of current and future generations of Alaskans.”

 

The program is part of a broader federal effort to accelerate the deployment of transformative projects that will help to ensure the reliability of national utility-scale electrical infrastructure.

 

AEA will administer the program according to federal applicant and project eligibility requirements. It is anticipated that a Request for Applications will be issued in the fourth quarter of this year. To learn more about Alaska’s Grid Resilience Formula Grant Program and stay informed, visit https://www.akenergyauthority.org/grid-resilience-formula-grant-program.

 

Celebrate youth at our Block ParTAY in Anchorage!

 

Alaska Seeds of Change and the POWER Center are hosting their second annual Block ParTAY!

 

We’re excited to have many community partners joining us to share resources and opportunities with young people, including:

 

Cook Inlet Tribal Council

Anchorage Youth Court

American Lung Association

Anchorage Health Department

MHATS

 

Plus food trucks, games, and live music by Witty Youngman!

 

More than 40 door prizes have been donated by Bear Tooth Theatre Pub, Kaladi Brothers and GCI!

 

August 18, 2:00 - 5:30 pm

corner of 26th & Spenard in Anchorage

Alaska Common Ground is hiring! 

After more than 15 years as Program Coordinator, Kari Gardey is ready to move on. Do you, or someone you know, want to work towards an engaged Alaska democracy? Are you interested in a part-time position working with an awesome board of directors on a variety of tasks? If so, we would love to hear from you! 

Please review the job here and if you believe you are a great fit for the role, contact Kari at info@akcommonground.org by August 25th. 

This is an exciting opportunity to contribute to our mission and work closely with a dedicated team. We look forward to receiving your resumes! 

Current Topics

The great Alaska walrus caper of 2023. Northern Journal

 

Alaska Marine Highway System plans for three new ferries in four years. KRBD

Federal transportation dollars are pouring into the Alaska Marine Highway System. It’s saving the state money now. But Alaska’s ferry board is looking far into the future and helping to draft a 20-year plan. It includes three new ferries in the next four years.

 

Anchorage School District has enough bus drivers for every route this year. Alaska Public Media

Employment offered to bus drivers involves situational training and bus maintenance. ASD bus drivers now start making $25 an hour, and can also receive a $1,000 bonus if they make it through the first semester with only two absences.

 

What to do if you find a tick. Axios

If you see a tick, experts say not to crush it. But you might want to flush it. (Alaska now has ticks showing up. You should know this information.)

 

Different populations on Alaska have some of the nation's highest and lowest death rates by cause. Alaska Beacon

Alaska Natives in certain rural areas of the state have the nation’s highest death rates from suicide and domestic violence and some of the highest rates of accidental deaths, while Asians and Latinos in the state have some of the nation’s lowest rates for deaths from a wide variety of conditions like heart disease and respiratory disorders, according to a new study. The study, published Thursday in The Lancet, is a sweeping review of health disparities across the nation, as shown in various ethnic groups’ death rates at the county or regional level between 2000 and 2019.

 

 

Fisheries

Trident Seafoods begins bunkhouse construction at Captains Bay location. KUCB

The Aleutian Islands and Bering Sea region is home to some of the world’s most productive fishing grounds. It’s where most Alaska pollock comes from, the whitefish found in fish sticks and McDonald's Filet-O-Fish sandwiches worldwide. And a lot of that fish is processed at the giant Trident Seafoods plant in Akutan.

 

 

Economy

Workforce shortages could sabotage Anchorage and Alaska economic opportunities, report says. Alaska Beacon

Having more people leave Alaska than enter it and the aging of the adult population that remains has put Alaska’s largest city and the state as a whole at risk of squandering some historic economic opportunities, according to a new three-year outlook report released Wednesday by the nonprofit Anchorage Economic Development Corp.

 

In Alaska's newest credit rating, analysts see some economic upside. Alaska Beacon

The firm gave the state an AA credit rating in late July, the second-highest of 10 steps on the company’s rating scale.

 

Regulatory commission alleviates pressure of cost of power for Aniak residents. KYUK

Summer 2023 was a time of financial hardship in the Kuskokwim village of Aniak. Without warning, electricity prices quadrupled overnight, leaving the village of 500 with some of the highest electricity prices in the world. Households commonly received bills over $1,000. The school and local businesses had bills that were even higher, and they don’t benefit from the state's power cost subsidy.

 

 

Politics

New ID law intended to support Alaskans exiting incarceration, reduce recidivism. Alaska Beacon

A new law aimed at supporting Alaskans as they leave prison and reenter society will go into effect next year. The state’s Department of Corrections will be able to issue state IDs to prisoners who do not have valid identification when they exit the carceral system.

 

 

Health Care

Small exodus of doctors leaves Central Kenai Peninsula with recruitment rush, strains on care. Alaska Public Media

“It took months of searching to find a nanny,” she said. “We hired a private nanny, we were financially able to and very fortunate, but we looked at daycare first and there was not a single daycare opening on the entire peninsula that could accept her.” 

 

Alaska Senate majority leader poised to rein in anti-competitive PBM business practices with SB 121. State of Reform

Many states have passed bills aiming to reform pharmacy benefit manager (PBM) business practices over the past year, and Alaska Senate Majority Leader Cathy Giessel hopes her state will do the same. 

Alaska History

 

·     1887, Aug 9. First official Alaska government land survey

 

·     1970, Aug 6. Chugach State Park established

 

·     2017, Aug 3. Permanent Fund first topped $60 Billion

Alaska Oil Resource Values

 

Alaska North Slope crude oil price (8/2/23): $89.12

 

FY24 budget (beginning 7/1) is fully funded at forecast $73/barrel oil.

Price on 9/30/22: $86.91

Price on 6/29/22: $116.84

Price on 3/8/22: $125.44

Price on 12/22/21: $75.55

ANS production (7/26/23): 410,285 bpd

 

Biden officials allow climate law to boost copper. Axios

Copper processing is integral to energy transition, as it's used in solar, wind, EVs and other sectors. The U.S. does relatively little of that work. But the climate law might change that. Driving the news: The Energy Department on Monday released its first-ever "critical materials" list and included copper.

 

The growth of U.S. LNG. Axios

The U.S. has the largest source of global LNG supply growth in recent years, with more on the way. The U.S., Qatar and Australia are the largest shippers of the fuel.

 

Quoted. Axios

Quoted: "The Saudis are doing whatever it takes to defend oil prices and that could mean we could be seeing $90 oil soon." — Oanda analyst Edward Moy

 

Streamlined State Regulations Adopted for Nuclear Microreactors. Alaska Business Magazine

Streamlined regulations are now in place for the next generation of nuclear reactors, which could power Alaska communities or industrial sites as early as 2027.

 

Embarking on a Quest for Cheap Energy. UAF From the Grid

Either energy costs are low because there is some form of state subsidy that keeps them artificially low, or electricity is produced from large, legacy power plants that are usually (but not always) hydroelectric.

(My comment: Here is an example of Gwen Holdmann’s thinking about Alaska’s energy, economy and future for our people. I can’t find anything objectionable.)

 

Alaska Division of Oil and Gas plans geothermal lease sale for volcano near Anchorage. Alaska Beacon

The Alaska Division of Oil and Gas is preparing to hold a lease sale offering rights to explore for geothermal energy resources of Mount Spurr, a snow-capped volcano about 80 miles northwest of Anchorage.

 

Tech breakthrough could boost states' use of geothermal power. Alaska Beacon

Lawmakers in some states have been laying the groundwork to add geothermal power to the electrical grid and pump underground heat into buildings. Now, a technological breakthrough could dramatically expand those ambitions — and perhaps unleash a new wave of policies to tap into geothermal sources.

 

Tourmaline Oil joins proposed Pacific LNG terminal in major boost to project. Financial Post

A proposed liquefied natural gas export terminal on Canada’s Pacific Coast is getting a major boost as Tourmaline Oil Corp. — the country’s largest natural gas producer — agreed to join the project. (My comment: Possible source of SouthCentral import natural gas?)

 

Modules construction starts for $5.1 billion Canadian LNG project. UpStream Energy Explored

Qingdao McDermott Wuchuan Offshore Engineering (QMW), the joint venture between US contractor McDermott and China State Shipbuilding Corporation, has started construction of the modules for Pacific Energy’s US$5.1 billion Woodfibre liquefied natural gas project on Canada’s west coast.

 

Renewables are dominating 2023's new U.S. power supply. Axios

Solar is already the largest source of utility-scale power generating capacity added in 2023, and that lead is slated to grow a lot by year's end. State of play: Solar additions slightly outpaced gas in the first six months, providing 35% of new additions, new Energy Information Administration data shows.

 

 

Alaska Permanent Fund

Alaska Permanent Fund (August 9, 2023)

Fund's total value was $78,850,500,000.

 

Preliminary 6-30-23 unaudited values

The Principal total includes:

• $56.4 billion in permanent savings contributions

• $11.5 billion in unrealized gains

 

The Earnings Reserve Account total includes:

• $5.2 billion of uncommitted realized earnings

• $3.5 billion for the FY24 POMV draw

• $4.2 billion for FY23 Inflation Proofing of the Principal

• $1.3 billion in unrealized gains

 

PFD payout from ERA, 1980-2022: $26.6 B

Cost of PFD in 2023: $2.2 B

Cost of PFD in 2024: $881.5 M

Feedback is always welcome.

Have a great week!

 

Cathy 

 

Personal Contact:

907.465.4843

sen.cathy.giessel@akleg.gov

 

My Staff:

·     Chief of Staff: Jane Conway (from Soldotna)

·     Office Manager: Paige Brown (from Anchorage/Girdwood)

·     Resources Committee Staff: Julia O'Connor (from Juneau)



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