In a recent Smith County government meeting, officials approved a land purchase agreement with Union Pacific Railroad for approximately 0.212 acres at North Fannon Avenue, with a total cost of $1,975. The negotiating team received commendations for their efforts, highlighting the challenges of dealing with railroad negotiations.

The meeting also addressed the Smith County health plan, focusing on rising prescription drug costs. Dawn Brinson from Brinson Benefits presented an analysis showing a significant increase in drug spending per employee, which rose from $237 in 2020 to an estimated $343 in 2023. To address this, the county is considering a transition from their current pharmacy benefit manager, Elixir, to OptumRx, projected to save approximately $283,000 annually, or about 11.8% of the current drug spend.

Brinson emphasized the importance of maintaining employee benefits without increasing co-pays or reducing coverage. The discussion also touched on the rising costs of weight loss medications, with officials expressing concerns about the management of these drugs within the health plan. While compounded medications were mentioned, it was noted that they are not FDA-approved, complicating their inclusion in the pharmacy benefit.

The meeting concluded with a focus on the potential for future cost reductions in weight loss medications, with hopes that increased competition will lead to more affordable options for employees. The county aims to prioritize employee health while managing costs effectively.