LD 1428
This bill prohibits prior authorization requirements and step therapy protocols under the MaineCare program for prescription drugs used to assess or treat serious mental illness. The implementation of the prohibition must be consistent with the requirements of the Medicaid drug rebate program.
LD 97
This bill repeals the Hospital and Health Care Provider Cooperation Act.
LD 1795
This bill prohibits certain health care providers from charging, billing or collecting a facility fee in certain situations and requires annual reporting on the amount of facility fees charged or billed.
LD 1615
This bill repeals the limitation that no more than 12 different nonprescription drugs may be dispensed by any single vending machine.
LD 1639
This bill establishes the Maine Quality Care Act in order to ensure adequate direct-care registered nurse staffing assignments in health care facilities, including hospitals, freestanding emergency departments and ambulatory surgical facilities, to provide safe and effective patient care. It establishes minimum direct-care registered nurse staffing requirements based on patient care unit and patient needs, specifies the method to calculate a health care facility's compliance with the staffing requirements, protects direct-care registered nurses from retaliation and includes notice, record-keeping and enforcement requirements.
LD 1816
This bill requires that a state entity, health plan or participating plan qualified under the federal Employee Retirement Income Security Act of 1974 may not purchase prescription drugs to be dispensed or delivered to a consumer of this State at a cost that exceeds the maximum fair price. The maximum fair price of a prescription drug is the maximum rate for a drug determined by the Secretary of the United States Department of Health and Human Services under the federal Medicare program. Any savings generated as a result must be used to reduce costs [...]
LD 1829
This bill requires that a state entity, health plan or participating plan qualified under the federal Employee Retirement Income Security Act of 1974 may not purchase prescription drugs to be dispensed or delivered to a consumer of this State at a cost that exceeds the maximum fair price. The maximum fair price of a prescription drug is the maximum rate for a drug determined by the Secretary of the United States Department of Health and Human Services under the federal Medicare program. Any savings generated as a result must be used to reduce costs [...]
LD 1407
This bill amends the Maine Insurance Code in the following ways. 1. It allows a health care provider to object to a health insurance carrier's material change to a provider agreement within 60 days of receiving notice of the change and extends the date on which a change to a provider agreement takes effect based on that objection. 2. It requires a health insurance carrier to include an estimate of any adverse financial impact on a provider as part of a notice of an amendment to a provider agreement. 3. It clarifies that the [...]
LD 1856
This resolve directs the Office of Affordable Health Care to study, in consultation with the Department of Health and Human Services, the options for establishing a MaineCare public health plan. It directs the Office of Affordable Health Care to submit a report to the Joint Standing Committee on Health Coverage, Insurance and Financial Services no later than January 31, 2024 with its recommendations, including any suggested legislation. The committee may report out legislation related to the report.