LD 88
pg. 1
LD 88 Title Page An Act to Require that Pharmacy Benefit Plan Bids be Solicited from Nonprofit P... LD 88 Title Page
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LR 419
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 5 MRSA §286-B is enacted to read:

 
§286-B.__Pharmacy benefits management

 
If the Bureau of Human Resources, Division of State Employee
Health Insurance determines that pharmacy benefits management
that is independent of the health benefits carrier or carriers
providing health benefits pursuant to section 285 may be
advantageous to the state employee health insurance program,
the Division of State Employee Health Insurance may require
the carrier or carriers to seek bids for pharmacy benefits
management services on a contractual basis from an independent
nonprofit pharmacy benefits management entity or may seek bids
for those services separately from the contract with the
health benefits carriers or carrier providing health benefits
pursuant to section 285.

 
Sec. 2. 22 MRSA §261 is enacted to read:

 
§261.__Pharmacy benefits management

 
If the department determines that pharmacy benefits
management may be advantageous to a health or pharmacy
benefits program administered by the department under this
Title, the department shall seek bids for pharmacy benefits
management services on a contractual basis from a nonprofit
pharmacy benefits management entity.

 
SUMMARY

 
This bill would, under certain circumstances, require the
Department of Administrative and Financial Services, Bureau of
Human Resources, Division of State Employee Health Insurance
and the Department of Human Services to seek bids on pharmacy
benefits management services from a nonprofit pharmacy
benefits management entity for the state employee health
insurance program and for a health or pharmacy benefits
program administered by the State.


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