LD 1404
pg. 1
LD 1404 Title Page An Act To Increase the Quality of Care and Reduce Administrative Burdens in the... Page 2 of 8
Download Bill Text
LR 1953
Item 1

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

 
Sec. 1. 22 MRSA §254, sub-§11-A, as enacted by PL 2001, c. 691, §1 and
affected by §6, is amended to read:

 
11-A. Retention of eligibility. A person who was eligible
for the program at any time from August 1, 1998 to July 31, 1999
and who does not meet the requirements of subsection 10 retains
eligibility for the program if that person is a member of a
household of an eligible person; and

 
Sec. 2. 22 MRSA §254, sub-§12, as enacted by PL 1999, c. 731, Pt. TT,
§10, is amended to read:

 
12. Funds not to lapse. Funds appropriated from the General
Fund to carry out the purpose of this section may not lapse but
must carry from year to year.; and

 
Sec. 3. 22 MRSA §254, sub-§13 is enacted to read:

 
13.__Procedures.__Procedures for prior authorization of
benefits under the program or preferred drug lists within the
program must meet the requirements established for prior
authorization and preferred drug lists in the MaineCare program
under section 3174-GG.

 
Sec. 2. 22 MRSA §§3174-GG and 3174-HH are enacted to read:

 
§3174-GG.__Pharmacy benefit procedures

 
The requirements set out in this section apply to procedures
for prior authorization of pharmacy benefits or preferred drug
lists under the MaineCare program and the elderly low-cost drug
program under section 254.__As used in this section "member"
means a person receiving benefits under the MaineCare program or
the elderly low-cost drug program.__The department shall adopt
rules to implement this section.__Rules adopted pursuant to this
section are routine technical rules as defined in Title 5,
chapter 375, subchapter 2-A.

 
1.__Preferred drug lists.__In the adoption of any preferred
drug lists, the provisions of this subsection apply.

 
A.__The department shall adopt rules specifying the number
and classes of preferred drugs that must be determined to be
clinically inappropriate or ineffective before permitting
the use of a nonpreferred drug.

 
B.__The department shall adopt rules establishing preferred drug
lists for off-label use of prescription drugs for


LD 1404 Title Page Top of Page Page 2 of 8