An Act To Prohibit Insurance Carriers from Charging Enrollees for Prescription Drugs in Amounts That Exceed the Drugs' Costs
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §4317, sub-§13 is enacted to read:
13. Prohibition on excessive copayments or charges; disclosure not penalized. A carrier or pharmacy benefits manager may not impose on an enrollee a copayment or other charge that exceeds the claim cost of a prescription drug. If information related to an enrollee's out-of-pocket cost or the clinical efficacy of a prescription drug or alternative medication is available to a pharmacy provider, a carrier or pharmacy benefits manager may not penalize a pharmacy provider for providing that information to an enrollee.
Effective 90 days following adjournment of the 128th Legislature, First Regular Session, unless otherwise indicated.