132nd MAINE LEGISLATURE
		LD 1100		LR 629(02)
	An Act to Clarify the Requirements for Accessing Nonformulary Drugs and Drugs Used to Treat Serious Mental Illness
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health Coverage, Insurance and Financial Services
	Fiscal Note Required: Yes
Fiscal Note
Potential current biennium cost increase - All Funds
Fiscal Detail and Notes
	This bill clarifies requirements for accessing nonformulary drugs related to treating serious mental illness and eliminates a requirement that an enrollee in a health plan gain access to a clinically appropriate drug not otherwise covered by the health plan. The bill also clarifies that a carrier must approve a prior authorization for an equivalent nonformulary drug in the instance of a shortage of the formulary drug with no formulary equivalent. This will potentially increase costs to the State Employee Health Plan. A more precise estimate of the fiscal impact cannot be determined because it is not possible to predict hypothetical drug shortages, the number of impacted plan members, and subsequent costs.