132nd MAINE LEGISLATURE
		LD 1496		LR 788(02)
	An Act to Ensure Ongoing Access to Medications and Care for Chronic Conditions and Conditions Requiring Long-term Care by Changing Requirements for Prior Authorizations
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health Coverage, Insurance and Financial Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2025-26	FY 2026-27	Projections  FY 2027-28	Projections  FY 2028-29
Net Cost (Savings)
	General Fund		$0	$1,779,648	$1,779,648	$1,779,648
	Highway Fund		$0	$619,008	$619,008	$619,008
Appropriations/Allocations
	General Fund		$0	$1,779,648	$1,779,648	$1,779,648
	Highway Fund		$0	$619,008	$619,008	$619,008
Fiscal Detail and Notes
	This bill defines "chronic condition" and clarifies that the limits placed on health insurance carriers related to prior authorizations extend to health care services for the treatment of a chronic condition and to diagnostic procedures or tests related to the treatment of a chronic condition. The requirements of the bill apply to health plans issued or renewed on or after January 1, 2026. The State Employee Health Plan's first impacted plan year will be fiscal year 2026-27 and is estimated to cost $3,868,800 annually thereafter. The costs are split across the General Fund ($1,779,648), Highway Fund ($619,008), and all other funds ($1,470,144).