132nd MAINE LEGISLATURE
		LD 1687		LR 2100(02)
	An Act to Clarify and Increase Access to HIV Prevention Medications
	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	$44,264	$2,939	$2,939
Appropriations/Allocations
	General Fund		$0	$44,264	$2,939	$2,939
	Federal Expenditures Fund		$0	$146,951	$31,183	$31,183
	Other Special Revenue Funds		$0	$1,609	$3,218	$3,218
Revenue
	Federal Expenditures Fund		$0	$146,951	$31,183	$31,183
	Other Special Revenue Funds		$0	$1,609	$3,218	$3,218
Fiscal Detail and Notes
	The bill includes ongoing General Fund appropriations to the Department of Health and Human Services of $1,474 in fiscal year 2026-27 to provide reimbursement to pharmacists under the MaineCare program beginning January 1, 2027 for prescribing, dispensing and administering HIV prevention medications in an amount not to exceed a 60-day supply to an individual once every two years. The bill also includes a one-time General Fund appropriation to the department of $42,974 in fiscal year 2026-27 for technology costs to implement the MaineCare reimbursement to pharmacists. Federal Expenditure Funds allocations are also included for matching funds and Other Special Revenue Funds allocations are included for drug rebates.
	Any additional costs to the Department of Professional and Financial Regulation, Maine Board of Pharmacy to implement the provisions of this bill are expected to be minor and can be absorbed within existing budgeted resources.