Establish the Maine Prescription Drug Affordability Board

Last updated: Jun 14, 2019

Details about this bill
Category: Pharmacy Related
Status: On Governor's Desk
Sponsor: Senator Troy Jackson, Senate 35 - York County
Session: 129
Bill #: LD 1499

Position:

Monitoring.

UPDATE: The scope of this bill has been narrowed to state-paid prescriptions. It was passed out of committee by a 10-1 vote.

Summary:

This bill creates the Maine Prescription Drug Affordability Board to determine the reasonableness of the costs for certain prescription drug products. The bill requires prescription drug manufacturers to notify the board when the introductory price or proposed price increase for a brand-name or generic drug reaches a specified threshold. The board is directed to review the information submitted by manufacturers to justify the price or increase.

The bill requires the board to have a public process for each prescription drug required to be reviewed based on certain criteria. The board is directed to determine if the cost to the health care system of appropriate utilization of a drug is commensurate with its benefit to the system and whether the drug is affordable to state residents. If the board finds that the cost in the State is not affordable to state health care systems and state residents, the board is authorized to establish a cost or payment rate for the drug to which all state programs, local governments, licensed commercial health plans, including state marketplace plans, licensed pharmacies, wholesalers and distributors must abide. These covered entities are prohibited from paying more for the drugs than the board-established rate.