Regarding Prior Authorizations for Prescription Drugs

Last updated: Feb 16, 2020

Details about this bill
Category: Pharmacy Related
Status: In Committee
Sponsor: Senator Geoff Gratwick, Senate 32 - York County
Session: 129
Bill #: LD 2106




This bill makes the following changes.

1. It adds a definition of "prior authorization" and clarifies the definitions of "medically necessary health care" and "participating provider" used in the Maine Insurance Code, chapter 56-A.

2. It sets forth additional requirements for carriers to facilitate the processing of prior authorization requests for prescription drugs by providers.