Maine LD 572: An Act To Ensure Appropriate Health Insurance Coverage for Prescription Eye Drops

LD 572 (subjects: INSURANCE , HEALTH )

Official bill page at mainelegislature.org: http://www.mainelegislature.org/legis/bills/display_ps.asp?ld=572&PID=1456&snum=127


Sponsors | Actions | Bill Text & Amendments | Patterns of Support


Sponsors

Principal Sponsor: Rep. Terry Morrison of South Portland: (D – District 31) — e-mail | Twitter | Facebook

3 Cosponsors:

Actions

Chamber

Action
2/26/2015 House Committee on Insurance and Financial Services suggested and ordered printed.
The Bill was REFERRED to the Committee on INSURANCE AND FINANCIAL SERVICES.
Sent for concurrence. ORDERED SENT FORTHWITH.
2/26/2015 Senate On motion by Senator Whittemore of Somerset, REFERRED to the Committee on Insurance and Financial Services, in concurrence.
4/23/2015 House CONSENT CALENDAR – FIRST DAY
4/28/2015 House Committee on Bills in the Second Reading Reports no further verbal amendments necessary Representative McLEAN of Gorham, Chair, House of Representatives Report Accepted.
CONSENT CALENDAR – SECOND DAY.
The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment “A” (H-81).
Sent for concurrence. ORDERED SENT FORTHWITH.
4/29/2015 Senate Report READ and ACCEPTED , in concurrence.
READ ONCE
Committee Amendment “A” (H-81) READ and ADOPTED , in concurrence.
ASSIGNED FOR SECOND READING NEXT LEGISLATIVE DAY.
4/30/2015 Senate COMMITTEE ON BILLS IN THE SECOND READING REPORTS NO FURTHER VERBAL AMENDMENTS NECESSARY, Senator Saviello, Senate Chair. REPORT ACCEPTED.
READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment “A” (H-81), in concurrence.
Ordered sent down forthwith.
5/5/2015 House PASSED TO BE ENACTED.
Sent for concurrence. ORDERED SENT FORTHWITH.
5/6/2015 Senate PASSED TO BE ENACTED, in concurrence.

Bill Text & Amendments

Important Note: The bill text below presents L.D. 572 as originally introduced. L.D. 572 was changed by the legislature through amendment. To understand the impact of this legislation in proper context, be sure to read adopted amendment text, available here: C-A (H-81) .

An Act To Ensure Appropriate Health Insurance Coverage for Prescription Eye Drops

Be it enacted by the People of the State of Maine as follows:

Sec. 1. 24-A MRSA 4314-A is enacted to read:

4314-A. Coverage for early refills of prescription eye drops

1. Required coverage. A carrier offering a health plan in this State shall provide coverage for one early refill of a prescription for eye drops if the following criteria are met:

A. For prescription eye drops dispensed as a 30-day supply, the enrollee requests the refill fewer than 30 days after the later of the following dates:

(1) The date the original prescription was dispensed to the enrollee; or

(2) The date that the most recent refill of the prescription was dispensed to the enrollee;

B. For prescription eye drops dispensed as a 90-day supply, the enrollee requests the refill fewer than 90 days after the later of the following dates:

(1) The date the original prescription was dispensed to the enrollee; or

(2) The date that the most recent refill of the prescription was dispensed to the enrollee;

C. The prescribing health care provider indicated on the original prescription that a specific number of refills are authorized;
D. The refill requested by the enrollee does not exceed the number of refills indicated on the original prescription;
E. The prescription has not been refilled more than once during the 30-day or 90-day period prior to the request for an early refill; and
F. The prescription eye drops are a covered benefit under the enrollee’s health plan.

2. Cost sharing. A carrier may not impose a deductible, copayment or coinsurance requirement for coverage required under this section as long as the deductible, copayment or coinsurance does not exceed the deductible, copayment or coinsurance applicable to other prescription drug coverage under the health plan.

Sec. 2. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2016. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.

SUMMARY

This bill requires all health insurance carriers offering health plans to provide coverage for early refills of prescription eye drop medication in certain circumstances. The bill applies to all policies and contracts issued or renewed on or after January 1, 2016.

Patterns of Support

Pattern of Cosponsorship by Region:

Pattern of Cosponsorship by Gender:

Pattern of Cosponsorship by Party:

Pattern of Cosponsorship by Campaign Finance Classification:

Note: Maine Clean Elections Act (MCEA) Qualified candidates only accept a small dollar value of initial contributions early in their campaigns, pledge not to accept further campaign contributions from private sources, and receive public funding for their campaigns. MCEA Non-Qualified candidates choose not to obtain public funding and instead are free to accept campaign contributions from individuals, party committees, political action committees and business sources.


This information about LD 572 was last updated on 2016-05-12.
The Open Maine Politics website is in a beta release and results should not be taken as definitive. Please visit the official website of the Maine State Legislature for entirely verifiable information.

1 Comment on "Maine LD 572: An Act To Ensure Appropriate Health Insurance Coverage for Prescription Eye Drops"

  1. Helene Plourde | March 24, 2015 at 9:32 am | Reply

    Good morning,
    I would ask that LD572 be approved as presented. As someone who is now required to take eye drops daily, the passage of this Bill is very important.

    Thank you.
    Helene Plourde

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