Maine LD1496: An Act to Ensure Ongoing Access to Medications and Care for Chronic Conditions by Changing Requirements for Prior Authorizations

What the bill says

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" Amend the bill by striking out the title and substituting the following: 'An Act to Ensure Ongoing Access to Medications and Care for Chronic Conditions by Changing Requirements for Prior Authorizations' Amend the bill by striking out everything after the enacting clause and inserting the following: '.

From the introduced text:

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" Amend the bill by striking out the title and substituting the following: 'An Act to Ensure Ongoing Access to Medications and Care for Chronic Conditions by Changing Requirements for Prior Authorizations' Amend the bill by striking out everything after the enacting clause and inserting the following: 'Sec. 1. 24-A MRSA §4304-B is enacted to read: §4304-B. Prior authorization for treatment of chronic conditions 1. Length of prior authorization for treatment of chronic conditions. If a carrier requires a prior authorization for health care services for the treatment of a chronic condition, the approved prior authorization remains valid for the duration of the treatment or for one year, whichever is longer. If health care services for the treatment of a chronic condition are necessary for more than one year, a carrier may not require the renewal of the prior authorization more frequently than once every 3 years. The prior authorization approval is valid from the date the enrollee receives the notice of the approval. If an enrollee has received prior authorization for health care services for the treatment of a chronic condition, the carrier shall honor the prior authorization until the prior authorization expires as long as …

Read the full official text

Sponsors

• Samuel Zager (D, 116) · primary sponsor