Bill > LD180

This bill addresses potential unfair reimbursement practices in pharmacy payments by prohibiting health insurance carriers (also known as insurers) and pharmacy benefits managers (PBMs) from providing lower reimbursement rates to independent pharmacies compared to pharmacies that are directly affiliated with the carrier or PBM. Specifically, the bill adds a new section (§4349-A) to Maine's insurance laws that prevents carriers and their contracted PBMs from discriminating against pharmacy providers by paying them less for the same prescription drugs or pharmacy services than they would pay to a pharmacy that is part of their own business network. This provision aims to ensure fair compensation for all pharmacies, regardless of their ownership or affiliation, and could help protect independent pharmacies from being financially disadvantaged by insurance companies or pharmacy benefit management organizations.

Health and Social Services

https://legislature.maine.gov/legis/bills/display_ps.asp?LD=180&snum=132