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ME LD480

ME LD480
An Act to Support Healthy Weight by Providing MaineCare Coverage for Certain Weight Loss Medications


summary

Introduced
02/06/2025
In Committee
02/06/2025
Crossed Over
Passed
Dead
03/20/2025

Introduced Session

132nd Legislature

Bill Summary

This bill requires the Department of Health and Human Services to provide reimbursement under the MaineCare program for glucagon-like peptide-1 receptor agonists that are approved by the federal Food and Drug Administration for the treatment of obesity. The department must restrict reimbursement to medications prescribed by a primary care provider or a bariatric specialist and must require a prior authorization of the medication.

AI Summary

This bill requires Maine's Department of Health and Human Services to provide MaineCare (Maine's Medicaid program) coverage for specific weight loss medications known as glucagon-like peptide-1 (GLP-1) receptor agonists that have been approved by the federal Food and Drug Administration (FDA) for obesity treatment. The coverage comes with two key restrictions: the medications must be prescribed exclusively by either a primary care provider or a bariatric specialist, and patients must obtain prior authorization before the medication can be reimbursed. GLP-1 receptor agonists are a class of medications originally developed to treat type 2 diabetes that have shown significant effectiveness in supporting weight loss, and this bill aims to make these potentially costly medications more accessible to MaineCare recipients who might benefit from them in managing obesity.

Committee Categories

Health and Social Services

Sponsors (6)

Last Action

Ought Not to Pass Pursuant To Joint Rule 310, Mar 20, 2025 (on 03/20/2025)

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