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Bill > LD1687


ME LD1687

An Act to Clarify and Increase Access to HIV Prevention Medications


summary

Introduced
04/17/2025
In Committee
04/17/2025
Crossed Over
Passed
Dead

Introduced Session

132nd Legislature

Bill Summary

This bill clarifies, with respect to insurance coverage for HIV prevention medication, that each long-acting injectable drug with a different duration constitutes a separate method of administration. The bill clarifies that pharmacists are allowed to dispense HIV preventive oral medication under current law, allows pharmacists to dispense injectable medication of any duration in certain circumstances and requires insurance carriers to treat pharmacists dispensing HIV drugs in a manner equivalent to how the insurance carriers treat physicians and allow pharmacists to bill the carriers and receive payment directly. The bill also provides reimbursement under the MaineCare program to pharmacists for prescribing, dispensing and administering HIV prevention drugs.

AI Summary

This bill aims to improve access to HIV prevention medications by making several key changes to existing laws. The legislation clarifies that each long-acting injectable HIV prevention drug with a different duration is considered a separate method of administration, which means insurance carriers must potentially cover multiple versions of injectable drugs. The bill expands the role of pharmacists by allowing them to prescribe, dispense, and administer HIV prevention drugs, including both oral and injectable medications. Importantly, pharmacists will be able to bill insurance carriers directly and receive payment at the same rate as physicians, and the MaineCare program (Maine's Medicaid program) will be required to reimburse pharmacists for these services by January 1, 2027. The bill also stipulates that insurance carriers cannot impose more restrictive requirements on pharmacists than state law allows and must treat pharmacists' HIV prevention drug services equivalent to those provided by physicians. Additionally, the legislation requires the Department of Health and Human Services to apply for any necessary federal waivers to implement these changes, ensuring that the expanded pharmacist services can be fully integrated into the state's healthcare system.

Committee Categories

Health and Social Services

Sponsors (6)

Last Action

Voted: OTP-AM (on 05/08/2025)

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