Bill > LD2005

This bill amends Maine's insurance regulations to require pharmacy benefits managers (PBMs) - organizations that manage prescription drug benefits for health insurance plans - to provide alternative options for patients when mail order prescription deliveries are significantly delayed or arrive in an unusable condition. Specifically, the bill mandates that if a prescription is delayed more than one day past its expected delivery date or arrives damaged and unusable, the PBM must allow the patient to obtain their prescription at a network pharmacy. This provision aims to ensure that patients are not left without necessary medications due to mail order pharmacy issues, providing a consumer protection mechanism that guarantees continuous access to prescription drugs. The bill adds this requirement as a new subsection to the existing insurance code, creating a clear pathway for patients to receive their medications if mail order delivery fails to meet expected standards of service and timeliness.

Health and Social Services

https://legislature.maine.gov/legis/bills/display_ps.asp?LD=2005&snum=132