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ME LD1496
Bill
Status
Enrolled
6/13/2025
Primary Sponsor
Samuel Zager
Click for details
AI Summary
- Prior authorizations for chronic conditions and long-term care treatments must remain valid for the duration of treatment or one year, whichever is longer
- Renewal of prior authorizations cannot be required more frequently than once every 5 years for treatments extending beyond one year
- New health plans cannot restrict coverage for previously authorized health care services or prescriptions within 90 days of enrollment for patients who are stable on that treatment
- Health plans must provide at least 90 days' notice before restricting coverage of a previously approved health care service
- Prior authorization approvals for prescription drugs remain valid regardless of dosage changes, though utilization review entities may rescind approvals for doses exceeding federal or state limits
Legislative Description
An Act to Ensure Ongoing Access to Medications and Care for Chronic Conditions by Changing Requirements for Prior Authorizations
Insurance
Last Action
CARRIED OVER, in the same posture, to any special or regular session of the 132nd Legislature, pursuant to Joint Order SP 800.
6/25/2025
Committee Referrals
Health Coverage, Insurance and Financial Services4/8/2025
Full Bill Text
No bill text available