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ME LD1580
Bill
Status
6/10/2025
Primary Sponsor
Robert Nutting
Click for details
AI Summary
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Prohibits insurance carriers and pharmacy benefits managers (PBMs) from engaging in "spread pricing"—charging health plans more for prescription drugs than the actual ingredient cost plus dispensing fee paid to pharmacies, minus legitimate management fees
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Requires carriers and PBMs to submit annual compliance certifications to the superintendent by December 31st each year, beginning December 31, 2026, signed by the CEO or CFO
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Applies to contracts entered into or renewed on or after January 1, 2026
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Exempts the MaineCare program from these requirements
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Contains a sunset provision repealing the law on January 1, 2031
Legislative Description
An Act to Prohibit Carriers and Pharmacy Benefits Managers from Using Spread Pricing
Health Care Services
Last Action
PASSED TO BE ENACTED, in concurrence.
6/10/2025