LD 1809
pg. 1
LD 1809 Title Page An Act to Increase Access to Cub Care for Children Page 2 of 2
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LR 1759
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA §3174-T, sub-§2, ķA, as reallocated by RR 1997, c. 2,
§46, is amended to read:

 
A. The maximum eligibility level, subject to adjustment by
the commissioner under paragraph B, is 185% 200% of the
nonfarm income official poverty line.

 
Sec. 2. 22 MRSA §3174-T, sub-§11 is enacted to read:

 
11.__Drug rebate program.__Effective October 1, 1999, payment
must be denied for drugs from pharmaceutical manufacturers that
do not enter into a rebate agreement with the department for
prescription drugs included in the list of approved drugs under
this program.__Each agreement must provide that the
pharmaceutical manufacturer make rebate payments to the
department according to the following schedule.

 
A.__For the quarters beginning October 1, 1999, the rebate
percentage is equal to the percentage recommended by the
federal Health Care Financing Administration of the
manufacturer's wholesale price for the total number of
dosage units of each form and strength of a prescription
drug for which providers of prescription drugs have been
reimbursed by the department as recorded in a department
report available to any interested party, provided payments
are not due until 30 days following the manufacturer's
receipt of utilization data supplied by the department,
including the number of dosage units for which providers of
prescription drugs are reimbursed during the period for
which payments are due.

 
B.__Beginning October 1, 2000, the department shall seek to
achieve an aggregate rebate amount from all rebate
agreements that is 6 percentage points higher than that
required by paragraph A of this subsection, provided such
rebates result in a net increase in the rebate revenue
available to the Cub Care program.__In the event the
department is not able to achieve the rebate amount required
by this paragraph without compromising the best interest of
recipients of the Cub Care program, it shall report to the
joint standing committees of the Legislature having
jurisdiction over health and human services matters and over
appropriations and financial affairs in the First Regular
Session of the 120th Legislature.

 
Upon receipt of data from the department, the pharmaceutical
manufacturer shall calculate the quarterly rebate payment.__If a
discrepancy is discovered, the department may, at its expense,


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