| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 22 MRSA c. 603, sub-c. 4 is enacted to read: |
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| | | PRESCRIPTION DRUG PRACTICES |
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| | | §2699.__Prescription drug practices |
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| | | Pharmacy benefits managers shall and contracts for pharmacy | | benefits management must comply with the requirements of this | | section. |
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| | | 1.__Definitions.__As used in this chapter, unless the | | context otherwise indicates, the following terms have the | | following meanings. |
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| | | A.__"Covered entity" means a nonprofit hospital or medical | | service organization, insurer, health coverage plan or | | health maintenance organization licensed pursuant to Title | | 24 or 24-A; a health program administered by the | | department or the State in the capacity of provider of | | health coverage; or an employer, labor union or other | | group of persons organized in the State that provides | | health coverage to covered individuals who are employed or | | reside in the State.__"Covered entity" does not include a | | health plan that provides coverage only for accidental | | injury, specified disease, hospital indemnity, Medicare | | supplement, disability income or other long-term care. |
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| | | B.__"Covered individual" means a member, participant, | | enrollee, contract holder or policy holder or beneficiary | | of a covered entity who is provided health coverage by the | | covered entity.__"Covered individual" includes a dependent | | or other person provided health coverage through a policy, | | contract or plan for a covered individual. |
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| | | C.__"ERISA" means the Employee Retirement Income Security | | Act of 1974, 29 United States Code, Sections 1001 to 1461 | | (1988). |
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| | | D.__"Generic drug" means a chemically equivalent copy of a | | brand-name drug with an expired patent. |
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| | | E.__"Labeler" means an entity or person that receives | | prescription drugs from a manufacturer or wholesaler and | | repackages those drugs for later retail sale and that has | | a labeler code from the federal Food and Drug | | Administration under 21 Code of Federal Regulations, | | 270.20 (1999). |
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