| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 22 MRSA §254, sub-§11-A, as enacted by PL 2001, c. 691, §1 and | | affected by §6, is amended to read: |
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| | | 11-A. Retention of eligibility. A person who was eligible | | for the program at any time from August 1, 1998 to July 31, 1999 | | and who does not meet the requirements of subsection 10 retains | | eligibility for the program if that person is a member of a | household of an eligible person; and |
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| | | Sec. 2. 22 MRSA §254, sub-§12, as enacted by PL 1999, c. 731, Pt. TT, | | §10, is amended to read: |
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| | | 12. Funds not to lapse. Funds appropriated from the General | | Fund to carry out the purpose of this section may not lapse but | must carry from year to year.; and |
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| | | Sec. 3. 22 MRSA §254, sub-§13 is enacted to read: |
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| | | 13.__Procedures.__Procedures for prior authorization of | | benefits under the program or preferred drug lists within the | | program must meet the requirements established for prior | | authorization and preferred drug lists in the MaineCare program | | under section 3174-GG. |
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| | | Sec. 2. 22 MRSA §§3174-GG and 3174-HH are enacted to read: |
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| | | §3174-GG.__Pharmacy benefit procedures |
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| | | The requirements set out in this section apply to procedures | | for prior authorization of pharmacy benefits or preferred drug | | lists under the MaineCare program and the elderly low-cost drug | | program under section 254.__As used in this section "member" | | means a person receiving benefits under the MaineCare program or | | the elderly low-cost drug program.__The department shall adopt | | rules to implement this section.__Rules adopted pursuant to this | | section are routine technical rules as defined in Title 5, | | chapter 375, subchapter 2-A. |
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| | | 1.__Preferred drug lists.__In the adoption of any preferred | | drug lists, the provisions of this subsection apply. |
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| | | A.__The department shall adopt rules specifying the number | | and classes of preferred drugs that must be determined to be | | clinically inappropriate or ineffective before permitting | | the use of a nonpreferred drug. |
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| | | B.__The department shall adopt rules establishing preferred drug | | lists for off-label use of prescription drugs for |
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