| Initiative: Provides additional funds for the college transition | program. |
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| GENERAL FUND | 2005-06 | 2006-07 |
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| GENERAL FUND TOTAL | $0 | $200,000 |
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| | Sec. AAA-1. 22 MRSA §254-D, sub-§8 is enacted to read: |
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| | 8.__Emergency drug coverage.__The department shall provide | emergency drug coverage to an enrollee when: |
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| A.__A medically necessary drug prescribed for the enrollee | is not on the enrollee's Medicare Part D prescription drug | plan formulary, is not provided for in the dosage or amount | necessary or is on the formulary as a nonpreferred drug; |
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| B.__The enrollee's initial prior authorization request was | not approved by the Medicare Part D prescription drug plan; | and |
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| C.__The drug is available as a preferred drug under either | the program or MaineCare or is available from these programs | with prior authorization and the enrollee has received or | would receive prior authorization approval. |
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| | Sec. AAA-2. Report regarding status of state-paid prescription drug coverage. The | Department of Health and Human Services shall provide a report to | the joint standing committee of the Legislature having | jurisdiction over health and human services matters regarding the | status of the state-paid prescription drug coverage related to | Medicare Part D on a monthly basis for one year and then on a | quarterly basis until June 30, 2008. |
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| | Sec. AAA-3. Use of unspent federal clawback funding. The Department of | Health and Human Services is authorized to use any unspent funds | appropriated for fiscal years 2005-06 or 2006-07 under this Part | for Medicare Part D clawback payments for the purposes of | providing additional Medicare Part D wraparound assistance. |
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