LD 1877 LR 2383(01)
An Act To Prohibit Prior Authorization Requirements and Step Therapy Protocols for Medications Addressing Serious Mental Illness for MaineCare Recipients
Preliminary Fiscal Impact Statement for Original Bill
Sponsor: Rep. Madigan of Waterville
Committee: Health and Human Services
Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
FY 2021-22 FY 2022-23 Projections  FY 2023-24 Projections  FY 2024-25
Net Cost (Savings)
General Fund $448,550 $1,823,237 $1,823,237 $1,823,237
General Fund $448,550 $1,823,237 $1,823,237 $1,823,237
Federal Expenditures Fund $1,320,402 $5,257,211 $5,257,211 $5,257,211
Federal Block Grant Fund $29,557 $113,593 $113,593 $113,593
Fiscal Detail and Notes
The Department of Health and Human Services will require General Fund appropriations of $448,550 in fiscal year 2021-22 and $1,823,237 in fiscal year 2022-23 associated with changes to the prior authorization requirements and step therapy protocols under the MaineCare program for prescription drugs used to assess or treat serious mental illness. Federal Expenditures Fund and Federal Block Grant Fund allocations will also be required for the FMAP match.