130th MAINE LEGISLATURE
		LD 1877		LR 2383(02)
	An Act To Prohibit Prior Authorization Requirements and Step Therapy Protocols for Medications Addressing Serious Mental Illness for MaineCare Recipients
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2021-22	FY 2022-23	Projections  FY 2023-24	Projections  FY 2024-25
Net Cost (Savings)
	General Fund		$0	$737,470	$2,949,881	$2,949,881
Appropriations/Allocations
	General Fund		$0	$737,470	$2,949,881	$2,949,881
	Federal Expenditures Fund		$0	$1,690,973	$6,763,892	$6,763,892
	Federal Block Grant Fund		$0	$36,718	$146,872	$146,872
Revenue
	Federal Expenditures Fund		$0	$1,690,973	$6,763,892	$6,763,892
	Federal Block Grant Fund		$0	$36,718	$146,872	$146,872
Fiscal Detail and Notes
	This bill includes General Fund appropriations to the Department of Health and Human Services of $737,470 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 in adults. Federal Expenditures Fund and Federal Block Grant Fund allocations are also included for the FMAP match.