| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 22 MRSA §3174-DD is enacted to read: |
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| | | §3174-DD.__Drug Utilization Review Committee |
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| | | 1.__Authority.__The department has the authority to | | determine which prescription and over-the-counter drugs are | | subject to prior authorization and coverage under the | | MaineCare program. |
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| | | 2.__Drug Utilization Review Committee.__In order to make | | determinations regarding which prescription and over-the- | | counter drugs are subject to prior authorization, the Drug | | Utilization Review Committee, referred to in this section as | | "the committee," is established. |
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| | | A.__The committee is composed of an equal number of | | actively practicing physicians and actively practicing | | pharmacists, totaling not fewer than 6 individuals.__The | | department shall appoint the members of the committee and | | establish their terms. |
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| | | B.__Public notice of the date, time and location of all | | meetings of the committee must be made in accordance with | | Title 1, section 406 at least 7 days in advance of the | | meeting.__This notice must also include a list of all | | drugs to be considered for prior authorization at that | | meeting.__The meetings must be considered public | | proceedings, for purposes of Title 1, chapter 13.__Members | | of the public, including health care providers and drug | | manufacturers, who are physically present at committee | | meetings must be granted reasonable opportunity to address | | the committee prior to any vote. |
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| | | C.__At the conclusion of a meeting pursuant to paragraph | | B, committee members shall record their vote for each drug | | on a form to be supplied at each meeting.__After adding or | | deleting a drug from the list of drugs that require prior | | authorization, the committee shall issue written findings | | setting forth the evidentiary basis for its decision.__ | | These findings must address, without limitation, all | | relevant clinical data, as well as the likelihood that | | subjecting a drug to prior authorization will cause | | adverse medical results or affect patients' access to all | | medically necessary outpatient drugs.__A vote of at least | | 2/3 of the committee members present is required to add or | | delete a drug from the list of drugs that require prior | | authorization. |
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