Maine Revised Statutes Title 22 Sec. 258 – Healthy Maine Prescription Program
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1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
A. “Elderly low-cost drug program” means the program established as part of the Healthy Maine Prescription Program pursuant to section 254?D. [PL 2005, c. 401, Pt. C, §2 (AMD).]
B. “Prescription program” means the Healthy Maine Prescription Program established in this section. [PL 2001, c. 293, §5 (NEW).]
[PL 2005, c. 401, Pt. C, §2 (AMD).]
Terms Used In Maine Revised Statutes Title 22 Sec. 258
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Commissioner: means the Commissioner of Health and Human Services. See Maine Revised Statutes Title 22 Sec. 1-A
- Department: means the Department of Health and Human Services. See Maine Revised Statutes Title 22 Sec. 1-A
- United States: includes territories and the District of Columbia. See Maine Revised Statutes Title 1 Sec. 72
- Year: means a calendar year, unless otherwise expressed. See Maine Revised Statutes Title 1 Sec. 72
2. Program established. The Healthy Maine Prescription Program is established as the Medicaid prescription drug discount program authorized pursuant to 42 United States Code § 1315, as amended, and the waiver project authorized under that section.
[PL 2001, c. 293, §5 (NEW).]
3. Administration; components. The department shall administer the prescription program. The elderly low-cost drug program is a component of the prescription program.
[PL 2001, c. 293, §5 (NEW).]
4. Benefit eligibility. Benefits are subject to the following provisions.
A. An individual enrolled in both the elderly low-cost drug program and the prescription program is eligible for the more generous discount authorized under either program in the event overlapping benefits exist. [PL 2001, c. 293, §5 (NEW).]
B. If a drug rebate is paid for any prescription under the prescription program, a rebate is not due under the elderly low-cost drug program. [PL 2001, c. 293, §5 (NEW).]
C. The department shall issue a single certificate for eligibility to an individual who is eligible for both the benefit under the elderly low-cost drug program and the benefit under the prescription program. [PL 2001, c. 293, §5 (NEW).]
[PL 2001, c. 293, §5 (NEW).]
5. Copayments. Notwithstanding section 3173?C, a beneficiary of the prescription program shall make the copayments authorized under the prescription program and the elderly low-cost drug program.
[PL 2001, c. 293, §5 (NEW).]
6. Report. On or before January 15th each year, the department shall report to the Legislature on the prescription program.
[PL 2001, c. 293, §5 (NEW).]
7. Rules. 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 II?A.
[PL 2001, c. 293, §5 (NEW).]
8. Transition. When benefits are not available under this section, the commissioner may provide benefits under pharmaceutical benefits programs that were in effect on May 26, 2001.
[PL 2001, c. 467, Pt. B, §1 (NEW); PL 2001, c. 467, Pt. B, §4 (AFF).]
SECTION HISTORY
PL 2001, c. 293, §5 (NEW). PL 2001, c. 467, §B1 (AMD). PL 2001, c. 467, §B4 (AFF). PL 2005, c. 401, §C2 (AMD).