An Act To Save Lives by Capping the Out-of-pocket Cost of Certain Medications (AFTER DEADLINE)
Maine Legislature, Session 129, LD 2096
Committee: Health Coverage, Insurance and Financial Services
Sponsors: GIDEON, JACKSON, ACKLEY, ALLEY, AUSTIN, BABINE, BAILEY, BICKFORD, BRADSTREET, BRENNAN, BROOKS, BRYANT, CAIAZZO, CARDONE, CARNEY, CLOUTIER, COLLINGS, COOPER, CRAVEN, CROCKETT, CUDDY, DAUGHTRY, DENK, DILLINGHAM, DODGE, DOLLOFF, DOORE, DOUDERA, DRINKWATER, DUNPHY, EVANGELOS, FARNSWORTH, FAY, FECTEAU, GATTINE, GRAMLICH, GROHOSKI, HANDY, HANINGTON, HARNETT, HEAD, HEPLER, HICKMAN, HOBBS, HUBBELL, HYMANSON, INGWERSEN, JORGENSEN, KESCHL, KORNFIELD, LANDRY, MADIGAN, MARTIN, MASON, MASTRACCIO, MATLACK, MAXMIN, MELARAGNO, MEYER, MILLETT, MOONEN, MORALES, MORIARTY, NADEAU, NEWELL, O'CONNOR, O'NEIL, PAULHUS, PEBWORTH, PERRY, PICKETT, PIERCE, PLUECKER, PRESCOTT, RECKITT, RILEY, RISEMAN, ROBERTS, RYKERSON, SAMPSON, SCHNECK, SHEATS, STANLEY, STEARNS, STEWART
Amends: 24-A MRSA §4317-C

Legislative Document
No. 2096
H.P. 1493
House of Representatives, February 4, 2020
An Act To Save Lives by Capping the Out-of-pocket Cost of Certain Medications
(AFTER DEADLINE)
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 205.
Reference to the Committee on Health Coverage, Insurance and Financial Services suggested and ordered 
printed.
ROBERT B. HUNT
Clerk
Presented by Speaker GIDEON of Freeport.
Cosponsored by President JACKSON of Aroostook and Representatives: ACKLEY of Monmouth, ALLEY of Beals, AUSTIN of 
Skowhegan, AUSTIN of Gray, BABINE of Scarborough, BAILEY of Saco, BICKFORD of Auburn, BRADSTREET of 
Vassalboro, BRENNAN of Portland, BROOKS of Lewiston, BRYANT of Windham, CAIAZZO of Scarborough, CARDONE of 
Bangor, CARNEY of Cape Elizabeth, CLOUTIER of Lewiston, COLLINGS of Portland, COOPER of Yarmouth, CRAVEN of 
Lewiston, CROCKETT of Portland, CUDDY of Winterport, DAUGHTRY of Brunswick, DENK of Kennebunk, DILLINGHAM 
of Oxford, DODGE of Belfast, DOLLOFF of Rumford, DOORE of Augusta, DOUDERA of Camden, DRINKWATER of 
Milford, DUNPHY of Old Town, EVANGELOS of Friendship, FARNSWORTH of Portland, FAY of Raymond, FECTEAU of 
Augusta, FECTEAU of Biddeford, GATTINE of Westbrook, GRAMLICH of Old Orchard Beach, GROHOSKI of Ellsworth, 
HANDY of Lewiston, HANINGTON of Lincoln, HARNETT of Gardiner, HEAD of Bethel, HEPLER of Woolwich, HICKMAN 
of Winthrop, HOBBS of Wells, HUBBELL of Bar Harbor, HYMANSON of York, INGWERSEN of Arundel, JORGENSEN of 
Portland, KESCHL of Belgrade, KORNFIELD of Bangor, LANDRY of Farmington, MADIGAN of Waterville, MARTIN of 
Eagle Lake, MARTIN of Sinclair, MASON of Lisbon, MASTRACCIO of Sanford, MATLACK of St. George, MAXMIN of 
Nobleboro, McCREA of Fort Fairfield, McCREIGHT of Harpswell, McDONALD of Stonington, McLEAN of Gorham, 
MELARAGNO of Auburn, MEYER of Eliot, MILLETT of Waterford, MOONEN of Portland, MORALES of South Portland, 
MORIARTY of Cumberland, NADEAU of Winslow, NEWELL of the Passamaquoddy Tribe, O'CONNOR of Berwick, O'NEIL 
of Saco, PAULHUS of Bath, PEBWORTH of Blue Hill, PERRY of Calais, PERRY of Bangor, PICKETT of Dixfield, PIERCE of 
Falmouth, PLUECKER of Warren, PRESCOTT of Waterboro, RECKITT of South Portland, RILEY of Jay, RISEMAN of 
Harrison, ROBERTS of South Berwick, RYKERSON of Kittery, SAMPSON of Alfred, SCHNECK of Bangor, SHEATS of 
Auburn, STANLEY of Medway, STEARNS of Guilford, STEWART of Presque Isle, STOVER of Boothbay, SYLVESTER of 
Portland, TALBOT ROSS of Portland, TEPLER of Topsham, TERRY of Gorham, THERIAULT of China, TIPPING of Orono, 
TUCKER of Brunswick, TUELL of East Machias, WARREN of Hallowell, WHITE of Waterville, ZEIGLER of Montville, 
Senators: BELLOWS of Kennebec, BREEN of Cumberland, CARPENTER of Aroostook, CARSON of Cumberland, CLAXTON 
of Androscoggin, CYRWAY of Kennebec, DESCHAMBAULT of York, DILL of Penobscot, DOW of Lincoln, GRATWICK of 
Penobscot, HERBIG of Waldo, LUCHINI of Hancock, MILLETT of Cumberland, SANBORN, L. of Cumberland, VITELLI of 
Sagadahoc.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  24-A MRSA §4317-C is enacted to read:
§4317-C.  Coverage for prescription insulin drugs; limit on out-of-pocket costs
A carrier that provides coverage for prescription insulin drugs may not impose any 
deductible, copayment, coinsurance or other cost-sharing requirement on an enrollee for 
that coverage that results in out-of-pocket costs to the enrollee that exceed $100 per 30-
day supply of covered prescription insulin drugs, regardless of the amount, type or 
number of insulin drugs needed to fill the enrollee's prescription.
Nothing in this section prevents a carrier from reducing an enrollee's cost-sharing 
requirement by an amount greater than the amount specified in this section.
The superintendent may adopt rules to implement and administer this section to align 
with applicable federal requirements.  Rules adopted pursuant to this section are routine 
technical rules as defined in Title 5, chapter 375, subchapter 2-A.
SUMMARY
This bill provides that a health insurance carrier that provides coverage for 
prescription insulin drugs may not impose a cost-sharing requirement on the enrollee that 
results in out-of-pocket costs to the enrollee in excess of $100 per 30-day supply of 
insulin.