An Act to Ensure Treatment for MameCare Recipients with Serious Mental Illness by Prohibitmg the Requirements for Pnor Authorization and Step Therapy for Medications
Maine Legislature, Session 131, LD 1428
Committee Amendment CA_A_H383 (House)

COMMITTEE AMENDMENT " A" to HP 924, L D 1428, "An Act to Ensure 
Treatment for MameCare Recipients with Serious Mental Illness by Prohibitmg the 
Requirements for Pnor Authorization and Step Therapy for Medications" 
Amend the btll by msertmg after section 1 the followmg 
'Sec. 2s Appropriations and allocations. The followmg appropriations and 
allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care-Payments to Providers 0147 
Initiative Provides fundmg associated with changes to the prior authorization requirements 
and step therapy protocols under the MameCare program for prescription drugs used to 
assess or treat serious mental illness 
GENERALFUND 
2023-24 
2024-25 
All Other 
$3,893,991 
$4,008,518 
GENERAL FUND TOTAL 
$3,893,991 
$4,008,518 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$9,723,799 
$9,611,636 
FEDERAL EXPENDITURES FUND TOTAL 
$9,723,799 
$9,611,636 
FEDERAL BLOCK GRANT FUND 
2023-24 
2024-25 
All Other 
$207,716 
$205,352 
FEDERAL BLOCK GRANT FUND TOTAL 
$207,716 
$205,352 
State-funded Foster Care/Adoption Assistance 0139 
COMMITTEE AMENDMENT 
COMMIT1EE AMENDMENT "A' to HP 924, L D 1428 
Q(ol 
~ 2 
Irutiative Provides fundmg associated with changes to the prior authorization requirements 
and step therapy protocols under the MameCare program for prescnptlon drugs used to 
assess or treat senous mental illness 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
FEDERAL BLOCK GRANT FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$83,454 
$83,454 
2023-24 
$3,977,445 
$9,723,799 
$207,716 
$13,908,960 
$83,454 
2024-25 
$4,091,972 
$9,611,636 
$205,352 
$13,908,960 
Amend the btll by relettermg or renumbermg any nonconsecutive Part letter or section 
number to read consecutively 
SUMMARY 
This amendment, which 1s the mmonty report of the commrttee, adds an appropriations 
and allocat10ns section 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
\ 
Approved 05/15/23 ::tPae. 
LD 1428 
LR 922(02) 
An Act to Ensure Treatment for MaineCa~e Recipients with Serious Mental Illness by Prohibiting the 
Requirements for Prior Aut~orization and Step Therapy for Medications 
Fiscal Note for Bill as Amended by Committee Amendment •~• ( H-'3~5\ 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Federal Block Grant Fund 
Revenue 
Federal Expenditures Fund 
Federal Block Giant Fund 
Fiscal Detail and Notes 
Committee: Health and Human Services 
/ 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$3,977,445 
$3,977,445 
$9,723,799 
$207,716 
$9,723,799 
$207,716 
FY 2024-25 
$4,091,972 
$4,091,972 
$9,611,636 
$205,352 
$9,611,636 
$205,352 
Projections 
FY 2025-26 
$4,091,972 
$4,091,972 
$9,611,636 
$205,352 
$9,611,636 
$205,352 
Projections 
FY 2026-27 
$4,091,972 
$4,091,972 
$9,611,636 
$205,352 
$9,611,636 
$205,352 
The btll includes General Fund appropriations to the Department of Health and Human Services of $3,977,445 m 
fiscal year 2023-24 and $4,091,972 m fiscal year 2024-25 associated with changes to the pnor authonzatton 
requirements and step therapy protocols under the MameCare program for prescnpt10n drugs used to assess or treat 
serious mental illness Fedetal Expenditu1es Fund and Federal Block Grant Fund allocations are also mcluded f01 the 
FMAPmatch. 
LR0922(02) - Fiscal Note - Page 1 of 1