Legislative Updates and Mandated Reporting Details for MHDO Board Meeting

Content Content Mandated Reporting Update Legislative Update Next MHDO Board Meeting 1 MHDO BOARD MEETING FEBRUARY 6, 2025

Mandated Report Statute Anticipated Release/Release Date February 2025 Submit to Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines Annual Prescription Drug Pricing Transparency PL 2020, Chapter 470 Joint Standing Committee on Health Coverage, Insurance and Financial Services (HCIFS) Top 25 most frequently prescribed drugs in the State, costliest and highest year-over-year increases Interactive Report included in CM 13.0 Release PL 2017, Chapter 406 February 2025 HCIFS Cost and Quality Data by procedure, provider and payer-CompareMaine V.13.0 (ambulance data, info on facility fees) PL 2009, Chapter 613 February 2025 Public Annual International Referenced Rate Pricing for Prescription Drugs Online Report PL 2021, Chapter 606 February 2024 HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Annual Primary Care Spending PL 2019, Chapter 244 January 27, 2025 HCIFS & the Commissioner of DHHS Behavioral Health Care Spending PL 2021, Chapter 603 February 2025 HCIFS & the Commissioner of DHHS 2 MHDO BOARD MEETING FEBRUARY 6, 2025

MHDO Report Statute Anticipated Release/Release Date January 23, 2025 Submit to Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines made by Payors Annual Report on 340B Prescription Drug Program-assumes reporting to MHDO algins with the hospital's fiscal year, October is the first month for hospitals to submit FY2024 financial data. In the interim, link to new page on MHDO website https://mhdo.maine.gov/340B_hospitals.htm Annual report on Payments for Facility Fees PL 2023, Chapter 410 HCIFS and the Office of Affordable Health Care PL 2023, Chapter 276 Nov/Dec of 2025 HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Other Reporting: 2023 Standardized Annual Hospital Financial Report (three-part report)- Posted to MHDO website November 27, 2024 Health Care Payments in Maine (formally Baseline Report)-Posted to MHDO website January 24, 2025 Trigger NDC s for CY 2024 (list of NDC s that hit one of three triggers as defined in law)-Posted to MHDO website February 2025 List of Drug Product Families for CY 2024 (list of drug product families that MHDO intends to request pricing component data from reporting entities defined in Ch. 570)-February 15, 2025 Created new page on MHDO website for Hospital Transparency (Federal Regs)-https://mhdo.maine.gov/hospTransparencyRegs.htm Recent Informational Webinars: Chapter 340, Uniform Reporting System for Reporting 340B Drug Program Data Sets-January 28, 2025 3 MHDO BOARD MEETING FEBRUARY 6, 2025

Legislative Update: 132ndLegislature Senator Donna Bailey - Chair Senator Joseph Baldacci Health Coverage, Insurance and Financial Services Committee Members Senator David Haggan Representative Kristi Mathieson - Chair Representative Poppy Arford Representative Michelle Boyer Representative Marygrace Cimino Representative Sally Cluchey Representative Paul Flynn Representative Robert Foley Representative Anne-Marie Mastraccio Representative Joshua Morris Representative Rolf Olsen 4 MHDO BOARD MEETING FEBRUARY 6, 2025

Legislative Update LD 310, Resolve, Regarding Legislative Review of Portions of Chapter 100: Enforcement Procedures, a Major Substantive Rule of the Maine Health Data Organization o Public Hearing 2/12/25 Working Titles (MHDO is monitoring as of 2/6/25) o LR 293, An Act to Direct the Maine Prescription Drug Affordability Board to Assess Strategies to Reduce Prescription Drug Costs and to Take Steps to Implement Reference-based Pricing o LR 530, An Act to Change the Size and Composition of the Board of Directors of the Maine Health Data Organization o LR 919, An Act to Amend the Laws Governing Primary Care Reporting by the Maine Quality Forum and to Establish the Primary Care Advisory Council o LR 960, An Act to Measure and Report Unstaffed Hours for Patients Enrolled in MaineCare Waiver Programs o LR 984, An Act Concerning Health Care Cost Fairness 5 MHDO BOARD MEETING FEBRUARY 6, 2025

Legislative Update o LR 1430, Resolve, to Study the Costs and Funding of a Universal Health Care Plan for Maine o LR 1503, An Act to Protect Consumers from Hidden Fees and Ensure Transparent Pricing o LR 1522, An Act to Ensure That Rebates from Prescription Drug Manufacturers Are Passed on to Patients at Pharmacies o LR 1565, Resolve, Establishing a Legislative Study on Solutions Addressing Maine's Behavioral Health Workforce Shortage o LR 1772, An Act to Enhance Transparency and Value in Health Care Transactions o LR 1802, An Act Regarding Certain Mental Health Data 6 MHDO BOARD MEETING FEBRUARY 6, 2025

Legislative Update o LR 1899, An Act Relating to Health Care Transparency and the Maine Health Data Organization o LR 1900, An Act to Protect Consumers from Surprise Medical Bills o LR 1902, An Act to Protect the Uninsured from Health Care Discrimination and Guarantee Access to the Lowest Available Cost for Care o LR 2262, An Act Concerning Hospital Pricing o LR 2292, An Act to Protect Consumers by Increasing Transparency and Accountability in the Pharmaceutical Industry Waiting to hear on status of Ch. 800, Uniform Reporting of Wholesale Acquisition Costs for Insulin (major substantive rule). MHDO board provisionally adopted 11/7/2024 7 MHDO BOARD MEETING FEBRUARY 6, 2025

Next Board Meeting Next Board Meeting Scheduled for April 3, 2025 No Public Hearing for proposed rule to carry out requirements in PL 2023, Chapter 584 (LD 1740), An Act to Protect a Patient's Access to Affordable Health Care with Timely Access to Health Care Prices Public Hearing date TBD 8 MHDO BOARD MEETING FEBRUARY 6, 2025

Maine Quality Forum Key Deliverables Annual report on rate of healthcare associated infections in the State of Maine (completed in Q1 2025) Project First Line Deliverables Annual behavioral health care spending report o Draft Report to advisory committee week of February 10th 9 MHDO BOARD MEETING FEBRUARY 6, 2025