Legislative Updates on Mandated Reports and Prescription Drug Transparency in Maine
Stay informed about the latest legislative updates regarding mandated reports, prescription drug transparency, and board nominations in Maine. Find out about upcoming releases, report submissions, and timelines for new requirements implementation discussed during the MHDO board meetings.
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Content Content Status of Mandated Reports Legislative Update Update on Rulemaking Timeline to Implement New Requirements of 1728, Prescription Drug Transparency Report Regarding the 340B Program, & Ch. 243 proposed changes Update on Board Nominations, Appointments and Composition. Update on Maine Quality Forum Page 1 MHDO BOARD MEETING FEBRUARY 1, 2024
Mandated Reports Statute Status Submit to Annual Prescription Drug Pricing Transparency PL 2020, Chapter 470 Release planned for 2/2/24 Joint Standing Committee on Health Coverage, Insurance and Financial Services (HCIFS) Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines Top 25 most frequently prescribed drugs in the State, costliest and highest year-over-year increases Interactive Report included in CM 12.0 Release PL 2017, Chapter 406 Release planned for week of 2/12/24 HCIFS Cost and Quality Data by procedure, provider and payer PL 2009, Chapter 613 Release planned for week of 2/12/24 Interactive Website-CompareMaine V. 12.0 Annual International Referenced Rate Pricing for Prescription Drugs Online Report PL 2021, Chapter 606 Released and posted on MHDO website https://mhdo.maine. gov/RxReferenceRate s.htm HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Annual Primary Care Spending (plan to send MQF s advisory committee draft report for review week of) PL 2019, Chapter 244 Release draft to advisory committee 2/2/24 HCIFS & the Commissioner of DHHS Behavioral Health Care Spending (plan to send MQF s advisory committee draft report for review week of) PL 2021, Chapter 603 Release draft to advisory committee week of 2/19 HCIFS & the Commissioner of DHHS 2 MHDO BOARD MEETING FEBRUARY 1, 2024
Mandated Reports Statute Status Submit to New-Annual report on Payments for Facility Fees made by Payors PL 2023, Chapter 410 Release draft to board 2/1/24. Submit to HCIFS and OAH week of 2/12/24 HCIFS and the Office of Affordable Health Care Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines New-Annual Report on 340B Prescription Drug Program PL 2023, Chapter 276 TBD HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Report of NDCs for Manufacturers drug(s) that hit one of the triggers during the prior calendar year as defined in 90-590 CMR Chapter 570, Uniform Reporting System for Prescription Drug Price Data Sets, Section 2 B 1-3. Other Reporting: 2022 Standardized Annual Hospital Financial Report (three-part report)- posted to MHDO website Post report on MHDO website 2/2/24 90-590 Chapter 570 Post on MHDO Website https://mhdo.maine.gov/trigger_NDCs .htm CY 2022 reports posted on MHDO website https://mhdo.maine. gov/hospital_financia ls.htm Health Care Expenditures in Maine-Baseline Report (update with additional year of data)- posted to MHDO website (by end of February 2024) 3 MHDO BOARD MEETING DECEMBER 7, 2023
Legislative Update The Second Regular Session of the 131st Legislature began January 3, 2024 Statutory adjournment is April 17, 2024 HCIFS Committee Members Senator Donna Bailey - Co-Chair Senator Eric Brakey Senator Cameron Reny Representative Anne Perry - Co-Chair Representative Poppy Arford Representative Sally Cluchey Representative Scott Cyrway Representative Anne-Marie Mastraccio Representative Kristi Mathieson Representative Joshua Morris Representative Robert Nutting Representative Jane Pringle Representative Gregg Swallow 4 MHDO BOARD MEETING FEBRUARY 1, 2024
Legislative Bills MHDO is Tracking LD 1533An Act to Provide for Consistent Billing Practices by Health Care Providers LD 1740 An Act to Support an Insured Patient's Access to Affordable Health Care with Timely Access to Health Care Prices LD 1829 An Act to Reduce Prescription Drug Costs by Requiring Reference-based Pricing LD 1948An Act to Amend the State's Data Governance Program Regarding Proprietary Data LD 2165 Resolve, Regarding Legislative Review of Portions of Chapter 270: Uniform Reporting System for Quality Data Sets, a Major Substantive Rule of the Maine Health Data Organization (EMERGENCY) 5 MHDO BOARD MEETING FEBRUARY 1, 2024
Legislative Bills MHDO is Tracking Recommendations from the Task Force to Evaluate the Impact of Facility Fees on Patients, final report Recommendations in the report that impact MHDO The Maine Health Data Organization and the Office of Affordable Health Care be directed to review the available data reported by MHDO related to facility fees pursuant to the annual reporting requirement established by Public Law 2023, chapter 410; identify any gaps in the data being reported and collected related to facility fees; and make recommendations for any additional data reporting requirements related to facility fees to the Legislature no later than December 31, 2024 The Maine Health Data Organization be directed to develop information on its publicly accessible website designed to educate patients about facility fees and whether and in what circumstances depending on payor and type of service a facility fee may be charged 6 MHDO BOARD MEETING FEBRUARY 1, 2024
Legislative Bills MHDO is Tracking Essential Support Workforce Advisory Committee (LD 898) established to advise the Legislature, the Governor and state agencies on the State's shortage of essential support workers. Title 22, section 7401, subsection 3. "Essential support worker" means an individual who by virtue of employment generally provides to individuals direct contact assistance with activities of daily living or instrumental activities of daily living or has direct access to provide care and services to clients, patients or residents regardless of the setting. 7 MHDO BOARD MEETING FEBRUARY 1, 2024
Tentative Timeline for Rulemaking: 340B Data Collection (new rule) and Chapter 243, Uniform Reporting System for Health Care Claims Data Sets Tentative schedule: Public hearing for both rules May 1, 2024. Board considers final adoption of rules at June 7,2024 board meeting. 8 MHDO BOARD MEETING FEBRUARY 1, 2024
MHDO Board of Directors Board Nominations Board Appointments Board Composition 9 MHDO BOARD MEETING FEBRUARY 1, 2024
Project Firstline Federal CDC s infection control training collaborative, designed to help every frontline healthcare worker gain the knowledge and confidence to stop infections. MQF is providing technical support to the Maine CDC. New content added to the Infection Prevention Forum (infection prevention online learning modules for healthcare and direct care professionals) https://maineinfectionpreventionforum.org/ 10 MHDO BOARD MEETING FEBRUARY 1, 2024
