MHDO Board Meeting Overview - February 2, 2023

Content Content 1.Request to Initiate Rulemaking for: Chapter 243, Uniform Reporting System for Health Care Claims Data Sets 42 CFR Part 2-Confidentialty of Substance Use Disorder Patient Records Chapter 247, Uniform Reporting System for Non-Claims Based Payments and Other Supplemental Health Care Data Sets Chapter 270, Uniform Reporting System for Health Care Quality Data Sets 2.Legislative Update 3.Status of Legislative Reports 4.Tri-State APCD Collaborative 5.Maine Quality Forum Page 1 MHDO BOARD MEETING FEBRUARY 2, 2023

Request to Initiate Rulemaking Request to Initiate Rulemaking Chapter 243, Uniform Reporting System for Health Care Claims Data Sets (routine technical) 42 CFR Part 2-Confidentiality of Substance Use Disorder Patient Records Chapter 247, Uniform Reporting System for Non-Claims Based Payments and Other Supplemental Health Care Data Sets (routine technical) Chapter 270, Uniform Reporting System for Health Care Quality Data Sets (major substantive) MHDO BOARD MEETING FEBRUARY 2, 2023 2

Request to Initiate Rulemaking Request to Initiate Rulemaking Chapter 243 and 247 (routine technical) Public Hearing: April 6, 2023 Board reviews comments and votes to adopt changes: June 6, 2023 Chapter 270 (major substantive) Public Hearing: September 7, 2023 Board reviews comments and votes to provisionally adopt changes: November 2, 2023 Proposed Rule sent to Legislative Committee by January 12, 2024, deadline 3 MHDO BOARD MEETING FEBRUARY 2, 2023

131st Maine Legislature, First Regular Session 1.HCIFS Committee leadership and members 2.HCIFS Committee Briefings 3.LR s/LD s of Interest to MHDO and/or MQF 4.Status of Rule Chapter 570 and Chapter 100 (major substantive rules) 5.Governor Mills recent nomination for Executive Director for Office of Affordable Health Care Note: Session begins 12/7/2022 and adjourns 6/21/2023 4 MHDO BOARD MEETING FEBRUARY 2, 2023

Senator Donna Bailey - Chair Senator Eric Brakey HCIFS Committee Membership Senator Cameron Reny Representative Anne Perry - Chair Representative Poppy Arford Committee on Health Coverage, Insurance and Financial Services (HCIFS) 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 5 MHDO BOARD MEETING FEBRUARY 2, 2023

HCIFS Committee Briefings (to date) HCIFS Committee Briefings (to date) 1/24/23-Orientation on MHDO and MQF Briefing memo distributed to Committee Copy sent to the Board and posted on MHDO s website 2/2/23-Presentation to Committee on data/information available on MHDO website, including: CompareMaine: https://www.comparemaine.org/ Top 25 Drug Report: https://mhdo.maine.gov/tableau/prescriptionReports.cshtml Data Availability: https://mhdo.maine.gov/tableau/data.cshtml MHDO Standardized Hospital Financial Reports: https://mhdo.maine.gov/hospital_financials.htm Rx Transparency Report: https://mhdo.maine.gov/_pdf/MHDO%20Rx%20Transparency%20Report_221213.pdf Health Care Expenditures and Health Care Quality in Maine: Baseline Report https://mhdo.maine.gov/tableau/baselineHealthcareExpQuality.cshtml 6 MHDO BOARD MEETING FEBRUARY 2, 2023

An Act to Lower Pharmaceutical Costs by Manufacturing Generics in Maine HCIFS LR 52 HCIFS LR 76/LD 252 An Act Relating to Long-term Care Pharmacies An Act to Strengthen the Sustainability and Value of Maine's Designated Health Information Exchange by Acquiring Enhanced Federal Funding HHS LR 390 An Act to Ensure Transparency, Accountability and Accuracy Related to the Essential Support Workforce by Requiring Data Collection and Reporting HHS LR 704 An Act to Enhance Cost-savings to Consumers of Prescription Drugs HCIFS LR 729 An Act to Reduce Prescription Drug Costs Using Reference-based Pricing HCIFS LR 735 HHS LR 990/LD 190 An Act to Develop a Long-term Plan to Address Mental Health Needs in Rural Maine (CONCEPT DRAFT) LR s/LDs MHDO/MQF are Tracking An Act to Increase Transparency of and Lower Health Care Costs HCIFS LR 1301 An Act Concerning Data Collection in Health Care Settings HHS LR 1410 An Act to Reduce Prescription Drug Costs Using Reference-based Pricing HCIFS LR 1480 HCIFS LR 1639/LD 307 An Act to Lower the State's Health Care Costs (CONCEPT DRAFT) An Act to Protect Consumers' Privacy by Giving Consumers Greater Control over Their Data and to Establish Consumer Protections Regarding Small Dollar Loans HCIFS LR 1656 An Act Regarding Maine Consumers' Comparison Shopping for Certain Health Care Procedures and Lowering Health Care Costs HCIFS LR 1672 An Act to Protect Personal Information JUD LR 1679 An Act Regarding Control over Personal Data LR 1849 IDEA An Act to Improve the State's Data Collection to Better Serve Its Citizens SLG LR 1997 An Act to Protect Personal Health Data HCIFS LR 2108 An Act to Create Personal Data Protections JUD LR 2156 An Act to Ensure the Collection of Accurate Gender Marker Information on State and Municipal Forms SLG LR 2217 An Act to Reduce Prescription Drug Costs by Using International Pricing HCIFS LR 2253 An Act to Improve Transparency of Medical Billing HCIFS LR 2382 7 MHDO BOARD MEETING FEBRUARY 2, 2023

Status of MHDO Rule Chapter 570 and Status of MHDO Rule Chapter 570 and 100 (major substantive rules) 100 (major substantive rules) At the December 1, 2022, Board meeting MHDO Board provisionally adopted changes to Chapter 570, Uniform Reporting System for Prescription Drug Price Data Sets; and Chapter 100, Enforcement Procedures; and authorized Karynlee to send the proposed rule to the legislature. LD 375 Resolve, Regarding Legislative Review of Portions of Chapter 570: Uniform Reporting System for Prescription Drug Price Data Sets, a Major Substantive Rule of the Maine Health Data Organization Public hearing on LD 375 scheduled for afternoon of 2/16 Sponsor of the LD is Representative Perry (co-chair of HCIFS committee) 8 MHDO BOARD MEETING FEBRUARY 2, 2023

Governor Mills Nomination for Executive Governor Mills Nomination for Executive Director for Office of Affordable Health Care Director for Office of Affordable Health Care Governor Mills announced 1/30/23, that she has nominated Meg Garratt-Reed, the current Director of the Office of the Health Insurance Marketplace at the Department of Health and Human Services (DHHS), as the Executive Director of the new Office of Affordable Health Care. Meg previously served as senior advisor for coverage and affordability at DHHS. Prior to joining the Department, Garratt-Reed was director of policy and partnerships at United States of Care, a non- partisan non-profit organization supporting state-level efforts to expand quality, affordable health care, and served as a special assistant to the Director of Delivery System Reform in the Office of the Administrator at the U.S. Centers for Medicare and Medicaid Services. The nomination is subject to review by the Legislature s Health Coverage, Insurance, and Financial Services Committee and confirmation by the Maine State Senate. The executive director serves a five-year term. 9 MHDO BOARD MEETING FEBRUARY 2, 2023

MHDO Report Statute Status Submit to Prescription Drug Pricing Transparency, 3rd report PL 2020, Chapter 470 Completed 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, 5th report PL 2017, Chapter 406 Completed HCIFS New: Health Care Expenditures in Maine- Baseline Report PL 2021, Chapter 459 Completed Governor s Office Primary Care Spending , 4th report Plan to send MQF s advisory committee draft report for review week of 2/6/23 PL 2019, Chapter 244 In Process - plan to submit 2/21/23 HCIFS & the Commissioner of DHHS New: International Referenced Rate Pricing for Prescription Drugs PL 2021, Chapter 606 In Process - plan to submit week of 2/13 HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board New: Behavioral Health Care Spending Plan to send MQF s advisory committee draft report for review week of 2/20/23 PL 2021, Chapter 603 In Process - plan to submit week of 3/6 HCIFS & the Commissioner of DHHS 10 MHDO BOARD MEETING FEBRUARY 2, 2023

Tri-State APCD Collaborative The Center for Improving Value in Health Care (Colorado s APCD administrator), Virginia Health Information, and the Maine Health Data Organization are exploring the development of a multi-state APCD data product. In January we met with a group of data users to discuss the value of a multi-state APCD data product. Developing a draft proposal based on feedback we received that we plan to share with a broader group of data users. Exploring funding opportunities 11 MHDO BOARD MEETING FEBRUARY 2, 2023

Key Activities Key Activities Developing annual report on Primary Care Spending in the State of Maine Developing annual report on Behavioral Health Care Spending in the State of Maine Developing annual report on Rate of Healthcare Associated Infections in the State of Maine Working with MHDO on the updates to the quality data on CompareMaine that will be included in the December 2022 release; and on a longer-term strategy to enhance quality data reported on CompareMaine. Project First Line 12 MHDO BOARD MEETING FEBRUARY 2, 2023