Maine LD1496 aims to ensure ongoing access to medications and care for chronic conditions by changing prior authorization requirements.

Maine LD1496 modifies prior authorization rules for health care services and prescriptions related to chronic conditions and long-term care. It mandates that prior authorizations remain valid for the duration of treatment or one year, whichever is longer, and prohibits renewals more frequently than once every two years for treatments lasting over a year. The bill also prevents health plans from restricting coverage for services or prescriptions approved under a previous plan within a certain period of enrollment in a new plan. Enrollees must receive notice before coverage is restricted.

Maine LD1496 aims to ensure ongoing access to medications and care for chronic conditions by changing prior authorization requirements.

Maine LD1496 modifies prior authorization rules for health care services and prescriptions related to chronic conditions and long-term care. It mandates that prior authorizations remain valid for the duration of treatment or one year, whichever is longer, and prohibits renewals more frequently than once every two years for treatments lasting over a year. The bill also prevents health plans from restricting coverage for services or prescriptions approved under a previous plan within a certain period of enrollment in a new plan. Enrollees must receive notice before coverage is restricted.