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MaineLD 1580132nd Maine Legislature (2025-2026)HouseWALLET

An Act to Prohibit Carriers and Pharmacy Benefits Managers from Using Spread Pricing

Sponsored By: Robert Nutting (Republican)

Became Law

HEALTH CARE SERVICESHEALTH CARE SERVICES - PHARMACIES

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Spread pricing banned for Maine health plans

The law bans spread pricing by health plan carriers and pharmacy benefit managers in Maine. Spread pricing means charging more than the drug’s ingredient cost plus the dispensing fee, minus any PBM fee. A PBM fee must not be more than the value of the services performed. The ban applies to contracts entered into or renewed on or after January 1, 2026. Each year by December 31, carriers and PBMs must have the CEO or CFO certify compliance to the Superintendent. The Superintendent enforces the ban under state law. This section is repealed on January 1, 2031.

MaineCare exempt from spread-pricing ban

The spread-pricing ban does not apply to the MaineCare (Medicaid) program. MaineCare drug payments are outside this rule from January 1, 2026 until January 1, 2031.

Sponsors & Cosponsors

Sponsor

  • Robert Nutting

    Republican • House

Cosponsors

  • Amanda Collamore

    Republican • House

  • John Ducharme

    Republican • House

  • Joshua Morris

    Republican • House

  • Rachel Henderson

    Republican • House

  • Robert Foley

    Republican • House

  • Rolf Olsen

    Republican • House

  • Sally Cluchey

    Democratic • House

  • William Bridgeo

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. ACTPUB Chapter 291

    5/1/2026

  2. PASSED TO BE ENACTED, in concurrence.

    6/10/2025Senate

  3. PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.

    6/10/2025House

  4. Report READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-543) READ and ADOPTED, in concurrence.Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (H-543), in concurrence.Ordered sent down forthwith.

    6/9/2025Senate

  5. CONSENT CALENDAR - FIRST DAYUnder suspension of the rules CONSENT CALENDAR - SECOND DAY.The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (H-543).Sent for concurrence. ORDERED SENT FORTHWITH.

    6/9/2025House

  6. The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence

    4/10/2025Senate

  7. Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed. The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.Sent for concurrence. ORDERED SENT FORTHWITH.

    4/10/2025House

Bill Text

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