An Act to Prohibit Carriers and Pharmacy Benefits Managers from Using Spread Pricing
Sponsored By: Robert Nutting (Republican)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 1 costs, 1 mixed.
MaineCare exempt from spread pricing ban
If you are on MaineCare, the spread pricing ban does not apply to your drug coverage. This exemption applies January 1, 2026 through January 1, 2031.
Maine bans spread pricing in private plans
Beginning January 1, 2026, insurers and PBMs in Maine cannot use spread pricing on private health plans. Charges for a filled drug cannot be more than the drug’s ingredient cost plus the dispensing fee, minus any PBM fee. The rule applies only to contracts entered into or renewed on or after January 1, 2026. The Superintendent of Insurance enforces the ban, and carriers or PBMs must certify compliance each year by December 31, signed by the CEO or CFO. These rules stay in place through 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
Signed by Governor, ACTPUB Chapter 291
6/12/2025PASSED TO BE ENACTED, in concurrence.
6/10/2025SenatePASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
6/10/2025HouseReport 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.
6/9/2025SenateCONSENT 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.
6/9/2025HouseThe Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence
4/10/2025SenateCommittee 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
Amendment C-A (H-543), adopted by House & Senate
Enacted
Introduced
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