An Act Regarding Coverage for Step Therapy for Metastatic Cancer
Sponsored By: Kristi Mathieson (Democratic)
Signed by Governor
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
No step therapy for metastatic cancer drugs
Beginning July 1, 2025, insurers and their reviewers cannot require step therapy before covering certain cancer drugs. If you have metastatic cancer or related conditions, they must cover an FDA-approved drug on the plan’s formulary without making you try other drugs first. This applies to Maine-regulated health plans.
Defines metastatic cancer and related conditions
Starting July 1, 2025, the law defines metastatic cancer as cancer that has spread from its original site. It also defines associated conditions as symptoms or side effects of metastatic cancer or its treatment that would harm a patient if left untreated, as judged by the clinician. These definitions guide coverage and review decisions for Maine health plans.
Sponsors & Cosponsors
Sponsor
Kristi Mathieson
Democratic • House
Cosponsors
Denise Tepler
Democratic • Senate
Sally Cluchey
Democratic • House
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
Signed by Governor, ACTPUB Chapter 448
7/1/2025On motion by Senator ROTUNDO of Androscoggin taken from the Special Appropriations Table PASSED TO BE ENACTED in concurrence.
6/25/2025SenateOn motion by Senator ROTUNDO of Androscoggin PLACED ON THE SPECIAL APPROPRIATIONS TABLE pending ENACTMENT in concurrence.
6/2/2025SenatePASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
5/29/2025HouseReport READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-272) 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-272), in concurrence.Ordered sent down forthwith.
5/28/2025SenateCONSENT 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-272).Sent for concurrence. ORDERED SENT FORTHWITH.
5/27/2025HouseCarried over, in the same posture, to the next special or regular session of the 132nd Legislature, pursuant to Joint Order SP 519.
3/21/2025HouseThe Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence
1/14/2025SenateCommittee 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.
1/14/2025House
Bill Text
Amendment C-A (H-272), adopted by House & Senate
Enacted
Introduced
Related Bills
LD 1522, An Act to Establish the Maine Eviction Prevention Program
LD 1665, An Act to Provide Property Tax Relief to Maine Families
LD 1872, An Act to Reinvest in the Pension Funds of the Maine Public Employees Retirement System
LD 2067, An Act to Include Community Mental Health Workers Under the 1998 Special Plan for Retirement
LD 1611, An Act to Decrease the Retirement Contributions Required for Teachers and State Employees
LD 1294, An Act to Expand the Dependent Exemption Tax Credit