An Act To Prohibit Pharmacy Benefits Managers From Imposing Certain Fees And Pricing

This bill prohibits Pharmacy Benefits Managers (PBMs) from charging "spread pricing" fees in Maine - meaning PBMs cannot charge health plans extra fees beyond the actual drug cost plus the pharmacy's dispensing fee. It requires PBMs to charge only for actual services performed, banning fees tied to drug prices, rebates, or patient costs like deductibles. PBMs must annually certify compliance to the Insurance Superintendent, with violations subject to a $1,000 civil penalty per violation. The bill directly affects PBMs operating in Maine and health plans that contract with them, aiming to increase transparency in prescription drug pricing.