Rep. Kristi Mathieson

Maddy summaryLD 697 directs Maine's Prescription Drug Affordability Board to set annual spending targets for prescription drugs purchased by state and local government health plans (excluding MaineCare), using a formula based on a 10-year average of medical care costs plus inflation, minus savings. The board must assess cost-reduction strategies, including reference-based pricing - which aligns drug prices with those in other regions - and establish a 12-member advisory council with representatives from state agencies, labor unions, and consumer groups to advise on setting targets and methods. The board will also identify public payors (state, county, and municipal health plans) likely to exceed the spending targets.

Maddy summaryLD 784 requires Maine health insurance plans to cover specific preventive screenings for first responders (including firefighters, police officers, EMTs, and emergency communications personnel) without denying coverage, requiring prior authorization (except to verify first responder status or for screenings by designated providers), or charging out-of-pocket costs. The screenings include cancer tests linked to job risks, blood tests, age-independent cancer screenings, and tests for inflammation or nutritional deficiencies. This law applies to all health insurance policies issued or renewed on or after January 1, 2027, ensuring first responders can access these preventive services without financial or administrative barriers.

Maddy summaryThis bill allows victims of sex trafficking or sexual exploitation to have their criminal history records sealed. It requires business screening services (like background check companies) to delete any sealed records from their databases and stop sharing inaccurate or sealed information. Specifically, if a victim's record is sealed through legal process, the screening service must remove it and notify the individual within 30 days. The law ensures these services update records within 30 days and verify accuracy every 90 days. It applies directly to trafficking victims seeking to limit how their sealed records are used by private background check providers.

Maddy summaryLD 874 establishes a Maine state program to provide financial relief to Maine-resident state and federal employees who lose pay during government shutdowns lasting over 7 days. The bill creates a special fund managed by the Treasurer to guarantee loans made by eligible Maine credit unions or financial institutions to these affected employees. Employees must prove their Maine residency, employment status, and income to qualify for loans covering up to 90 days of lost wages during the shutdown. The state will reimburse lenders for any unpaid loans through the fund, with repayment guaranteed for borrowers during the shutdown period or a 90-day grace period after. This program directly benefits Maine-based government workers facing financial hardship due to federal or state shutdowns.

Maddy summaryMaine's LD 1844 requires the Commissioner of Corrections to establish a reentry services program for people leaving state correctional facilities. The program must provide five specific support areas: health/wellness services (including MaineCare access), financial literacy training, employment preparation (resumes, job search, licenses), community integration (voter registration, 2-1-1 services), and technology training (computer skills, avoiding scams). This directly affects individuals transitioning from incarceration to community life in Maine. The bill aims to improve post-release employment outcomes by addressing key barriers to workforce reentry.

Maddy summaryThis bill requires MaineCare to reimburse pharmacists for prescribing, dispensing, and administering HIV prevention drugs (like PrEP) at the same rate paid to physicians, starting January 1, 2027. It mandates that insurance carriers cover at least one approved HIV prevention drug per administration method (e.g., oral pills or long-acting injections) without prior authorization or out-of-pocket costs. Pharmacists must follow specific protocols, including verifying a recent negative HIV test and providing counseling, before dispensing these drugs. The law directly affects pharmacists, MaineCare enrollees, and insurance carriers by expanding access to HIV prevention services and clarifying coverage requirements.

Maddy summaryLD 163 requires all health insurance plans in Maine covering prescription drugs or outpatient services to fully cover federally approved nonprescription oral hormonal contraceptives and emergency contraceptives without any deductibles, copays, or coinsurance. This applies directly to health insurers and enrollees, eliminating out-of-pocket costs for these specific contraceptives. The bill clarifies that no prescription is needed to obtain these items, and coverage must include supplies for a full 12-month period. It specifically excludes coverage for abortion-inducing drugs. The law updates Maine’s health insurance coverage requirements to align with federal contraceptive approvals.

Maddy summaryLD 178 prohibits health insurance plans from requiring patients with advanced metastatic cancer or related symptoms (like severe side effects from cancer or treatment) to try and fail on other drugs before covering an FDA-approved treatment. It applies to health plans that cover these conditions and directly affects patients seeking timely access to necessary medications. The law ensures coverage for FDA-approved drugs that align with medical guidelines and evidence-based practice, eliminating a common step therapy barrier. This change removes delays in accessing approved treatments without altering insurance coverage requirements for other conditions.

Maddy summaryLD 82 extends a permanent presumption in Maine's workers' compensation law that automatically considers post-traumatic stress disorder (PTSD) work-related for certain public safety workers. This applies to law enforcement officers, corrections officers, E-9-1-1 dispatchers, firefighters, and emergency medical services personnel diagnosed with PTSD. Currently, this presumption was set to expire on October 1, 2025, but the bill removes that expiration date. As a result, these workers no longer need to prove their PTSD was caused by job duties to qualify for compensation benefits.

Maddy summaryThis bill requires insurance administrators and pharmacy benefits managers to give plan sponsors (like employers or unions that manage health coverage) full ownership of claims data from their contracts. It mandates that administrators provide specific data - including itemized bills, medical records for high-cost claims over $50,000, and payment details - within 20 business days of a request. Plan sponsors gain the right to conduct annual post-payment audits of claims without facing excessive fees or restrictions on audit scope, timing, or auditor choice. The law applies to all new or renewed contracts after January 1, 2026, ensuring transparency in how insurers process and pay claims.