1. Maine’s Legislative Process Pharmacy 2011

2.  The content of this presentation does not relate to any product of commercial interest.  Therefore, there are no relevant financial relationships to disclose.

3.  1) Understand the State legislative process  2) Recall the pieces of legislation that were enacted in the session  3) Apply the new laws to pharmacy practice

4.  Bills Submitted  Cloture  Committees ◦ Testimony ◦ Work Sessions ◦ Fiscal Notes ◦ Aught to pass/Aught not to pass  Appropriations  House  Senate  Governor’s Office

5. 1 st  Maine Rx Plus eliminated Save the State an estimated $100,000 a year Put $ $ $ back into the coffers of pharmacies ! ! aine Rx Plus eliminated Save the State an estimated $100,000 a year Put $ $ $ back into the coffers of pharmacies ! !

6.  LD694 – Practitioners would have to disclose every ingredient in vaccines  LD941 - Would prohibit mandatory immunizations  LD774 - Put Pseudoephedrine on prescription only status  LD1406 – Allow hospital pharmacies to provide prescription drugs to skilled nursing facilities that they owned LD694 – Practitioners would have to disclose every ingredient in vaccines. LD941 - Would prohibit mandatory immunizations LD774 - Put Pseudoephedrine on prescription only status. LD1406 – Allow hospital pharmacies to provide prescription drugs to skilled nursing facilities that they owned.

7. Bill lives on to fight another day  LD612 – “An Act to Provide Reimbursement for Medication Therapy Management (MTM) services”.  LD1364 – “An Act to Improve the Quality and Reduce the Cost of Health Care”… aka the 340B bill.  LD1501 – “An Act to Reduce Opioid Overprescribing, Overuse and Abuse”.

8. ...and we had our share  LD572 – “An Act to Amend the Laws Governing the Maine Health Data Organization Relating to Retail Pharmacies”.  LD1485 – “An Act to Promote Transparency in the Medicaid Reimbursement Process”.  LD1116 – “An Act to Restore Market-based Competition for Pharmacy Benefit Management Services”.

9. Legislator Education re Medication Therapy Management (MTM)  In closing…Kudos Despite all the work… It was a positive year for Pharmacy in Augusta