An Act To Direct The Maine Prescription Drug Affordability Board To Assess Strategies To Reduce Prescription Drug Costs And To Take Steps To Implement Reference-Based Pricing
LD 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.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Jun 2025
House Passage
Jun 2025
Senate Passage
Jun 2025
Signed into Law
Jan 2026
Introduced Feb 20, 2025
Signed Jan 11, 2026
Floor votes · Senate May 29, 2025 · House Jun 2, 2025
How they voted
28–0
Passed
Total votes 28
May 29, 2025
D
Democratic18
100% Yea
I
Independent1
100% Yea
R
Republican9
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
41
Key actions
12
Committee
8
Jun 25, 2025
Upper · Passed
PASSED TO BE ENACTED, in concurrence.
upper
Jun 25, 2025
Lower · Passed
PASSED TO BE ENACTED.
lower
Jun 25, 2025
Upper · Passed
Committee Amendment "A" (S-159) as Amended by Senate Amendment "A" (S-459) thereto ADOPTED.
upper
Jun 25, 2025
Upper · Passed
On further motion by Same Senator Senate Amendment "A" (S-459) to Committee Amendment "A" (S-159) READ and ADOPTED.
upper
Jun 25, 2025
Upper · Passed
On further motion by Same Senator the Senate SUSPENDED THE RULES to RECONSIDER their actions whereby Committee Amendment "A" (S-159) was ADOPTED.
upper
Jun 2, 2025
Lower · Passed
PASSED TO BE ENACTED.
lower
Jun 2, 2025
Lower · Passed
Committee Amendment "A" (S-159) was READ and ADOPTED.
lower
Jun 2, 2025
Lower · Passed
On motion of Representative MATHIESON of Kittery, the Majority Ought to Pass as Amended Report was ACCEPTED.
lower
May 29, 2025
Upper · Passed
Committee Amendment "A" (S-159) READ and ADOPTED
upper
May 29, 2025
Upper · Passed
On motion by Senator BAILEY of York The Majority Ought to Pass As Amended Report ACCEPTED. PREVAILED
upper
May 29, 2025
Senate · Passed
Senate Vote: pass (28-0)
senate
May 23, 2025
Legislature · Passed
Reported Out - OTP-AM/ONTP
legislature
1 primary · 5 co-sponsors
Sponsors
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