LD 1168
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LD 1168 Title Page An Act to Provide Equity in Prescription Insurance for Contraceptive Coverage ... Page 2 of 5
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LR 150
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24 MRSA §2332-J is enacted to read:

 
§2332-J.__Coverage for contraceptives

 
1.__Coverage requirements.__All individual and group nonprofit
hospital and medical services plan policies and contracts and all
nonprofit health care plan policies and contracts that provide
coverage for prescription drugs or outpatient medical services
must provide coverage for all prescription contraceptives
approved by the federal Food and Drug Administration or for
outpatient contraceptive services, respectively, to the same
extent that coverage is provided for other prescription drugs or
outpatient medical services.__For purposes of this section, the
term "outpatient contraceptive services" means consultations,
examinations, procedures and medical services provided on an
outpatient basis and related to the use of contraceptive methods
to prevent an unintended pregnancy.

 
2.__Prohibitions.__An insurance carrier that offers an
individual or group nonprofit hospital and medical services plan
policy or contract or a nonprofit health care plan policy or
contract may not:

 
A.__Deny to any individual or covered person eligibility or
continued eligibility to enroll or to renew coverage under
the terms of the policy or contract because of the
individual's or covered person's use or potential use of
items or services that are covered in accordance with the
requirements of this section;

 
B.__Provide monetary payments or rebates to a covered person
to encourage that person to accept less than the minimum
protections available under this section;

 
C.__Penalize or otherwise reduce or limit the reimbursement
of a health care professional because that professional
prescribed contraceptive drugs or provided contraceptive
services in accordance with this section; or

 
D.__Provide incentives, monetary or otherwise, to a health
care professional to induce that professional to withhold
from a covered person contraceptive drugs or contraceptive
services.

 
Sec. 2. 24-A MRSA §2756 is enacted to read:

 
§2756.__Coverage for contraceptives


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