An Act To Require Insurance Coverage for Temporomandibular Joint Disorders
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24 MRSA §2317-B, sub-§12-B is enacted to read:
12-B. Title 24-A, sections 2762, 2847-M and 4253. Coverage for temporomandibular joint disorders, Title 24-A, sections 2762, 2847-M and 4253;
Sec. 2. 24-A MRSA §2762 is enacted to read:
1. Required coverage. All individual health insurance policies and contracts must provide coverage for temporomandibular joint disorders.
2. Limits; coinsurance; deductibles. Any policy or contract that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.
Sec. 3. 24-A MRSA §2847-M is enacted to read:
1. Required coverage. All group health insurance policies, contracts and certificates must provide coverage for temporomandibular joint disorders.
2. Limits; coinsurance; deductibles. Any policy, contract or certificate that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.
Sec. 4. 24-A MRSA §4253 is enacted to read:
1. Required coverage. All health maintenance organization individual and group health insurance policies, contracts and certificates must provide coverage for the purchase of temporomandibular joint disorders.
2. Limits; coinsurance; deductibles. Any policy, contract or certificate that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.
Sec. 5. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2008. For purposes of this Act, all contracts are deemed to be renewed no later than the next anniversary of the contract date.
summary
This bill requires health insurance policies, contracts and certificates to provide coverage for temporomandibular joint disorders. The provisions of this bill apply to all policies, contracts and certificates issued or renewed on or after January 1, 2008.