An Act Concerning MaineCare Coverage for Donor Breast Milk

Sec. 1. 22 MRSA §3174-EEE  is enacted to read:

§ 3174-EEE.  Reimbursement for donor breast milk

Sec. 2. Medicaid state plan amendment or waiver. The Department of Health and Human Services shall prepare and submit a Medicaid state plan amendment or waiver as necessary to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services no later than January 1, 2021 that provides or requests, as appropriate, Medicaid coverage for medically necessary donor breast milk for infants.

summary

This bill requires that the Department of Health and Human Services provide reimbursement under the MaineCare program for pasteurized donor breast milk provided to an infant if a physician, physician assistant or advanced practice registered nurse signs an order stating that such milk is medically necessary and the infant is medically or physically unable to receive maternal breast milk or participate in breastfeeding or the infant's mother is medically or physically unable to produce maternal breast milk in quantities sufficient for the infant.