Maine Statutes
Parity Report
Legislation Signed into Law
2019
Primary Focus | Medical Management Limitation |
Title/Description | An Act Regarding the Process for Obtaining Prior Authorization for Health Insurance Purposes |
Citation | 24-A MRSA §4304 |
Summary | This law prohibits prior authorization for at least one drug for each therapeutic class of medication used in MAT. The law makes the exception that a carrier may not impose any prior authorization requirements on a pregnant woman for MAT benefits for opioid use disorder. Additionally, the law revises timeframe for health plans to respond to prior authorization requests. |
Effective Date | Prescription provisions must be enacted by January 1, 2020, and service provisions must be enacted by July 1, 2020 |
Notes | Enacted through SP218/LD705 |
2015
Primary Focus | Access to Services |
Title/Description | Equitable health care for alcoholism and drug dependency treatment |
Citation | 24-A M.R.S. § 2842 |
Summary | This statute was amended to exclude employee group insurance policies issued to employers with 20 or fewer employees insured under the group policy or to group policies designed primarily to supplement to the Civilian Health and Medical Program of the Uniformed Services. Additionally, it provided that alcoholism and drug treatment patient records are confidential. |
Effective Date | Amended 2015 and 2011, respectively. |
2013-2014
LD 347
Introduced | 2/2013 |
Sponsor | Sen. Lachowicz |
Status | Signed into Law 5/2014 |
Summary | This bill changed the section of the state insurance law about autism coverage so that the age limit for coverage was raised to 10 years of age. Previously it had been 5 years of age |
2011-2012
Primary Focus | Access to Services |
Title/Description | Equitable health care for substance use disorder treatment |
Citation | 24 M.R.S. § 2329 |
Summary | This statute was amended to provide that alcoholism and drug treatment patient records are confidential. |
Effective Date | 2011 |
2010
LD 1198
Introduced | 3/2010 |
Sponsor | Sen. Bowman |
Status | Signed into Law 4/2010 |
Summary | This bill changed the state insurance law by adding the sections about autism coverage. These sections have been changed very slightly since this bill was signed into law (the coverage age limit is now 10 years old, not 5 years old). These sections are summarized at the bottom of this page under “Maine Parity Law.” |
National Parity Map
View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation
National Parity MapGet Support
- Maine Insurance Division
- http://www.maine.gov/pfr/insurance/
- Insurance.PFR@maine.gov
- 1-800-300-5000
Common Violations
In seeking care or services, be aware of the common ways parity rights can be violated.