Definition

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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 Map

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Common Violations

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Common Violations