Source: http://www.mainelegislature.org/legis/statutes/24-a/title24-Asec4320-D.html
Timestamp: 2020-02-20 20:50:32
Document Index: 198684218

Matched Legal Cases: ['§4320', '§4320', '§4320', '§4320', '§4320', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§1', '§34', '§1']

Title 24-A, §4320-D: Comprehensive health coverage
§4320-D PDF
§4320-D MS-Word
§4320-E
§4320-D. Comprehensive health coverage
Notwithstanding any other requirements of this Title, a carrier offering a health plan in this State shall, at a minimum, provide coverage that incorporates an essential health benefits package consistent with the requirements of this section. [PL 2019, c. 5, Pt. B, §1 (AMD).]
A. Provides for the essential health benefits in accordance with subsection 2; [PL 2019, c. 5, Pt. B, §1 (NEW).]
B. Limits cost sharing for coverage in accordance with subsection 3; and [PL 2019, c. 5, Pt. B, §1 (NEW).]
C. Provides for levels of coverage in accordance with subsection 4. [PL 2019, c. 5, Pt. B, §1 (NEW).]
[PL 2019, c. 5, Pt. B, §1 (NEW).]
A. Ambulatory patient services; [PL 2019, c. 5, Pt. B, §1 (NEW).]
B. Emergency services; [PL 2019, c. 5, Pt. B, §1 (NEW).]
C. Hospitalization; [PL 2019, c. 5, Pt. B, §1 (NEW).]
D. Maternity and newborn care; [PL 2019, c. 5, Pt. B, §1 (NEW).]
E. Mental health and substance use disorder services, including behavioral health treatment; [PL 2019, c. 5, Pt. B, §1 (NEW).]
F. Prescription drugs; [PL 2019, c. 5, Pt. B, §1 (NEW).]
G. Rehabilitative and habilitative services and devices; [PL 2019, c. 5, Pt. B, §1 (NEW).]
H. Laboratory services; [PL 2019, c. 5, Pt. B, §1 (NEW).]
I. Preventive and wellness services and chronic disease management; and [PL 2019, c. 5, Pt. B, §1 (NEW).]
J. Pediatric services, including oral and vision care, to the extent required by the federal Affordable Care Act as of January 1, 2019. [PL 2019, c. 5, Pt. B, §1 (NEW).]
4. Levels of coverage. Carriers shall offer coverage at levels that are substantially similar to the levels of coverage required for health plans subject to the federal Affordable Care Act as of January 1, 2019. The superintendent may adopt rules defining such levels of coverage. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.
PL 2011, c. 364, §34 (NEW). PL 2019, c. 5, Pt. B, §1 (AMD).