An Act To Require Insurance Policies To Provide Coverage for Medically Necessary Rehabilitation Services
Maine Legislature, Session 121, LD 0936
Committee: Insurance and Financial Services
Sponsors: DUDLEY, TREAT, BREAULT, CANAVAN, O'NEIL, SMITH, SULLIVAN, DOUGLASS

Legislative Document 
No. 936 
H.P.693 
House of Representatives, February 25, 2003 
An Act To Require Insurance Policies To Provide Coverage for 
Medically Necessary Rehabilitation Services 
Reference to the Committee on Insurance and Financial Services suggested and ordered 
printed. 
Presented by Representative DUDLEY of Portland. 
Cosponsored by Senator TREAT of Kennebec and 
ll/~frJ.~ 
MILLICENT M. MacFARLAND 
Clerk 
Representatives: BREAULT of Buxton, CANAVAN of Waterville, O'NEIL of Saco, SMITH 
of Van Buren, SULLIVAN of Biddeford, Senator: DOUGLASS of Androscoggin. 
Printed on recycled paper 
Be it enacted by the People of the State of Maine as follows: 
Sec. I. 24·A MRSA §2745·H is enacted to read: 
§2745-H. 
Coverage for medically necessary rehabilitation services 
1. 
Required coverage. 
All individual insurance policies 
and 
contracts, 
except 
accidental 
injury, 
specified 
disease, 
hospital indemnity, Medicare supplement, long-term care and other 
limited benefit health insurance policies and contracts, 
must 
provide coverage for medically necessary rehabilitation services. 
2. 
Application. 
The reguirements of this section apply to 
all policies, 
contracts 
and certificates executed, 
delivered, 
issued for delivery, continued or renewed in this State on or 
after 
October 
1, 
2003. 
For 
purposes 
of 
this 
section, 
all 
contracts are deemed to be renewed no later than the next yearly 
anniversary of the contract date. 
Sec. 2. 24·A MRSA §2837·1 is enacted to read: 
§2837-I. 
Coverage for medically necessary rehabilitation services 
1. 
Reqyired coverage. 
All group insurance policies and 
contracts, except accidental injury, specified disease, hospital 
indemnity, Medicare supplement, long-term care and other limited 
benefit health insurance policies and contracts, must provide 
coverage for medically necessary rehabilitation services. 
2. 
Application. 
The reguirements of this section apply to 
all policies, 
contracts 
and certificates executed, 
delivered, 
issued for delivery, continued or renewed in this State on or 
after 
October 
1, 
2003. 
For 
purposes 
of 
this 
section, 
all 
contracts are deemed to be renewed no later than the next yearly 
anniversary of the contract date. 
Sec. 3. 24·A MRSA §4252 is enacted to read: 
§4252. 
Coverage for medically necessary rehabilitation services 
1. 
Required coverage. 
All health maintenance organization 
individual 
and 
group 
contracts 
must 
provide 
coverage 
for 
medically necessary rehabilitation services. 
2. 
Application. 
The reguirements of this section apply to 
all policies, 
contracts 
and certificates executed, 
delivered, 
issued for delivery, continued or renewed in this State on or 
after 
October 
1, 
2003. 
For 
purposes 
of 
this 
section, 
all 
contracts are deemed to be renewed no later than the next yearly 
anniversary of the contract date. 
SUMMARY 
This bill requires individual 
and group health insurance 
policies and health maintenance organization contracts to provide 
coverage for medically necessary rehabilitation services.