An Act To Require Health Insurance Policies To Provide Coverage for Physical, Occupational and Speech Therapy
Maine Legislature, Session 122, LD 0127
Committee: Insurance and Financial Services
Sponsors: DUDLEY
Amends: 24-A MRSA §2745-H, 24-A MRSA §2837-I, 24-A MRSA §4252

Legislative Document 
No. 127 
H.P.103 
House of Representatives, January 11, 2005 
An Act To Require Health Insurance Policies To Provide Coverage 
for Physical, Occupational and Speech Therapy 
Reference to the Committee on Insurance and Financial Services suggested and ordered 
printed. 
Presented by Representative DUDLEY of Portland. 
Printed on recycled paper 
I!/~ 
/J7.1lld£~ 
MILLICENT M. MacFARLAND 
Clerk 
Be it enacted by the People of the State of Maine as follows: 
Sec.t. 24-A MRSA §2745-H is enacted to read: 
§2745-B. 
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 
delive..n'-~ontinued or renewed in this State on or 
after 
October 
1, 
2005. 
For 
purposes 
of 
this 
section, 
all 
contracts are de~~e renewed no later than the next yearly 
anniversary of the contract date. 
Sec. 2. 24-A MRSA §2837-I is enacted to read: 
§2837-I. 
Coverage for medically necessary rehabilitation services 
1. 
Requi~_~Qy~U)ge. 
All group insurance policie_s_<;LIl4 
contracts, except accidental inj ury, specified disease, hospi tal 
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, 
2005. 
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 covex..age. 
All health maintenance organizatiol]. 
individual 
and 
group 
contracts 
must 
provide 
coverage 
fOJ;: 
medically necessary rehabilitation services. 
2. 
Application. 
The reguirements of this section apply tQ 
all policies, 
contracts 
and certificates executed, 
delivered1 
issued for deli 'Jery, 
continued 
renewed in this State on 
or 
after 
October 
lL _____ 2005_'-___ J\~L_ VJfPoses 
of 
thi::; 
:3ectioIl, 
all 
contracts are deemeu to be 
1"'lH~',:n?,_1 
1)'.' later thcUl til'? 
,l-: ::' 
','8,,1.11-,' 
anniversarx' of the COlltract ,jat_s. 
Page l-LR0007 (l) 
SUMMARY 
This bill requires individual and group health insurance 
policies and health maintenance organization contracts to provide 
coverage for medically necessary rehabilitation services.