An Act To Require Health Insurance Coverage for Hearing Aids
Maine Legislature, Session 123, LD 1514
Committee Amendment CA_A-SA_A_S371 (Senate)

SENA TE AMENDMENT "A " to COMMITTEE AMENDMENT "A" to S.P. 537, 
L.D. 1514, Bill, "An Act To Require Health Insurance Coverage for Hearing Aids" 
Amend the amendment in section 2 in §2762 in subsection 2 in the first line (page 1, 
line 19 in amendment) by striking out the following: "All" and inserting the following: 'In 
accordance with the application of coverage set forth in subsection 3, all' 
Amend the amendment in section 2 in §2762 in subsection 2 in the 3rd line (page 1, 
line 21 in amendment) by striking out the following: "who is 18 years of age or under" 
Amend the amendment in section 2 in §2762 by striking out all of subsection 3 (page 
1, lines 29 to 33 in amendment) and inserting the following: 
'3. 
Application of coverage. 
The requirements of subsection 2 apply to an 
individual: 
A. From birth to 5 years of age, who is covered under a policy or contract that is 
issued or renewed on or after January 1, 2008; 
B. From 6 to 13 years of age, who is covered under a policy or contract that is issued 
or renewed on or after January 1, 2009; and 
C. From 14 to 18 years of age, who is covered under a policy or contract that is 
issued or renewed on or after January 1, 2010. 
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, 
any policy or contract that provides coverage for services under this section may contain 
provisions for maximum benefits and coinsurance and reasonable limitations, deductibles 
and exclusions to the extent that these provisions are not inconsistent with the 
requirements of this section.' 
Amend the amendment in section 3 in §2847-M in subsection 2 in the first line (page 
2, line 8 in amendment) by striking out the following: "All" and inserting the following: 
'In accordance with the application of coverage set forth in subsection 3, all' 
Amend the amendment in section 3 in §2847-M by striking out all of subsection 3 
(page 2, lines 18 to 22 in amendment) and inserting the following: 
SENATE AMENDMENT 
" 
~ 
SENATE AMENDMENT "fi" to COMMITTEE AMENDMENT "A" to S.P. 537, L.D. 1514 
'3. 
Application of coverage. 
The requirements of subsection 2 apply to an 
individual: 
A. From birth to 5 years of age, who is covered under a policy, contract or certificate 
that is issued or renewed on or after January 1, 2008; 
B. From 6 to 13 years of age, who is covered under a policy, contract or certificate 
that is issued or renewed on or after January 1, 2009; and 
C. From 14 to 18 years of age, who is covered under a policy, contract or certificate 
that is issued or renewed on or after January 1, 2010. 
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, 
any policy, contract or certificate that provides coverage for services under this section 
may contain provisions for maximum benefits and coinsurance and reasonable 
limitations, deductibles and exclusions to the extent that these provisions are not 
inconsistent with the requirements of this section.' 
Amend the amendment in section 4 in §4253 in subsection 2 in the first line (page 2, 
line 30 in amendment) by striking out the following: "All" and inserting the following: 'In 
accordance with the application of coverage set forth in subsection 3, all' 
Amend the amendment in section 4 in §4253 by striking out all of subsection 3 (page 
3, lines 1 to 5 in amendment) and inserting the following: 
'3. 
Application of coverage. 
The requirements of subsection 2 apply to an 
individual: 
A. From birth to 5 years of age, who is covered under a contract that is issued or 
renewed on or after January 1, 2008; 
B. From 6 to 13 years of age, who is covered under a contract that is issued or 
renewed on or after January 1, 2009; and 
C. From 14 to 18 years of age, who is covered under a contract that is issued or 
renewed on or after January 1, 2010. 
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, 
any contract that provides coverage for services under this section may contain provisions 
for maximum benefits and coinsurance and reasonable limitations, deductibles and 
exclusions to the extent that these provisions are not inconsistent with the requirements of 
this section.' 
Amend the amendment by striking out all of section 7 and inserting the following: 
'Sec. 7. Application. The requirements of this Act apply to all policies, contracts 
and certificates executed, delivered, issued for delivery, continued or renewed in this 
State on or after January 1,2008. For purposes of this section, all contracts are deemed to 
be renewed no later than the next yearly anniversary of the contract date. 
Sec. 8. Appropriations and allocations. The following appropriations and 
allocations are made. 
SENATE AMENDMENT 
SENATE AMENDMENT "A "to COMMITTEE AMENDMENT "A" to S.P. 537, L.D. 1514 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
Salary Plan 0305 
Initiative: Appropriates and allocates funds for the additional costs of health insurance to 
the State resulting from the requirement to provide coverage for hearing aids for persons 
years of age and under, which will be phased in over 3 years and limits coverage to 
$1,400 per hearing aid every 36 months. 
GENERAL FUND 
Personal Services 
GENERAL FUND TOTAL 
HIGHWAY FUND 
Personal Services 
HIGHWAY FUND TOTAL 
SUMMARY 
2007-08 
$0 
$0 
2007-08 
$0 
$0 
2008-09 
($15,000) 
($15,000) 
2008-09 
($6,000) 
($6,000) 
This amendment requires health insurance policies, contracts and certificates issued 
or renewed on or after January 1, 2008 to provide coverage for hearing aids for persons 
from birth to 5 years of age, beginning January 1, 2008; from 6 to 13 years of age, 
beginning January 1, 2009; and from 14 to 18 years of age, beginning January 1, 2010. 
The amendment replaces the appropriations and allocations section . 
SPONSORED BY: 
COUNTY: Androscoggin 
... /~, 
SENATE AMENDMENT 
Approved: 06118/07 
;:!;Pac.. 
LD 1514 
LR 205(04) 
An Act To Require Health Insurance Coverage for Hearing Aids 
Fiscal Note for Senate Amendment ';4" to Committee Amendment "A" 
Sponsor: Sen. Rotundo of Androscoggin 
Net Cost (Savings) 
General Fund 
Highway Fund 
Appropriations/Allocations 
General Fund 
Highway Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2007-08 
$0 
$0 
$0 
$0 
2008-09 
($39,000) 
($15,000) 
($39,000) 
($15,000) 
Projections 
2009-10 
($15,000) 
($6,000) 
($15,000) 
($6,000) 
Projections 
2010-11 
$0 
$0 
$0 
$0 
This fiscal note reflects the incremental impact of the amendment. The amendment reduces the cost of the bill by 
phasing in the hearing aid coverage mandate leaving costs as follows: 
General Fund 
Highway Fund 
$0 
$0 
LR0205(04) - Fiscal Note - Page 1 of I 
$15,000 
$6,000 
$41,000 
$16,000 
$59,000 
$23,000