An Act To Require Insurance Coverage for Temporomandibular Joint Disorders
Maine Legislature, Session 123, LD 1429
Committee: Insurance and Financial Services
Sponsors: VAUGHAN, SULLIVAN, BRAUTIGAM, CANAVAN, CONOVER, CROCKEIT, RICHARDSON, SAVAGE, MARRACHE, SNOWE-MELLO
Amends: 24-A MRSA §2762, 24-A MRSA §2847-M, 24-A MRSA §4253

Legislative Document 
No. 1429 
H.P.1003 
House of Representatives, March 15,2007 
An Act To Require Insurance Coverage for Temporomandibular 
Joint Disorders 
Reference to the Committee on Insurance and Financial Services suggested and ordered 
printed. 
Presented by Representative VAUGHAN of Durham. 
Cosponsored by Senator SULLIVAN of York and 
'?Jl~ /J7. 71!4£~ 
MILLICENT M. MacFARLAND 
Clerk 
Representatives: BRAUTIGAM of Falmouth, CANAVAN of Waterville, CONOVER of 
Oakland, CROCKEIT of Augusta, RICHARDSON of Warren, SAVAGE of Falmouth, 
Senators: MARRACHE of Kennebec, SNOWE-MELLO of Androscoggin. 
Printed 011 recycled paper 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1. 24 MRS A §2317-B, sub-§12-B is enacted to read: 
12-B. 
Title 24-A, sections 2762, 2847-M and 4253. 
Coverage for 
temporomandibular joint disorders, Title 24-A, sections 2762, 2847-M and 4253; 
Sec. 2. 24-A MRSA §2762 is enacted to read: 
§2762. Coverage for temporomandibular joint disorders 
1. Required coverage. All individual health insurance policies and contracts must 
provide coverage for temporomandibular joint disorders. 
2. Limits; coinsurance; deductibles. 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. 
Sec. 3. 24-A MRSA §2847-M is enacted to read: 
§2847-M. Coverage for temporomandibular joint disorders 
1. 
Required coverage. 
All group health insurance policies, contracts and 
certificates must provide coverage for temporomandibular joint disorders. 
2. 
Limits; coinsurance; deductibles. 
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. 
Sec. 4. 24-A MRSA §4253 is enacted to read: 
§4253. Coverage for temporomandibular joint disorders 
1. Required coverage. All health maintenance organization individual and group 
health insurance policies, contracts and certificates must provide coverage for the 
purchase of temporomandibular joint disorders. 
2. 
Limits; coinsurance; deductibles. 
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. 
Sec. 5. 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 Act, all contracts are deemed to be 
renewed no later than the next anniversary of the contract date. 
SUMMARY 
This bill requires health insurance policies, contracts and certificates to provide 
coverage for temporomandibular joint disorders. The provisions of this bill apply to all 
policies, contracts and certificates issued or renewed on or after January 1,2008.