An Act To Require Insurance Companies To Cover the Cost of Prosthetics
Maine Legislature, Session 124, LD 0020
Committee: Insurance and Financial Services
Sponsors: BRYANT, BEAUDOIN, PENDLETON, PETERSON, WHEELER, GERZOFSKY
Amends: 24 MRSA §2317-B, 24-A MRSA §2765, 24-A MRSA §2847-Q, 24-A MRSA §4257

MAINE STATE LEGISLATURE 
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STAre LAw LlSRAAY 
AUGUSTA, MAINE 
124th MAl E LEGISLATURE 
Legislative Document 
No. 20 
H.P.15 
House of Representatives, January 5,2009 
An Act To Require Insurance Companies To Cover the Cost of 
Prosthetics 
Reference to the Committee on Insurance and Financial Services suggested and ordered 
printed. 
Presented by Representative BRYANT of Windham. 
Cosponsored by Senator BRYANT of Oxford and 
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MILLICENT M. MacFARLAND 
Clerk 
Representatives: BEAUDOIN of Biddeford, PENDLETON of Scarborough, PETERSON of 
Rumford, WHEELER of Kittery, Senator: GERZOFSKY of Cumberland. 
Printed on rccych:u IJ<lIJl!r 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1. 24 MRSA §2317-B, sub-§12-E is enacted to read: 
12-E. Title 24-A, sections 2765, 2847-Q and 4257. Coverage for prosthetics, Title 
24-A, sections 2765,2847-0 and 4257; 
Sec. 2. 24-A MRSA §2765 is enacted to read: 
§2765. Coverage for prosthetics 
1. Required coverage. All individual health insurance policies and contracts must 
provide coverage for prosthetics. 
2. 
Limits; coinsurances; 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-Q is enacted to read: 
§2847-Q. Coverage for prosthetics 
1. Required coverage. All group health insurance policies, contracts and certificates 
must provide coverage for prosthetics. 
2. 
Limits; coinsurances; 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 §4257 is enacted to read: 
§4257. Coverage for prosthetics 
1. Required coverage. All health maintenance organization individual and group 
health insurance policies, contracts and certificates must provide coverage for prosthetics. 
2. 
Limits; coinsurances; dedudibles. 
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 1,2010. For purposes of this Act, all contracts are deemed to be 
renewed no later than the next yearly anniversary of the contract date. 
Page I - 124LR0274(OI)-1 
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SUMMARY 
This bill requires health insurance policies, contracts and certificates to provide 
coverage for prosthetics. The provisions of this bill apply to all policies, contracts and 
certificates issued or renewed on or after January 1, 2010. 
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