An Act To Ensure Continued Coverage for Essential Health Care
Maine Legislature, Session 128, LD 1476
Committee Amendment CA_A_H595 (House)
Amends: 24-A MRSA §4320-A

COMMITTEE AMENDMENT «A" to H.P. 1015, L.D. 1476, Bill, "An Act To 
Ensure Continued Coverage for Essential Health Care" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
1Sec. l. 24-A MRSA §4320-A, as enacted by PL 2011, c. 364, §34, is amended to 
read: 
§4320-A. Coverage of preventive health services 
Notwithstanding any other requirements of this Title, a carrier offering a health plan 
subjeot to the federal Affordable Care f...ot in this State shall, at a minimum, provide 
coverage for and may not impose cost-sharing requirements for preventive services as 
required by the-federal Affordable Care lLot this section. 
1. Preventive services. A health plan must, at a minimum, provide coverage for: 
A. 
The evidence-based items or services that have a rating of A or B in the 
recommendations of the United States Preventive Services Task Force or equivalent 
rating from a successor organization; 
B. 
With respect to the individual insured, immunizations that have a 
recommendation from the federal Department of Health and Human Services, 
Centers for Disease Control and Prevention, Advisory Committee on Immunization 
Practices and that are consistent with the recommendations of the American 
Academy of Pediatrics, the American Academy of Family Physicians or the 
American College of Obstetricians and Gynecologists or a successor organization; 
C. With respect to infants, children and adolescents, evidence-informed preventive 
care and screenings provided for in the most recent version of the comprehensive 
guidelines supported by the federal Department of Health and Human Services, 
Health Resources and Services Administration that are consistent with the 
recommendations of the American Academy of Pediatdcs or a successor 
organization; and 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "ft" to H.P. 1015, L.D. 1476 
D. With respect to women, such additional preventive care and screenings not 
described in paragraph A, provided for in the comprehensive guidelines supported by 
the federal Department of Health and Human Services, Health Resources and 
Services Administration women's preventive services guidelines that are consistent 
with the recommendations of the American College of Obstetricians and 
Gynecologists women's preventive services initiative. 
2. Change in recommendations. If a recommendation described in subsection 1 is 
changed during a health plan year, a carrier is not required to make changes to that health 
plan during the plan year. 
Sec. 2. 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, 2019. For purposes of this Act, all contracts are deemed to be 
renewed no later than the next yearly anniversary of the contract date.' 
SUMMARY 
This amendment replaces the bill and seeks to incorporate cutrnnt requirements under 
the federal Patient Protection and Affordable Care Act for coverage of preventive health 
services, including services for women, into state law. The requirements apply to all 
individual and group health insurance policies and contracts issued or renewed on or after 
January 1, 2019. 
COMMITTEE AMENDMENT