An Act To Require Nondiscrimination Policies in Providing Health Care Services
Maine Legislature, Session 128, LD 1030
Committee Amendment CA_A_S363 (Senate)
Amends: 24-A MRSA §4320-K

COMMITTEE AMENDMENT "A " to S.P. 337, L.D. 1030, Bill, "An Act To 
Require Nondiscrimination Policies in Providing Health Care Services" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Require Health Insurance Coverage for Covered Services Provided by 
Naturopathic Doctors' 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 24-A MRSA §4320-K is enacted to read: 
§4320-K. Coverage for services provided by a naturopathic doctor 
1. Services provided by a naturopathic doctor. A carrier offering a health plan in 
this State shall provide coverage for health care services performed by a naturopathic 
doctor licensed under Title 32. chapter 113-B. subchapter 3 when those services are 
covered services under the health plan when performed by any other health care provider 
and when those services are within the lawful scope of practice of the naturopathic 
doctor. 
2. Limits; deductible; copayment; coinsurance. A carrier may offer a health plan 
containing a provision for a deductible. copayment or coinsurance requirement for a 
health · care service provided by a naturopathic doctor as long as the deductible, 
copayment or coinsurance does not exceed the deductible, copayment or coinsurance 
applicable to the same service provided by other health care providers. 
3. Network participation. A carrier shall demonstrate that the carrier's provider 
network includes reasonable access. in accordance with section 4303, to all covered 
services that are within the lawful scope of practice of a naturopathic doctor. A carrier 
may not exclude a provider from participation in the carrier's provider network solely 
because the provider is a naturopathic doctor as long as the provider is willing to meet the 
same terms and conditions as other participating providers. This subsection does not 
require a carrier to contract with all naturopathic doctors or require a carrier to provide 
COMMITTEE AMENDMENT 
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..... ,,. . ._. 
'·)._.' 
coMMITTEE AMENDMENT" (\." to s.P. 337, L.o. 1030 
coverage under a health plan for any service provided by a participating naturopathic 
doctor that is not within the health plan's scope of coverage. 
4. Application. The requirements of this section apply to all policies, contracts and 
certificates executed, delivered, issued for delivery, continued or renewed in this State. 
For pumoses of this section, all contracts are deemed to be renewed no later than the next 
yearly anniversary of the contract date. 
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. The amendment requires coverage for services 
provided by licensed naturopathic doctors if those services are within the scope of the 
license and would be reimbursed if the services were provided by other licensed 
providers. The amendment also prohibits carriers from excluding a naturopathic doctor 
from their networks as long as the naturopathic doctor is willing to meet the same terms 
and conditions as other participating providers. 
The requirements apply to all individual and group policies and contracts issued or 
renewed on or after January 1, 2019. 
COMMITTEE AMENDMENT