An Act To Allow Certified Registered Nurse Anesthetists To Bill for Their Services
Maine Legislature, Session 130, LD 0254
Committee: Health Coverage, Insurance and Financial Services
Sponsors: PERRY
Amends: 24-A MRSA §4320-P

Legislative Document
No. 254
H.P. 175
House of Representatives, January 29, 2021
An Act To Allow Certified Registered Nurse Anesthetists To Bill for 
Their Services
Received by the Clerk of the House on January 27, 2021.  Referred to the Committee on 
Health Coverage, Insurance and Financial Services pursuant to Joint Rule 308.2 and ordered 
printed pursuant to Joint Rule 401.
ROBERT B. HUNT
Clerk
Presented by Representative PERRY of Calais.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  24-A MRSA §4320-P is enacted to read:
§4320-P.  Coverage for services provided by a certified registered nurse anesthetist
1.  Services provided by a certified registered nurse anesthetist.  A carrier offering 
a health plan in this State shall provide coverage for health care services performed by a 
certified registered nurse anesthetist licensed under Title 32, chapter 31 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 certified 
registered nurse anesthetist.
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 certified registered nurse anesthetist 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 may not prohibit a certified registered nurse 
anesthetist from participating in the carrier's provider network or billing the carrier directly 
solely because the provider is a certified registered nurse anesthetist 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 certified registered nurse 
anesthetists or require a carrier to provide coverage under a health plan for any service 
provided by a participating certified registered nurse anesthetist that is not a covered service 
under the plan.
4.  Claim submission.  Services billed by a certified registered nurse anesthetist must 
be submitted using the current standardized claim form for professional services approved 
by the Federal Government and submitted electronically.
Sec. 2.  Application. This Act applies to all policies, contracts and certificates 
executed, delivered, issued for delivery, continued or renewed in this State on or after 
January 1, 2023. For purposes of this Act, all contracts are deemed to be renewed no later 
than the next yearly anniversary of the contract date.
Sec. 3.  Exemption from review.  Notwithstanding the Maine Revised Statutes, 
Title 24-A, section 2752, this Act is enacted without review and evaluation by the 
Department of Professional and Financial Regulation, Bureau of Insurance.
SUMMARY
This bill requires health insurance carriers to provide coverage for services provided 
by certified registered nurse anesthetists if those services are within a certified registered 
nurse anesthetist's scope of practice and are covered services under a health plan.  The bill 
makes the requirement applicable to policies, contracts and certificates executed, issued or 
renewed on or after January 1, 2023.