An Act To Ensure Health Insurance Coverage for Certain Adults with Disabilities
Maine Legislature, Session 130, LD 1798
Committee Amendment CA_A_H776 (House)
Amends: 24-A MRSA §2742-B, 24-A MRSA §2742-C, 24-A MRSA §2833-B, 24-A MRSA §2833-C, 24-A MRSA §4233-B, 24-A MRSA §4233-C, 24-A MRSA §4320-B, 24-A MRSA §4320-R

COMMITTEE AMEND:rvffiNT "ll- "to H.P. 1339, L.D. 1798, "An Act To Ensure 
Health Insurance Coverage for Certain Adults with Disabilities" 
Amend the bill by striking out all of the emergency preamble. 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec, 1. 24-A MRSA §2742-B, sub-§2, as amended by PL 2019, c. 5, Pt. A, §8, is 
further amended to read: 
2. Offer of coverage. Notwithstanding section 2703, subsection 3, an individual 
health insurance policy that offers coverage for a dependent child must offer such coverage, 
at the option of the policyholder, until the dependent child attains 26 years of age. If the 
dependent child has a disability, the policy must offer coverage in accordance with section 
2742-C. 
Sec. 2. 24-A MRSA §2742-C is enacted to read: 
§2742-C. Mandatory offer of coverage for certain adults with disabilities 
1. Definitions .. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Dependent child" has the same meaning as in section 2742-B, subsection 1. 
B. "Disability" means a physical, mental, intellectual or developmental disability that 
renders a person incapable of self-sustaining employment. 
2. Offer of coverage. An individual health insurance policy that offers coverage for a 
dependent child must offer such coverage, at the option of the policyholder, for a dependent . 
child with a disability, regardless of age. 
3. Proof of disability. A policyholder shall furnish proof of a dependent child's 
disability to the insurer within 31 days of the dependent child's attainment of the limiting 
age established in section 2742-B, subsection 2 and subsequently as may be required by 
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the insurer, but the insurer may not require proof more frequently than annually after the 
2-year period following the dependent child's attainment of the limiting age. 
Sec. 3. 24-A MRSA §2833-B, sub-§2, as amended by PL 2019, c. 5, Pt. A, §13, is 
further amended to read: 
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2. Offer of coverage. Notwithstanding section 2822, a group health insurance policy 
that offers coverage for a dependent child must offer such coverage, at the option of the 
parent, until the dependent child attains 26 years of age. If the dependent child has a 
disability, the policy must offer coverage in accordance with section 2833-C. 
Sec. 4. 24-A MRSA §2833-C is enacted to read: 
§2833-C. Mandatory offer of coverage for certain adults with disabilities 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Dependent child" has the same meaning as in section 2833-B, subsection 1. 
B. "Disability" means a physical, mental, intellectual or developmental disability that 
renders a person incapable of self-sustaining employment. 
2. Offer of coverage. A group health insurance policy that offers coverage for a 
dependent child must offer such coverage, at the option of the parent, for a dependent child 
with a disability, regardless of age. 
3. Proof of disability. A parent shall furnish proof of a dependent child's disability to 
the insurer within 31 days of the dependent child's attainment of the limiting age established 
in section 2833-B, subsection 2 and subsequently as may be required by the insurer, but the . 
insurer may not require proof more frequently than annually after the 2-year period 
following the dependent child's attainment of the limiting age. 
Sec. 5. 24-A MRSA §4233-B, sub-§2, as amended by PL 2019, c. 5, Pt. A, §18, is 
fmther amended to read: 
2. 
Offer of coverage. An individual or group health maintenance organization . 
contract that offers coverage for a dependent child must offer such coverage, at the option 
of the parent, until the dependent child attains 26 years of age. If the dependent child has a 
disability, the contract must offer coverage in accordance with section 4233-C. 
Sec. 6. 24-A MRSA §4233-C is enacted to read: 
§4233-C. Mandatory offer of coverage for certain adults with disabilities 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Dependent child" has the same meaning as in section 4233-B, subsection 1. 
B. "Disability" means a physical, mental, intellectual or developmental disability that 
renders a person incapable of self-sustaining employment. 
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2. Off er of coverage. An individual or group health maintenance organization contract 
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that offers coverage for a dependent child must offer such coverage, at the option of the 
parent, for a dependent child with a disability, regardless of age. 
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3. Proof of disability. A parent shall furnish proof of a dependent child's disability to 
the insurer within 31 days of the dependent child's attainment of the limiting age established 
in section 4233-B, subsection 2 and subsequently as may be required by the insurer, but the 
insurer may not require proof more frequently than annually after the 2-year period 
following the dependent child's attainment of the limiting age. 
Sec. 7. 24-A MRSA §4320-B, as enacted by PL 2011, c. 364, §34, is amended to 
read: 
§4320-B. Extension of dependent coverage 
A carrier offering a health plan subject to the requirements of the federal Affordable 
Care Act that provides dependent coverage of children shall continue to make such 
coverage available for an adult child until the child turns 26 years of age, consistent with 
the federal Affordable Care Act, and offer coverage for a dependent child with a disability 
in accordance with section 4320-R. 
Sec. 8. 24-A MRSA §4320-R is enacted to read: 
§4320-R. Mandatory offer of coverage for certain adults with disabilities 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Dependent child" has the same meaning as in section 4233-B, subsection 1. 
B. "Disability" means a physical, mental, intellectual or developmental disability that 
renders a person incapable of self-sustaining employment. 
2. Offer of coverage. A health plan subject to the requirements of the federal 
Affordable Care Act that offers coverage for a dependent child must offer such coverage, 
at the option of the parent. for a dependent child with a disability, regardless of age. 
3. Proof of disability. A parent shall furnish proof of a dependent child's disability to 
the carrier within 31 days of the dependent child's attainment of the limiting age established 
in section 4320-B and subsequently as may be required by the carrier, but the carrier may 
not require proof more frequently than annually after the 2-year period following the 
dependent child's attainment of the limiting age.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill. The amendment requires health insurance policies 
that offer coverage for a dependent child to offer coverage for adults with disabilities who 
are unable to sustain themselves through employment in the same mariner as for a 
dependent child on a parent's policy. The amendment clarifies that an insurer is required 
to offer coverage for a dependent child with a disability, at the option of the policyholder, 
regardless of age. The amendment also clarifies the definition of "disability" to include a 
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mental disability. 
The amendment removes the emergency preamble and emergency clause from the bill. 
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