An Act to Adjust Reimbursement for Chiropractic Services
Maine Legislature, Session 131, LD 1035
Committee: Health Coverage, Insurance and Financial Services
Sponsors: PERRY, RENY, LEMELIN
Amends: 24-A MRSA §2748, 24-A MRSA §2840-A, 24-A MRSA §4236

Legislative Document
No. 1035
H.P. 671
House of Representatives, March 7, 2023
An Act to Adjust Reimbursement for Chiropractic Services
Reference to the Committee on Health Coverage, Insurance and Financial Services 
suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative PERRY of Calais.
Cosponsored by Senator RENY of Lincoln and
Representative: LEMELIN of Chelsea.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  24-A MRSA §2748, sub-§5, as enacted by PL 2015, c. 111, §1 and affected 
by §4, is amended to read:
5.  Reimbursement; discrimination.  An insurer subject to this section may not refuse 
to reimburse a chiropractic provider who participates in the insurer's provider network for 
providing a health care service or procedure covered by the insurer as long as the 
chiropractic provider is acting within the lawful scope of that provider's license in the 
delivery of the covered service or procedure. Consistent with reasonable medical 
management techniques specified under the insurer's contract with respect to the method, 
treatment or setting for a covered service or procedure, the insurer may not discriminate 
based on the chiropractic provider's license in comparison to services that are identical or 
of similar therapeutic value provided by other health care providers with a different type of 
license. This subsection does not require an insurer to accept all chiropractic providers into 
a network or govern the amount of the reimbursement paid to a chiropractic provider 
prevent an insurer from establishing varying reimbursement rates based only on quality or 
performance measures.  An insurer shall make available to chiropractors a quality or 
performance measure used to establish reimbursement rates.
Sec. 2.  24-A MRSA §2840-A, sub-§5, as enacted by PL 2015, c. 111, §2 and 
affected by §4, is amended to read:
5.  Reimbursement; discrimination.  An insurer subject to this section may not refuse 
to reimburse a chiropractic provider who participates in the insurer's provider network for 
providing a health care service or procedure covered by the insurer as long as the 
chiropractic provider is acting within the lawful scope of that provider's license in the 
delivery of the covered service or procedure. Consistent with reasonable medical 
management techniques specified under the insurer's contract with respect to the method, 
treatment or setting for a covered service or procedure, the insurer may not discriminate 
based on the chiropractic provider's license in comparison to services that are identical or 
of similar therapeutic value provided by other health care providers with a different type of 
license. This subsection does not require an insurer to accept all chiropractic providers into 
a network or govern the amount of the reimbursement paid to a chiropractic provider 
prevent an insurer from establishing varying reimbursement rates based only on quality or 
performance measures.  An insurer shall make available to chiropractors a quality or 
performance measure used to establish reimbursement rates.
Sec. 3.  24-A MRSA §4236, sub-§2, as amended by PL 2015, c. 111, §3 and 
affected by §4, is further amended to read:
2.  Benefits; discrimination.  The health maintenance organization shall provide 
benefits covering care by chiropractic providers at least equal to and consistent with the 
benefits paid to other health care providers treating similar neuro-musculoskeletal 
neuromusculoskeletal conditions.  A health maintenance organization may not refuse to 
reimburse a chiropractic provider who participates in the health maintenance organization's 
provider network for providing a health care service or procedure covered by the health 
maintenance organization as long as the chiropractic provider is acting within the lawful 
scope of that provider's license in the delivery of the covered service or procedure. 
Consistent with reasonable medical management techniques specified under the health 
maintenance organization's contract with respect to the method, treatment or setting for a 
covered service or procedure, the health maintenance organization may not discriminate in 
regard to benefits provided based on the chiropractic provider's license in comparison to 
services that are identical or of similar therapeutic value provided by other health care 
providers with a different type of license. This subsection does not require a health 
maintenance organization to accept all chiropractic providers into a network or govern the 
reimbursement paid to a chiropractic provider prevent a health maintenance organization 
from establishing varying benefit rates based only on quality or performance measures.  A 
health maintenance organization shall make available to chiropractors a quality or 
performance measure used to establish benefit rates.
SUMMARY
This bill requires health insurers to provide the same benefits for chiropractic services 
as other similar services and requires health insurers to make available to chiropractors 
quality or performance measures used to establish rates of reimbursement.