An Act to Require Health Insurance Coverage for Biomarker Testing
Maine Legislature, Session 131, LD 1577
Committee Amendment CA_A_H915 (House)
Amends: 24 MRSA §2317-B

COMMITTEE AMENDMENT•{\" to H.P. 1022, L.D. 1577, "An Act to Require 
Health Insurance Coverage for Biomarker Testing" 
Amend the bill by striking out all of section 2 and inserting the following: 
'Sec. 2. 24 MRSA §2317-B, sub-§9-A is enacted to read: 
9-A. Title 24-A, sections 2745-H, 2837-I and 4237-B. Biomarker testing coverage. 
Title 24-A. sections 2745-H, 2837-I and 4237-B:' 
Amend the bill in section 3 in §2745-H in subsection 2 in the first line (page 4, line 7 
in L.D.) by inserting after the following: "individual" the following: 'health' 
Amend the bill in section 3 in §2745-H in subsection 2 in the first 2 lines (page 4, lines 
and 8 in L.D.) by striking out the following: ". except those designed to cover only 
specific diseases. accidental injury or dental procedures." 
Amend the bill in section 3 in §2745-H by striking out all of subsection 4 (page 4, lines 
to 35 in L.D.). 
Amend the bill in section 4 in §2837-I in subsection 2 in the first line (page 5, line 21 
in L.D.) by inserting after the following: "group" the following: 'health' 
Amend the bill in section 4 in §2837-I in subsection 2 in the first 2 lines (page 5, lines 
and 22 in L.D.) by striking out the following: ". except those designed to cover only 
specific diseases. accidental injury or dental procedures." 
Amend the bill in section 4 in §2837-I by striking out all of subsection 4 (page 6, lines 
to 9 in L.D.). 
Amend the bill in section 5 in §4237-B by striking out all of subsection 4 (page 7, lines 
to 26 in L.D.). 
Amend the bill in section 6 in the 2nd line (page 7, line 28 in L.D.) by striking out the 
following: ", Title 24, section 2320-H" 
Amend the bill in section 6 in the last line (page 7, line 30 in L.D.) by striking out the 
following: "the effective date of this Act" and inserting the following: 'January 1, 2025' 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 1022, L.D. 1577 
Amend the bill by inserting after section 6 the following: 
'Sec. 7. Appropriations and allocations. The following appropriations and 
allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
State Benefit Mandate Defrayal Z373 
Initiative: Provides ongoing funding for the cost of the benefit mandate providing coverage, 
including coverage in the MaineCare program, for biomadcer testing, beginning January 1, 
2025. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
2024-25 
$170,000 
$170,000 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment is the majority report of the committee. The amendment changes the 
applicability date for the requirements in the bill to be incorporated into health plans to 
those health plans issued or renewed on or after January 1, 2025. The amendment makes 
changes to remove unnecessary language and adds a provision to make the requirements 
applicable to nonprofit hospital or health service organizations by cross-reference in place 
of substantive language. 
The amendment also adds an appropriation to provide ongoing funding for the costs of 
the benefit mandate defrayal required by federal law. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 03/28/24 feac:.. 
LD 1577 
LR 655(02) 
An Act to Require Health Insurance Coverage for Biomarker Testing 
Net Cost (Savings) 
General Fund 
Highway Fund 
Fiscal Note for Bill as Amended by Committee Amendment 'Ff ( \-t-q l t""\ 
Committee: Health Coverage, Insurance and Financial Services 
' ) 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$0 
$0 
FY2024-25 
$170,000 
$0 
Projections 
FY 2025-26 
$359,565 
$7,221 
Projections 
FY 2026-27 
$359,565 
$7,221 
Appropriations/Allocations 
General Fund 
$0 
$0 
$170,000 
$0 
$359,565 
$7,221 
$359,565 
$7,221 
Highway Fund 
Fiscal Detail and Notes 
This bill requires carriers offering health plans in this State to provide coverage, including coverage in the MaineCare 
program, for biomarker testing. The requirements of the bill apply to health plans issued or renewed on or after 
J anua1y 1, 2025. The bill includes General Fund appropriations to the Department of Administrative and Financial 
Services of $170,000 for the estimated cost to reimburse insurance carriers for 6 months of the State's defrayal cost of 
this new mandate. The mandate will go into effect on all he.al th insurance plans on the marketplace beginning January 
1, 2025 and is estimated to cost $340,000 annually thereafter. 
The State Employee Health Plan's first impacted plan year will be SFY 2026 and is estimated to cost $43,335 annually 
thereafter. The costs are split across the General Fund ($19,565), Highway Funds ($7,221) and all other funds 
($16,549).