An Act to Require Health
Maine Legislature, Session 132, LD 0163
Committee Amendment CA_A_H120 (House)

COMJvfITTEEAMENDMENT"A "to H.P. 96, L.D. 163, "An Act to Require Health 
hlsurance 
Coverage 
for Federally Approved Nonprescription 
Oral Hormonal 
Contraceptives and Nonprescription Emergency Contraceptives" 
Amend the bill in section 2 in subsection 4 in paragraph E in the 6th line (page 1, line 
in L.D.) by inserting after the following: "phannacy'' the following: 'counter' 
Amend the bill in section 2 in subsection 4 in paragraph E in the last 3 lines (page 2, 
lines 2 to 4 in L.D.) by striking out the following: "The pharmacy may use a standing order 
to facilitate billing for a nonprescription oral hormonal contraceptive or nonprescription 
emergency contraceptive in accordance with this paragraph." 
Amend the bill in section 2 in subsection 4 by inserting after paragraph Ethe foUowing: 
'F. The superintendent shall monitor compliance with the reguirements for coverage 
of nonprescription oral hormonal contraceptives and nonprescription emergency 
contraceptives and any rules adopted in accordance with subsection 5, including any 
complaints or barriers to implementation.' 
Amend the bill in section 5 in subsection 3 in paragraph Fin the 5th line (page 3, line 
in L.D.) by inserting after the following: "purchase" the following: 'at the pharmacy 
counter' 
Amend the bill in section 5 in subsection 3 in paragraph F in the last 4 lines (page 3, 
lines 11 to 14 in L.D.) by striking out the following: "The phannacy may use a standing 
order to facilitate billing for a nonprescription oral honnonal contraceptive or 
nonprescription emergency contraceptive in accordance with this paragraph." 
Amend the bill in section 5 in subsection 3 by inserting after paragraph F the following: 
'G. The superintendent shall monitor compliance with the requirements for coverage 
of nonprescription oral hormonal contraceptives and nonprescription emergency 
contraceptives and any rules adopted in accordance with subsection 4, including any 
complaints or barriers to implementation.' 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT •A " 
to H.P. 96, L.D. 163 
Amend the bill in section 8 in subsection 4 in paragraph F in the 5th line (page 4, line 
in L.D.) by inserting after the following: "pharmacy" the following: 'counter1 
Amend the bill in section 8 in subsection 4 in paragraph F in the last 3 lines (page 4, 
lines 23 to 25 in L.D.) by striking out the following: "The pharmacy may use a standing 
order to facilitate billing for a nonprescription oral honnonal contraceptive or 
nonprescription emergency contraceptive in accordance with this paragraph." 
Amend the bill in section 8 in subsection 4 by inserting after paragraph F the following: 
'G. The superintendent shall monitor compliance with the requirements for coverage 
of nonprescription oral hormonal contraceptives and nonprescription emergency 
contraceptives and any rules adopted in accordance with subsection 5, including any 
complaints or barriers to implementation.' 
Amend the bill in section 11 in subsection 4 in paragraph Fin the 6th line (page 5, line 
in L.D.) by inserting after the following: 
11phannacy
the following: 'counter' 
Amend the bill in section 11 in subsection 4 in paragraph Fin the last 4 lines (page 5, 
lines 32 to 35 in L.D.) by striking out the following: "The pharmacy may use a standing 
order to facilitate billing for a nonprescription oral honnonal contraceptive or 
nonprescription emergency contraceptive in accordance with this paragraph." 
Amend the bill in section 11 in subsection 4 by inserting after paragraph F the 
following: 
'G. The superintendent shall monitor compliance with the requirements for coverage 
of nonprescription oral honnonal contraceptives and nonprescription emergency 
contraceptives and any rules adopted in accordance with subsection 5, including any 
complaints or barriers to implementation.' 
Amend the bill by striking out all of section 15 and inserting the following: 
'Sec. 15. Appropriations and allocations. The following appropriations and 
allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
Departments and Agencies - Statewide 0016 
Initiative: Provides funding for the expansion of the requirements in cunent law for 
coverage of contraceptives to include nonprescription oral hormonal contraceptives and 
nonprescription emergency contraceptives approved by the federal Food and Drug 
Administration. The expanded requirements apply to health plans issued or renewed on or 
afterJanuary 1, 2026. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HIGHWAY FUND 
All Other 
HIGHWAY FUND TOTAL 
2025-26 
$0 
$0 
2025-26 
$0 
$0 
COMMITTEE AMENDMENT 
2026-27 
$62,016 
$62,016 
2026-27 
$21,571 
$21,571 
RQS., 
COMMITTEE AMENDMENT 'A "to H.P. 96, L.D. 163 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment, which is the minority rep01t of the committee, strikes language in the 
bill authorizing a phannacist to use a standing order to facilitate billing for a 
nonprescription oral honnonal contraceptive or nonprescription emergency contraceptive 
and clarifies that enrollees must purchase contraceptives at the pharmacy counter in order 
to be reimbursed by a health insurance carrier for an out-of-pocket payment. The 
amendment also removes from the bill the requirement that the Department of Professional 
and Financial Regulation, Bureau of Insurance submit a report to the Legislature but retains 
language requiring the bureau to monitor compliance with the bill's requirements on an 
ongoing basis. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/27/25 LRL 
LD 163 
LR 73(02) 
An Act to Require Health Insurance Coverage for Federally Approved Nonprescription Oral 
Hormonal Contraceptives and Nonprescription Emergency Contraceptives 
· ., · 
Fiscal Note for Bill as Amended by Committee Amendment •4 • { ({-( 2 D) 
Committee: Health Coverage, Insurance and Financial Services 
Net Cost (Savings) 
General Fund 
Highway Fund 
Appropriations/Allocations 
General Fund 
Highway Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes . 
Fiscal Note 
FY 2025-26 
$0 
$0 
$0 
$0 
FY 2026-27 
$62,016 
$21,571 
$62,016 
$21,571 
Projections 
FY 2027-28 
$62,016 
$21,571 
$62,016 
$21,571 
.Projections 
FY _2028-29 
$62,016 
$21,: 
$62,016 
$21,571 
The bill requires thE: State Employee Health Plan to cover nonprescription oral hormonal contraceptives and 
nonprescription emergency contraceptives approved by the federal Food and Drug Administration. 
The requirements of the bill apply to health plans issued or renewed on or after January 1, 2026. The State Employee 
Health Plan's first impacted plan year will be fiscal year 2026-27 and is estimated to cost $134,818 annually 
thereafter. The costs are split across the General Fund ($62,016), Highway Fund ($21,571), and all other funds 
($51,231), 
LR0073(02) - Fiscal Note - Page I of I