Maine 2025-2026 Regular Session

Maine Senate Bill LD1310

Introduced
3/27/25  
Refer
3/27/25  
Engrossed
5/27/25  
Enrolled
5/28/25  

Caption

An Act to Amend the Laws Governing Insurance Coverage of Preventive and Primary Health Services

Impact

The introduction of this bill is poised to significantly impact the existing state laws concerning health insurance coverage, particularly in how plans treat preventive and primary care services. It sets a precedent for the importance of eliminating cost-sharing measures that deter individuals from accessing healthcare services, especially those related to mental health and substance use conditions. This adjustment will not only improve access to health services but also encourages broader public health initiatives focused on preventative care.

Summary

LD1310 is an Act to Amend the Laws Governing Insurance Coverage of Preventive and Primary Health Services in the State of Maine. The bill is designed to require that health plans provide coverage without cost sharing for the first primary care visit and the first behavioral health office visit for each plan year. This initiative aims to enhance access to critical health services by removing financial barriers that may prevent individuals from seeking necessary care. By mandating cost parity between primary care and behavioral health visits, the law seeks to foster a more comprehensive approach to healthcare that recognizes the importance of mental health.

Sentiment

The sentiment around LD1310 appears to be largely positive, as it is aimed at improving healthcare accessibility, particularly for primary and behavioral health services. Lawmakers and health advocates express support for the bill, emphasizing its potential to alleviate financial burdens on individuals seeking care. However, as with many legislative measures, there may be concerns regarding the implementation and the payments to providers for services rendered without cost sharing, which could spark debates among stakeholders.

Contention

Notable points of contention surrounding LD1310 may include concerns about how insurers will adjust their financial models to comply with the new cost-sharing structure. There may be questions regarding the sustainability of providing such services without cost sharing, as well as the implications for individuals with high deductible health plans or health savings accounts. Opponents might express trepidation over these changes, fearing that it could lead to increased premiums or limit the availability of care if providers do not receive adequate compensation for the mandated services.

Companion Bills

No companion bills found.

Previously Filed As

ME SB196

Insurance Coverage Preventive Health-Care Services

ME HB3450

Creates provisions relating to insurance coverage of preventive health care services

ME HB637

Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)

ME SB385

Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)

ME SB1705

Creates provisions relating to insurance coverage of preventative healthcare services

ME S3142

Prohibits selection of health insurance coverage as primary under personal injury protection coverage.

ME HB2348

Behavioral health services; insurance coverage

ME HB2559

Behavioral health services; insurance coverage

ME SB244

Revise laws related to health insurance coverage of behavioral health screening

ME S3008

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

Similar Bills

RI H5635

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

RI S0790

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

MO HB1964

Modifies provisions relating to the practice of applied behavior analysis

MI SB0928

Health: licensing; behavioral health transportation licensing requirements; provide for. Amends 1974 PA 258 (MCL 330.1001 - 330.2106) by adding ch. 9B. TIE BAR WITH: SB 0927'26

MI HB5291

Health occupations: health professionals; limited license for certain individuals engaging in the practice of applied behavior analysis; provide for. Amends secs. 16343a, 18253 & 18257 of 1978 PA 368 (MCL 333.16343a et seq.).

OR HB5025

Relating to the financial administration of the Oregon Health Authority; and declaring an emergency.

AZ HB2348

Behavioral health services; insurance coverage

AZ HB2559

Behavioral health services; insurance coverage