Healthcare

LD 163 requires all health insurance plans in Maine covering prescription drugs or outpatient services to fully cover federally approved nonprescription oral hormonal contraceptives and emergency contraceptives without any deductibles, copays, or coinsurance. This applies directly to health insurers and enrollees, eliminating out-of-pocket costs for these specific contraceptives. The bill clarifies that no prescription is needed to obtain these items, and coverage must include supplies for a full 12-month period. It specifically excludes coverage for abortion-inducing drugs. The law updates Maine’s health insurance coverage requirements to align with federal contraceptive approvals.

LD 117 provides $1.23 million in state funding for sexual assault services during the 2025-2026 fiscal year, increasing to $1.83 million for 2026-2027. The funds are allocated through the Department of Health and Human Services' Purchased Social Services program to directly support local sexual assault service providers. This funding covers essential services like crisis counseling, medical advocacy, and legal support for survivors. The bill does not create new programs but ensures sustained financial support for existing services across Maine.

LD 189 removes the requirement for health care facilities to obtain state approval (a "certificate of need") before offering mental health services or substance use disorder treatment in Maine. This change directly affects facilities providing these services, allowing them to expand or start new programs without waiting for state review. By eliminating this regulatory barrier, the bill aims to increase the availability and affordability of mental health and substance use disorder care for residents. The legislation amends Maine law to specifically exclude these services from the certificate of need process.

LD 633 requires Maine's investor-owned utilities to include in their emergency response plans procedures for identifying customers with a documented need for electricity to power essential medical equipment, such as ventilators, oxygen concentrators, or dialysis machines. The bill mandates that utilities develop documented outreach plans to contact these medically vulnerable individuals during power outages. This ensures timely communication and support for patients whose health depends on uninterrupted power for critical devices. The bill directly affects utilities and the approximately 1,000+ Maine residents relying on such equipment, as defined in the legislation.

This bill corrects a drafting error in a 2023 law that unintentionally applied to all air ambulance providers. It clarifies that health insurance carriers cannot require prior authorization for air ambulance transport only when the service provider is a nonprofit organization. The law specifically applies to nonprofits transporting patients to or between hospitals for urgent care, as defined in Maine law. The correction is retroactive to August 9, 2024, the effective date of the original 2023 law.