LD 1525
pg. 1
LD 1525 Title Page An Act to Improve Medical Support for Children Page 2 of 2
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LR 908
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 19-A MRSA §2106, sub-§6 is enacted to read:

 
6.__Custodial parent's choice.__If a child is enrolled under
this section, the employer shall accept the custodial parent's
choice of a primary care provider for that child even if the
custodial parent is not the insurance certificate holder, owner
or subscriber.__If the parents have equal or joint custody of the
child enrolled under this section, the parent who is the covered
employee shall choose the child's primary care provider.

 
Sec. 2. 22 MRSA §16-A is enacted to read:

 
§16-A.__Provision of list of persons covered

 
Upon request by the department, a nonprofit hospital or
medical service organization authorized under Title 24 or an
insurer authorized under Title 24-A shall provide to the
department a list of persons who have health insurance coverage
with that organization or insurer.__The information must be
transmitted promptly in response to the department's request and
must be provided in a manner that allows the department's
electronic identification of former or current Medicaid
recipients who have health insurance coverage.

 
Sec. 3. 24-A MRSA §2742, sub-§5, as amended by PL 1997, c. 795, §8, is
further amended to read:

 
5. Compliance. An insurer issuing policies under this
chapter must comply with 42 United States Code, Section 1396g-1.
If a parent is required by a court or administrative order to
provide health coverage for a child and the parent is eligible
for family health coverage through an insurer, the insurer shall
permit either of the child's parents or the Department of Human
Services to enroll the child under the family coverage without
regard to any enrollment season restrictions if the child is
otherwise eligible for the coverage. An insurer must provide
policy information to the custodial parent of any dependent child
so that the custodial parent can obtain benefits for the child
directly from the insurer. An insurer must permit the custodial
parent of any dependent child to submit claims for covered
services without the approval of the noncustodial parent. If the
custodial parent approves, an insurer must permit the provider to
submit claims for covered services without the approval of the
noncustodial parent. An insurer shall make payment on claims
submitted under this section directly to the custodial parent or,
if the custodial parent approves, to the provider.


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