LD 161
pg. 1
LD 161 Title Page An Act To Assist Dental Hygienists Page 2 of 3
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LR 324
Item 1

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

 
Sec. 1. 24 MRSA §2317-B, sub-§12-B is enacted to read:

 
12-B. Title 24-A, sections 2761 and 2847-L. Coverage for
services provided by dental hygienists, Title 24-A, sections 2761
and 2847-L;

 
Sec. 2. 24-A MRSA §2761 is enacted to read:

 
§2761.__Coverage for services provided by dental hygienist

 
1.__Services provided by dental hygienist.__An insurer that
issues individual health insurance contracts shall provide
coverage for dental services provided by a dental hygienist
within the scope of that dental hygienist's license regardless of
the facility or setting in which the services are rendered if
those same dental services would be covered when provided by a
dental hygienist in a dental office.

 
2.__Limits; coinsurance; deductibles.__A contract that
provides coverage for the services required by this section may
contain provisions for maximum benefits and coinsurance and
reasonable limitations, deductibles and exclusions to the extent
that these provisions are not inconsistent with the requirements
of this section.

 
3. Coordination of benefits with dental insurance. If an
enrollee eligible for coverage under this section is also
eligible for coverage for general anesthesia and associated
facility charges under a dental insurance policy or contract, the
nonprofit health care service organization or insurer providing
dental insurance is the primary payer responsible for those
charges and the insurer providing individual health insurance is
the secondary payer.

 
4. Application.__The requirements of this section apply to all
policies, contracts and certificates executed, delivered, issued
for delivery, continued or renewed in this State. For purposes of
this section, all contracts are deemed to be renewed no later
than the next yearly anniversary of the contract date.

 
Sec. 3. 24-A MRSA §2847-L is enacted to read:

 
§2847-L.__Coverage for services provided by dental hygienist

 
1.__Services provided by dental hygienist.__An insurer that
issues group health insurance contracts shall provide coverage
for dental services provided by a dental hygienist within the
scope of that dental hygienist's license regardless of the


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