§2736-C. Individual health plans
1. Definitions.
As used in this section, unless the context otherwise indicates, the following terms
have the following meanings.
A. "Carrier" means any insurance company, nonprofit hospital and medical service organization
or health maintenance organization authorized to issue individual health plans in
this State. For the purposes of this section, carriers that are affiliated companies
or that are eligible to file consolidated tax returns are treated as one carrier and
any restrictions or limitations imposed by this section apply as if all individual
health plans delivered or issued for delivery in this State by affiliated carriers
were issued by one carrier. For purposes of this section, health maintenance organizations
are treated as separate organizations from affiliated insurance companies and nonprofit
hospital and medical service organizations. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
B. "Community rate" means the rate charged to all eligible individuals for individual
health plans prior to any adjustments pursuant to subsection 2, paragraphs C and D. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
C. "Individual health plan" means any hospital and medical expense-incurred policy or
health, hospital or medical service corporation plan contract. It includes both individual
contracts and certificates issued under group contracts specified in section 2701,
subsection 2, paragraph C. "Individual health plan" does not include the following
types of insurance:
(1) Accident;
(2) Credit;
(3) Disability;
(4) Long-term care or nursing home care;
(5) Medicare supplement;
(6) Specified disease;
(7) Dental or vision;
(8) Coverage issued as a supplement to liability insurance;
(9) Workers' compensation;
(10) Automobile medical payment;
(11) Insurance under which benefits are payable with or without regard to fault and
that is required statutorily to be contained in any liability insurance policy or
equivalent self-insurance; or
(12) Short-term policies, as described in section 2849-B, subsection 1. [2011, c. 238, Pt. D, §1 (AMD).]
C-1. "Legally domiciled" means a person who lives in this State and who satisfies the criteria
contained in 2 of the following subparagraphs.
(1) The person has a motor vehicle operator's license or nondriver identification
card from this State.
(2) The person has a valid passport or visa and is lawfully admitted to the United
States.
(3) The person is registered to vote in this State.
(4) The person has a permanent dwelling place in this State.
(5) The person submits a written sworn affidavit declaring that person's intent to
reside in this State.
(6) The person files an income tax return for this State that declares the person
is a Maine resident.
A person may establish that that person is legally domiciled in this State by providing
evidence of other relevant criteria associated with residency. A child is legally
domiciled in this State if at least one of the child's parents or the child's legal
guardian is legally domiciled in this State. A person with a developmental or other
disability that prevents that person from obtaining a motor vehicle operator's license,
registering to vote or filing an income tax return is legally domiciled in this State
by living in this State. [2005, c. 493, §1 (RPR).]
C-2. "Resident" means a person who is legally domiciled in this State and has been for
at least the last 60 days. [1997, c. 445, §8 (NEW); 1997, c. 445, §32 (AFF).]
D. "Premium rate" means the rate charged to an individual for an individual health plan. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
E. "Medicare" means the "Health Insurance for the Aged Act," Title XVIII of the Social
Security Amendments of 1965, as amended. [1997, c. 370, Pt. E, §2 (NEW).]
[
2011, c. 238, Pt. D, §1 (AMD)
.]
2. Rating practices.
The following requirements apply to the rating practices of carriers providing individual
health plans.
A. A carrier issuing an individual health plan after December 1, 1993 must file the carrier's
community rate and any formulas and factors used to adjust that rate with the superintendent
prior to issuance of any individual health plan. [1993, c. 547, §3 (AMD).]
B. A carrier may not vary the premium rate due to the gender, health status, occupation or industry, claims experience or policy duration of the individual. [2007, c. 629, Pt. A, §3 (AMD).]
C. A carrier may vary the premium rate due to family membership to the extent permitted by the federal Affordable Care Act. [2011, c. 364, §3 (AMD).]
C-1. A carrier may vary the premium rate due to geographic area in accordance with the
limitation set out in this paragraph. For all policies, contracts or certificates
that are executed, delivered, issued for delivery, continued or renewed in this State
on or after July 1, 2012, the rating factor used by a carrier for geographic area
may not exceed 1.5. [2011, c. 90, Pt. A, §2 (NEW).]
D. A carrier may vary the premium rate due to age and tobacco use in accordance with the limitations set out in this paragraph.
(1) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between December 1, 1993 and July
14, 1994, the premium rate may not deviate above or below the community rate filed
by the carrier by more than 50%.
(2) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between July 15, 1994 and July 14,
1995, the premium rate may not deviate above or below the community rate filed by
the carrier by more than 33%.
(3) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between July 15, 1995 and June 30,
2012, the premium rate may not deviate above or below the community rate filed by
the carrier by more than 20%.
(5) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between July 1, 2012 and December
31, 2013, the maximum rate differential due to age filed by the carrier as determined
by ratio is 3 to 1. The limitation does not apply for determining rates for an attained
age of less than 19 years of age or more than 65 years of age.
(6) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between January 1, 2014 and December
31, 2014, the maximum rate differential due to age filed by the carrier as determined
by ratio is 4 to 1 to the extent permitted by the federal Affordable Care Act. The
limitation does not apply for determining rates for an attained age of less than 19
years of age or more than 65 years of age.
(7) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State on or after January 1, 2015, the
maximum rate differential due to age filed by the carrier as determined by ratio is
5 to 1 to the extent permitted by the federal Affordable Care Act. The limitation
does not apply for determining rates for an attained age of less than 19 years of
age or more than 65 years of age.
(8) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State on or after July 1, 2012, the maximum
rate differential due to tobacco use filed by the carrier as determined by ratio is 1.5 to 1. [2011, c. 364, §4 (AMD).]
E. A separate community rate may be established for individuals eligible for Medicare
Part A without paying a premium; however, this rate may not be applied if both the
Medicare eligibility date and the issue date are prior to July 1, 2000. [1999, c. 44, §1 (AMD); 1999, c. 44, §2 (AFF).]
F. A carrier that adjusts its rate shall account for the savings offset payment or any
recovery in that offset payment in its experience consistent with this section and
former section 6913. [2007, c. 629, Pt. M, §4 (AMD).]
G. [2011, c. 90, Pt. B, §10 (AFF); 2011, c. 90, Pt. B, §4 (RP).]
H. [2011, c. 90, Pt. A, §4 (RP).]
I. A carrier that offered individual health plans prior to July 1, 2012 may close its
individual book of business sold prior to July 1, 2012 and may establish a separate
community rate for individuals applying for coverage under an individual health plan
on or after July 1, 2012. If a carrier closes its individual book of business as
permitted under this paragraph, the carrier may vary the premium rate for individuals
in that closed book of business only as permitted in this paragraph and paragraphs
C and C-1.
(1) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between July 1, 2012 and December
31, 2012, the maximum rate differential due to age filed by the carrier as determined
by ratio is 2 to 1. The limitation does not apply for determining rates for an attained
age of less than 19 years of age or more than 65 years of age.
(2) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between January 1, 2013 and December
31, 2013, the maximum rate differential due to age filed by the carrier as determined
by ratio is 2.5 to 1. The limitation does not apply for determining rates for an attained
age of less than 19 years of age or more than 65 years of age.
(3) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between January 1, 2014 and December
31, 2014, the maximum rate differential due to age filed by the carrier as determined
by ratio is 3 to 1. The limitation does not apply for determining rates for an attained
age of less than 19 years of age or more than 65 years of age.
(4) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State between January 1, 2015 and December
31, 2015, the maximum rate differential due to age filed by the carrier as determined
by ratio is 4 to 1 to the extent permitted by the federal Affordable Care Act. The
limitation does not apply for determining rates for an attained age of less than 19
years of age or more than 65 years of age.
(5) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State on or after January 1, 2016, the
maximum rate differential due to age filed by the carrier as determined by ratio is
5 to 1 to the extent permitted by the federal Affordable Care Act. The limitation
does not apply for determining rates for an attained age of less than 19 years of
age or more than 65 years of age.
(6) For all policies, contracts or certificates that are executed, delivered, issued
for delivery, continued or renewed in this State on or after July 1, 2012, the maximum
rate differential due to tobacco use filed by the carrier as determined by ratio is 1.5 to 1.
The superintendent shall direct the Consumer Health Care Division, established in
section 4321, to work with carriers and health advocacy organizations to provide information
about comparable alternative insurance options to individuals in a carrier's closed
book of business . [2011, c. 364, §5 (AMD).]
J. Except for enrollees in grandfathered health plans under the federal Affordable Care
Act, beginning January 1, 2014, a carrier shall consider all enrollees in all individual
health plans offered by the carrier to be members of a single risk pool to the extent
required by the federal Affordable Care Act. [2011, c. 364, §6 (NEW).]
[
2007, c. 629, Pt. A, §§3-6 (AMD);
2011, c. 90, Pt. A, §§2, 4 (AMD);
2011, c. 90, Pt. A, §1 (AMD);
2011, c. 90, Pt. A, §3 (AMD);
2011, c. 90, Pt. A, §5 (AMD);
2011, c. 90, Pt. B, §4 (AMD);
2011, c. 90, Pt. B, §10 (AFF);
2011, c. 364, §§3-6 (AMD)
.]
2-A. Reinsurance requirement.
[
2011, c. 90, Pt. B, §10 (AFF);
2011, c. 90, Pt. B, §5 (RP)
.]
2-B. Optional guaranteed loss ratio.
Notwithstanding section 2736, subsection 1 and section 2736-A, at the carrier's option,
rate filings for a carrier's credible block of individual health plans may be filed in accordance with this subsection. Rates filed
in accordance with this subsection are filed for informational purposes unless rate
review is required pursuant to the federal Affordable Care Act.
A. A carrier's individual health plans are considered credible if the anticipated average
number of members during the period for which the rates will be in effect meets standards for full or partial credibility pursuant to the federal Affordable Care Act. The rate filing must state the anticipated average number of members during the
period for which the rates will be in effect and the basis for the estimate. If the
superintendent determines that the number of members is likely to be less than needed to meet the credibility standard, the filing is subject to section 2736, subsection 1 and section 2736-A. [2011, c. 364, §7 (AMD).]
B. On an annual schedule as determined by the superintendent, the carrier shall file
a report with the superintendent showing the calculation of rebates as required pursuant to the federal Affordable Care Act, except that the calculation must be based on a minimum medical loss ratio of 80%
if the applicable federal minimum for the individual market in this State is lower.
If the calculation indicates that rebates must be paid, the carrier must pay the rebates
in the same manner as is required for rebates pursuant to the federal Affordable Care
Act. [2011, c. 364, §7 (AMD).]
[
2011, c. 364, §7 (AMD)
.]
3. Guaranteed issuance and guaranteed renewal.
Carriers providing individual health plans must meet the following requirements
on issuance and renewal.
A. Coverage must be guaranteed to all residents of this State other than those eligible
without paying a premium for Medicare Part A. Coverage must be guaranteed to all legally domiciled federally eligible individuals, as defined
in section 2848, regardless of the length of time they have been legally domiciled
in this State. Except for federally eligible individuals, coverage need not be issued
to an individual whose coverage was terminated for nonpayment of premiums during the
previous 91 days or for fraud or intentional misrepresentation of material fact during
the previous 12 months. When a managed care plan, as defined by section 4301-A, provides
coverage a carrier may:
(1) Deny coverage to individuals who neither live nor reside within the approved service
area of the plan for at least 6 months of each year; and
(2) Deny coverage to individuals if the carrier has demonstrated to the superintendent's
satisfaction that:
(a) The carrier does not have the capacity to deliver services adequately to additional
enrollees within all or a designated part of its service area because of its obligations
to existing enrollees; and
(b) The carrier is applying this provision uniformly to individuals and groups without
regard to any health-related factor.
A carrier that denies coverage in accordance with this subparagraph may not enroll individuals residing within the area subject to denial of coverage
or groups or subgroups within that area for a period of 180 days after the date of
the first denial of coverage. [2011, c. 621, §1 (AMD).]
B. Renewal is guaranteed, pursuant to section 2850-B. [1997, c. 445, §32 (AFF); 1997, c. 445, §10 (RPR).]
C. A carrier is exempt from the guaranteed issuance requirements of paragraph A provided
that the following requirements are met.
(1) The carrier does not issue or deliver any new individual health plans on or after
the effective date of this section;
(2) If any individual health plans that were not issued on a guaranteed renewable
basis are renewed on or after December 1, 1993, all such policies must be renewed
by the carrier and renewal must be guaranteed after the first such renewal date; and
(3) The carrier complies with the rating practices requirements of subsection 2. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
D. Notwithstanding paragraph A, carriers offering supplemental coverage for the Civilian
Health and Medical Program for the Uniformed Services, CHAMPUS, are not required to
issue this coverage if the applicant for insurance does not have CHAMPUS coverage. [1999, c. 256, Pt. D, §1 (NEW).]
E. As part of the application process for individual health coverage, a carrier shall require an individual to complete the health statement developed by the Board of Directors of the Maine Guaranteed
Access Reinsurance Association pursuant to section 3955, subsection 1, paragraph E
. A carrier may not deny coverage or refuse to renew or cancel an individual health
plan on the basis of an individual's complete or incomplete health statement, claims
history or risk scores or on the basis of any omission of material information from
a health statement or misrepresentation of an individual's health status. The rejection
of an application for individual health coverage by a carrier because an individual
has not submitted a completed health statement is not a denial of coverage for the
purposes of this paragraph. [2011, c. 621, §1 (AMD).]
[
2011, c. 621, §1 (AMD)
.]
4. Cessation of business.
Carriers that provide individual health plans after the effective date of this section
that plan to cease doing business in the individual health plan market must comply
with the following requirements.
A. Notice of the decision to cease doing business in the individual health plan market
must be provided to the bureau 3 months prior to the cessation unless a shorter notice
period is approved by the superintendent. If existing contracts are nonrenewed, notice
must be provided to the policyholder or contract holder 6 months prior to nonrenewal. [2001, c. 258, Pt. B, §1 (AMD).]
B. Carriers that cease to write new business in the individual health plan market continue
to be governed by this section. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
C. Carriers that cease to write new business in the individual health plan market are
prohibited from writing new business in that market for a period of 5 years from the
date of notice to the superintendent unless the superintendent waives this requirement
for good cause shown. [2001, c. 258, Pt. B, §2 (AMD).]
[
2001, c. 258, Pt. B, §§1, 2 (AMD)
.]
5. Loss ratios.
Except as provided in subsection 2-B, for all policies and certificates issued on or after the effective date of this section,
the superintendent shall disapprove any premium rates filed by any carrier, whether
initial or revised, for an individual health policy unless it is anticipated that
the aggregate benefits estimated to be paid under all the individual health policies
maintained in force by the carrier for the period for which coverage is to be provided
will return to policyholders at least 65% of the aggregate premiums collected for
those policies, as determined in accordance with accepted actuarial principles and
practices and on the basis of incurred claims experience and earned premiums. For
the purposes of this calculation, any payments paid pursuant to former section 6913
must be treated as incurred claims.
[
2011, c. 90, Pt. D, §3 (AMD)
.]
6. Fair marketing standards.
Carriers providing individual health plans must meet the following standards of
fair marketing.
A. Each carrier must actively market individual health plan coverage, including any standardized
plans defined pursuant to subsection 8, to individuals in this State. [1995, c. 332, Pt. K, §1 (AMD).]
B. A carrier or representative of the carrier may not directly or indirectly engage in
the following activities:
(1) Encouraging or directing individuals to refrain from filing an application for
coverage with the carrier because of any of the rating factors listed in subsection
2; or
(2) Encouraging or directing individuals to seek coverage from another carrier because
of any of the rating factors listed in subsection 2. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
C. A carrier may not directly or indirectly enter into any contract, agreement or arrangement
with a representative of the carrier that provides for or results in the compensation
paid to the representative for the sale of an individual health plan to be varied
because of the rating factors listed in subsection 2. A carrier may enter into a
compensation arrangement that provides compensation to a representative of the carrier
on the basis of percentage of premium, provided that the percentage does not vary
because of the rating factors listed in subsection 2. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
D. A carrier may not terminate, fail to renew or limit its contract or agreement of representation
with a representative for any reason related to the rating factors listed in subsection
2. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
E. Denial by a carrier of an application for coverage from an individual must be in writing
and must state the reason or reasons for the denial. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
F. The superintendent may establish rules setting forth additional standards to provide
for the fair marketing and broad availability of individual health plans in this State. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
G. A violation of this section by a carrier or a representative of the carrier is an
unfair trade practice under chapter 23. If a carrier enters into a contract, agreement
or other arrangement with a 3rd-party administrator to provide administrative, marketing
or other services related to the offering of individual health plans in this State,
the 3rd-party administrator is subject to this section as if it were a carrier. [1993, c. 477, Pt. C, §1 (NEW); 1993, c. 477, Pt. F, §1 (AFF).]
[
1995, c. 332, Pt. K, §1 (AMD)
.]
7. Applicability.
This section applies to all policies, plans, contracts and certificates executed,
delivered, issued for delivery, continued or renewed in this State on or after December
1, 1993 with the exception of short-term contracts, as defined in section 2849-B.
For purposes of this section, all contracts are deemed renewed no later than the next
yearly anniversary of the contract date.
[
1997, c. 445, §11 (AMD);
1997, c. 445, §32 (AFF)
.]
8. Authority of the superintendent.
[
2011, c. 90, Pt. F, §1 (RP)
.]
9. Exemption for certain associations.
The superintendent may exempt a group health insurance policy or group nonprofit
hospital or medical service corporation contract issued to an association group, organized
pursuant to section 2805-A, from the requirements of subsection 3, paragraph A; subsection
6, paragraph A; and subsection 8 if:
A. Issuance and renewal of coverage under the policy or contract is guaranteed to all
members of the association who are residents of this State and to their dependents; [1995, c. 570, §7 (NEW).]
B. Rates for the association comply with the premium rate requirements of subsection
2 or are established on a nationwide basis and substantially comply with the purposes
of this section, except that exempted associations may be rated separately from the
carrier's other individual health plans, if any; [1995, c. 570, §7 (NEW).]
C. The group's anticipated loss ratio, as defined in subsection 5, is at least 75%; [1995, c. 570, §7 (NEW).]
D. The association's membership criteria do not include age, health status, medical utilization
history or any other factor with a similar purpose or effect; [1995, c. 570, §7 (NEW).]
E. The association's group health plan is not marketed to the general public; [1995, c. 570, §7 (NEW).]
F. The association does not allow insurance agents or brokers to market association memberships,
accept applications for memberships or enroll members, except when the association
is an association of insurance agents or brokers organized under section 2805-A; [1995, c. 570, §7 (NEW).]
G. Insurance is provided as an incidental benefit of association membership and the primary
purposes of the association do not include group buying or mass marketing of insurance
or other goods and services; and [1995, c. 570, §7 (NEW).]
H. Granting an exemption to the association does not conflict with the purposes of this
section. [1995, c. 570, §7 (NEW).]
Except for individuals with grandfathered health plans under the federal Affordable
Care Act, this subsection does not apply to policies, contracts or certificates that
are executed, delivered, issued for delivery, continued or renewed in this State on
or after January 1, 2014.
[
2011, c. 364, §8 (AMD)
.]
10. Pilot projects; persons under 30 years of age.
The superintendent shall authorize pilot projects in accordance with this subsection
that allow a health insurance carrier that offers individual insurance, is marketing
an individual insurance policy in this State and has a medical-loss ratio of at least
70% in the individual market to offer individual medical insurance products to persons
under 30 years of age beginning July 1, 2009.
A. The superintendent shall review pilot project proposals submitted in accordance with
rules adopted pursuant to paragraph E. The superintendent shall approve a pilot project
proposal if it meets the minimum benefit requirements set forth in rules adopted pursuant
to paragraph E and may not approve a proposal that does not provide such minimum benefit
requirements. [2007, c. 629, Pt. I, §1 (NEW).]
B. Notwithstanding any requirements in this Title for specific health services, specific
diseases and certain providers of health care services, the superintendent may adopt
minimum benefit requirements that exclude certain benefits if determined by the superintendent
to provide affordable and attractive individual health plans for persons under 30
years of age. [2007, c. 629, Pt. I, §1 (NEW).]
C. A pilot project approved by the superintendent pursuant to this subsection qualifies
as creditable coverage under this Title. Notwithstanding section 2849-B, subsection
4, a policy that replaces coverage issued under a pilot project approved under this
subsection is not subject to any preexisting conditions exclusion provisions. Each
carrier that offers an individual product pursuant to a pilot project approved under
this subsection must combine the experience for that product with other individual
products offered by that carrier as filed with the bureau when determining premium
rates. The experience of a carrier's closed pool may not be taken into account in
determining pilot project premium rates. [2007, c. 629, Pt. I, §1 (NEW).]
D. Beginning in 2010, the superintendent shall report by March 1st annually to the joint
standing committee of the Legislature having jurisdiction over insurance matters on
the status of any pilot project approved by the superintendent pursuant to this subsection.
The report must include an analysis of the effectiveness of the pilot project in encouraging
persons under 30 years of age to purchase insurance and an analysis of the impact
of the pilot project on the broader insurance market, including any impact on premiums
and availability of coverage. [2007, c. 629, Pt. I, §1 (NEW).]
E. The superintendent shall establish by rule procedures and policies that facilitate
the implementation of a pilot project pursuant to this subsection, including, but
not limited to, a process for submitting a pilot project proposal, minimum requirements
for approval of a pilot project and any requirements for minimum benefits. Rules adopted
pursuant to this paragraph are routine technical rules as defined in Title 5, chapter
375, subchapter 2-A and must be adopted no later than 90 days after the effective
date of this subsection. [2007, c. 629, Pt. I, §1 (NEW).]
[
2007, c. 629, Pt. I, §1 (NEW)
.]
11. Open enrollment.
Notwithstanding subsection 3, on or after January 1, 2014, a carrier may restrict
enrollment in individual health plans to open enrollment periods and special enrollment
periods consistent with requirements of the federal Affordable Care Act.
[
2013, c. 271, §1 (NEW)
.]
SECTION HISTORY
1993, c. 477, Pt. C, §1 (NEW).
1993, c. 477, Pt. F, §1 (AFF).
1993, c. 546, §1 (AMD).
1993, c. 547, §3 (AMD).
1993, c. 645, §§A3, B2 (AMD).
1995, c. 177, §1 (AMD).
1995, c. 332, §§J2, K1 (AMD).
1995, c. 342, §§4, 5 (AMD).
1995, c. 570, §7 (AMD).
1997, c. 370, Pt. E, §§2-4 (AMD).
1997, c. 445, §§8-11 (AMD).
1997, c. 445, §32 (AFF).
1999, c. 44, §1 (AMD).
1999, c. 44, §2 (AFF).
1999, c. 256, §§C1, D1, 2 (AMD).
RR 2001, c. 1, §30 (COR).
2001, c. 258, §§B1, 2, E2 (AMD).
2001, c. 410, Pt. A, §§1, 2 (AMD).
2001, c. 410, Pt. A, §10 (AFF).
2003, c. 428, Pt. H, §3 (AMD).
2003, c. 469, Pt. E, §§12, 13 (AMD).
2005, c. 493, §1 (AMD).
2007, c. 629, Pt. A, §§3-7 (AMD).
2007, c. 629, Pt. I, §1 (AMD).
2007, c. 629, Pt. M, §§4, 5 (AMD).
2011, c. 90, Pt. A, §§1-5 (AMD).
2011, c. 90, Pt. B, §§4-6 (AMD).
2011, c. 90, Pt. B, §10 (AFF).
2011, c. 90, Pt. D, §§2, 3 (AMD).
2011, c. 90, Pt. F, §1 (AMD).
2011, c. 238, Pt. D, §1 (AMD).
2011, c. 364, §§3-8 (AMD).
2011, c. 621, §1 (AMD).
2013, c. 271, §1 (AMD).