D.__Notwithstanding subsection 2, paragraph D, a carrier may offer an additional discount of up to 20% of the premium rate for the policy based on an individual's weight or adherence to a recommended schedule for regular physicals. With respect to weight and regular physicals, the discount must be based on the individual's compliance with the Centers for Disease Control and Prevention guidelines in effect on the year of issuance or renewal of the policy.

E.__If approved by the superintendent, the policy may include provisions with financial incentives encouraging a policyholder to receive health care services at a center of excellence or other high-quality provider designated by the carrier based on objective quality indicators.

Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

Sec. A-3. 24-A MRSA §4315 is enacted to read:

§4315.__Primary health care policy

1.__Mandatory offer.__A carrier offering a health plan in this State shall offer and actively market a primary health care policy, referred to in this section as "the policy," to individuals and groups regardless of size.__The superintendent shall adopt rules that define the benefit design for the policy in accordance with the following.

A. The policy must provide coverage that emphasizes primary and preventive care, including, but not limited to, well-adult and well-child visits and health screenings.

B. The annual maximum limit payable on the policy per individual covered under the health plan, including dependents, must be determined as follows:

(1) For an individual whose income is between 100% and 200% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $2,000 per individual covered under the policy;

(2) For an individual whose income is between 200% and 300% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $5,000 per individual covered under the policy;