| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24 MRSA §2317-B, sub-§12-B is enacted to read: |
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| | | 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; |
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| | | Sec. 2. 24-A MRSA §2761 is enacted to read: |
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| | | §2761.__Coverage for services provided by dental hygienist |
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| | | 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. |
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| | | 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. |
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| | | 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. |
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| | | 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. |
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| | | Sec. 3. 24-A MRSA §2847-L is enacted to read: |
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| | | §2847-L.__Coverage for services provided by dental hygienist |
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| | | 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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