An Act To Require Nondiscrimination Policies in Providing Health Care Services
Sec. 1. 24-A MRSA §2385-G is enacted to read:
§ 2385-G. Nondiscrimination; prohibited practices
Sec. 2. 24-A MRSA §2910-B is enacted to read:
§ 2910-B. Nondiscrimination; prohibited practices
Sec. 3. 24-A MRSA §4320-K is enacted to read:
§ 4320-K. Nondiscrimination; prohibited practices
(1) Who is authorized to make the determination on limiting coverage; and
(2) The criteria the plan uses to determine whether a treatment, procedure, drug or device is experimental; and
(1) A statement of the specific medical and scientific factors considered in making a decision; and
(2) A notice of the insured's right to appeal and an explanation of the appeal process.
This bill prohibits health insurance carriers, automobile insurers and workers' compensation insurers from discriminating against health care providers who are licensed, registered or certified by the State in providing covered services as long as the providers are acting within the scope of their licenses, registrations or certifications. The bill also prohibits certain practices that may limit implementation of nondiscrimination policies.