Bill > LD163

This bill requires health insurance providers in Maine to cover nonprescription oral hormonal contraceptives and nonprescription emergency contraceptives without any out-of-pocket costs, expanding existing contraceptive coverage requirements. Specifically, the bill mandates that all individual and group health insurance policies must provide coverage for these over-the-counter contraceptives approved by the FDA, with no deductibles, copayments, or cost-sharing requirements. Patients will have the option to obtain these contraceptives at a pharmacy either without upfront payment or by paying out-of-pocket and submitting a claim for reimbursement. The bill also requires insurers to cover a 12-month supply of contraceptive supplies and removes the requirement for a prescription to obtain nonprescription hormonal or emergency contraceptives. The superintendent of insurance will be responsible for monitoring compliance and may adopt rules to implement these requirements. The new coverage requirements will apply to all health insurance policies issued or renewed on or after January 1, 2026, and the state has allocated funds to support the implementation of these expanded coverage mandates.

Health and Social Services

https://legislature.maine.gov/legis/bills/display_ps.asp?LD=163&snum=132