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Bill > LD582


ME LD582

An Act to Require Health Insurance Carriers to Provide Coverage for Blood Testing for Perfluoroalkyl and Polyfluoroalkyl Substances


summary

Introduced
02/19/2025
In Committee
02/19/2025
Crossed Over
05/13/2025
Passed
05/14/2025
Dead

Introduced Session

Potential new amendment
132nd Legislature

Bill Summary

This bill requires carriers offering health plans in this State to provide coverage for blood testing for perfluoroalkyl and polyfluoroalkyl substances, or PFAS, recommended by a provider as medically necessary health care in accordance with clinical guidelines established by the National Academies of Sciences, Engineering, and Medicine. The requirements of the bill apply to health plans issued or renewed on or after January 1, 2026. The bill also includes language stating the Legislature's finding that the requirement for coverage for blood testing for perfluoroalkyl and polyfluoroalkyl substances are not an expansion of the State's essential health benefits and do not require the State to defray costs pursuant to the federal Patient Protection and Affordable Care Act.

AI Summary

This bill requires health insurance carriers in Maine to provide coverage for blood testing related to perfluoroalkyl and polyfluoroalkyl substances (PFAS), which are a class of fluorinated chemical compounds. The bill defines PFAS and mandates that health insurers cover blood testing recommended by a healthcare provider as medically necessary, particularly when the patient meets clinical guidelines established by the National Academies of Sciences, Engineering, and Medicine. Importantly, the bill prohibits health plans from imposing any cost-sharing requirements like deductibles, copayments, or coinsurance for these PFAS blood tests, with a minor exception for health savings account plans pending federal tax guidance. The legislation applies to all health insurance policies, contracts, and certificates issued or renewed in Maine on or after January 1, 2026. The bill also includes a legislative finding that this coverage requirement does not expand the state's essential health benefits, as laboratory services are already included in current coverage. This legislation aims to ensure that individuals potentially exposed to PFAS can receive necessary medical testing without financial barriers.

Committee Categories

Health and Social Services

Sponsors (10)

Last Action

On motion by Senator ROTUNDO of Androscoggin PLACED ON THE SPECIAL APPROPRIATIONS TABLE pending ENACTMENT in concurrence. (on 05/21/2025)

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