APPROVED CHAPTER
JULY 27, 2023 454
BY GOVERNOR PUBLIC LAW
STATE OF MAINE
_____
IN THE YEAR OF OUR LORD
TWO THOUSAND TWENTY-THREE
_____
S.P. 260 - L.D. 592
An Act to Amend the Law Governing MaineCare Coverage of Chiropractic
Treatment
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 22 MRSA §3174-CCC, sub-§1, as enacted by PL 2019, c. 421, §1 and
reallocated by RR 2019, c. 1, Pt. A, §24, is repealed and the following enacted in its place:
1. Reimbursement. The department shall reimburse under the MaineCare program
for certain chiropractic services, as described in this section and defined in department
rules, performed by a chiropractic doctor licensed under Title 32, chapter 9 that are within
the scope of practice of chiropractic doctors. Services that are reimbursed are the
following:
A. Treatment by means of manual manipulation of the spine;
B. Evaluation and management examinations; and
C. Physical therapy when the service is otherwise covered by MaineCare when
performed by a physical therapist licensed under Title 32, chapter 45-A.
This subsection does not affect any limits that may apply to reimbursements such as limits
on the number of visits.
Sec. 2. State plan amendment. No later than July 1, 2024, the Department of
Health and Human Services shall apply to the United States Department of Health and
Human Services, Centers for Medicare and Medicaid Services for a state plan amendment
to allow for Medicaid reimbursement for physical therapy services performed by
chiropractic doctors licensed under the Maine Revised Statutes, Title 32, chapter 9 within
their scope of practice as long as those services are covered when performed by licensed
physical therapists.
Sec. 3. Appropriations and allocations. The following appropriations and
allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Page 1 - 131LR2006(05)
Initiative: Provides one-time funding for physical therapy services that are within a
chiropractic doctor's scope of practice and are otherwise covered if provided by a licensed
physical therapist.
GENERAL FUND 2023-24 2024-25
All Other $0 $33,716
__________ __________
GENERAL FUND TOTAL $0 $33,716
FEDERAL EXPENDITURES FUND 2023-24 2024-25
All Other $0 $77,722
__________ __________
FEDERAL EXPENDITURES FUND TOTAL $0 $77,722
FEDERAL BLOCK GRANT FUND 2023-24 2024-25
All Other $0 $1,755
__________ __________
FEDERAL BLOCK GRANT FUND TOTAL $0 $1,755
Sec. 4. Contingent effective date. That section of this Act that repeals and replaces
the Maine Revised Statutes, Title 22, section 3174-CCC, subsection 1 does not take effect
unless:
1. The United States Department of Health and Human Services, Centers for Medicare
and Medicaid Services approves a state plan amendment to allow for Medicaid
reimbursement for physical therapy services performed by chiropractic doctors licensed
under Title 32, chapter 9 within their scope of practice as long as those services are covered
when performed by licensed physical therapists; and
2. The Commissioner of Health and Human Services notifies the Secretary of State,
the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of
Statutes that written approval for the state plan amendment has been received.
Page 2 - 131LR2006(05)


Statutes affected:
Bill Text LD 592, SP 260: 22.3174
Bill Text ACTPUB , Chapter 454: 22.3174