APPROVED CHAPTER
JUNE 28, 2023 348
BY GOVERNOR PUBLIC LAW
STATE OF MAINE
_____
IN THE YEAR OF OUR LORD
TWO THOUSAND TWENTY-THREE
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H.P. 630 - L.D. 995
An Act to Enhance Access to a Second Opinion for Health Care Services or
Treatment
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §4303, sub-§25 is enacted to read:
25. Second opinion. An enrollee in a health plan may not be required to obtain a 2nd
opinion from a provider that practices in the same office location as the enrollee's provider.
Notwithstanding any provision of this Title to the contrary, if the 2nd opinion is obtained
from an out-of-network provider because a network provider is not available in accordance
with section 4303, subsection 1 and Bureau of Insurance Rule Chapter 850: Health Plan
Accountability, a carrier may not apply a deductible, coinsurance or copayment for the 2nd
opinion in an amount greater than the deductible, coinsurance or copayment that would
apply to the same health care service if the service were obtained from a network provider,
and the amount of any coinsurance or copayment must be applied to the enrollee's in-
network deductible.
Sec. 2. Application. The requirements of this Act apply to all policies, contracts and
certificates executed, delivered, issued for delivery, continued or renewed in this State on
or after January 1, 2024. For purposes of this Act, all policies, contracts and certificates are
deemed to be renewed no later than the next yearly anniversary of the contract date.
Page 1 - 131LR2188(04)


Statutes affected:
Bill Text LD 995, HP 630: 24-A.4320