APPROVED CHAPTER
MAY 2, 2022 691
BY GOVERNOR PUBLIC LAW
STATE OF MAINE
_____
IN THE YEAR OF OUR LORD
TWO THOUSAND TWENTY-TWO
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S.P. 443 - L.D. 1357
An Act To Clarify Health Insurance Coverage for Postpartum Care
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §2743-B is enacted to read:
§2743-B. Maternity and postpartum care
An insurer that issues individual contracts providing maternity benefits shall provide
coverage for 12 months following childbirth for postpartum care services and support
necessary to transition a patient to a healthy and stable condition that meets the
recommendations of the American College of Obstetricians and Gynecologists outlined in
the "Optimizing Postpartum Care" opinion published May 2018. The postpartum care
services and support provided in accordance with this section must include coverage for
development of a postpartum care plan; contact with the patient within 3 weeks of the end
of pregnancy; a comprehensive postpartum visit, including a full assessment of the patient's
physical, social and psychological well-being; treatment of complications of pregnancy and
childbirth, including pelvic floor disorders and postpartum depression; assessment of risk
factors for cardiovascular disease; and care related to pregnancy loss.
Sec. 2. 24-A MRSA §2834-D is enacted to read:
§2834-D. Maternity and postpartum care
An insurer that issues group contracts providing maternity benefits shall provide
coverage for 12 months following childbirth for postpartum care services and support
necessary to transition a patient to a healthy and stable condition that meets the
recommendations of the American College of Obstetricians and Gynecologists outlined in
the "Optimizing Postpartum Care" opinion published May 2018. The postpartum care
services and support provided in accordance with this section must include coverage for
development of a postpartum care plan; contact with the patient within 3 weeks of the end
of pregnancy; a comprehensive postpartum visit, including a full assessment of the patient's
physical, social and psychological well-being; treatment of complications of pregnancy and
childbirth, including pelvic floor disorders and postpartum depression; assessment of risk
factors for cardiovascular disease; and care related to pregnancy loss.
Sec. 3. 24-A MRSA §4234-F is enacted to read:
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§4234-F. Maternity and postpartum care
A health maintenance organization that issues individual and group contracts providing
maternity benefits shall provide coverage for 12 months following childbirth for
postpartum care services and support necessary to transition a patient to a healthy and stable
condition that meets the recommendations of the American College of Obstetricians and
Gynecologists outlined in the "Optimizing Postpartum Care" opinion published May 2018.
The postpartum care services and support provided in accordance with this section must
include coverage for development of a postpartum care plan; contact with the patient within
3 weeks of the end of pregnancy; a comprehensive postpartum visit, including a full
assessment of the patient's physical, social and psychological well-being; treatment of
complications of pregnancy and childbirth, including pelvic floor disorders and postpartum
depression; assessment of risk factors for cardiovascular disease; and care related to
pregnancy loss.
Sec. 4. No addition to State's essential health benefits; legislative finding.
The Legislature finds that the requirements of this Act do not constitute an addition to the
State's essential health benefits that requires defrayal of costs by the State pursuant to 42
United States Code, Section 18031(d)(3)(B) because the requirements clarify that existing
law mandating coverage for maternity benefits includes coverage for 12 months of
postpartum care that meets the recommendations of the American College of Obstetricians
and Gynecologists.
Sec. 5. Application. This Act applies to all policies, contracts and certificates
executed, delivered, issued for delivery, continued or renewed in this State on or after
January 1, 2023. For purposes of this Act, all contracts are deemed to be renewed no later
than the next yearly anniversary of the contract date.
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