130th MAINE LEGISLATURE
FIRST SPECIAL SESSION-2021
Legislative Document No. 1553
H.P. 1158 House of Representatives, April 22, 2021
An Act To Amend the Law Governing MaineCare Coverage of
Chiropractic Treatment
Received by the Clerk of the House on April 20, 2021. Referred to the Committee on
Health and Human Services pursuant to Joint Rule 308.2 and ordered printed pursuant to Joint
Rule 401.
ROBERT B. HUNT
Clerk
Presented by Representative MADIGAN of Waterville.
Printed on recycled paper
 1 Be it enacted by the People of the State of Maine as follows:
2 Sec. 1. 22 MRSA §3174-CCC, sub-§1, as enacted by PL 2019, c. 421, §1 and
3 reallocated by RR 2019, c. 1, Pt. A, §24, is amended to read:
4 1. Reimbursement. The department shall reimburse under the MaineCare program
5 for all chiropractic evaluation and management examinations services performed by a
6 chiropractic doctor licensed under Title 32, chapter 9 that are within the scope of practice
7 of chiropractic doctors. This subsection does not limit reimbursements under the
8 MaineCare program that may be available for other chiropractic services or affect any
9 limits that may apply to reimbursements such as limits relating to numbers of visits.
10 Sec. 2. State plan amendment. No later than January 1, 2022, the Department of
11 Health and Human Services shall apply to the United States Department of Health and
12 Human Services, Centers for Medicare and Medicaid Services for a state plan amendment
13 to allow for Medicaid reimbursement for all chiropractic services performed by
14 chiropractic doctors licensed under the Maine Revised Statutes, Title 32, chapter 9 within
15 their scope of practice.
16 Sec. 3. Contingent effective date. That section of this Act that amends the Maine
17 Revised Statutes, Title 22, section 3174-CCC, subsection 1 does not take effect unless:
18 1. The United States Department of Health and Human Services, Centers for Medicare
19 and Medicaid Services approves a state plan amendment to allow for Medicaid
20 reimbursement for all chiropractic services performed by chiropractic doctors licensed
21 under Title 32, chapter 9 within their scope of practice; and
22 2. The Commissioner of Health and Human Services notifies the Secretary of State,
23 the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of
24 Statutes that written approval for the state plan amendment has been received.
25 SUMMARY
26 This bill requires all chiropractic services that are within the scope of practice of
27 chiropractic doctors and performed by a licensed chiropractic doctor to be reimbursed
28 under the MaineCare program. Under current law, the Department of Health and Human
29 Services is required to reimburse for only chiropractic evaluation and management
30 examinations.
31 The bill also requires the Department of Health and Human Services to apply for a state
32 plan amendment to allow for Medicaid reimbursement for all chiropractic services within
33 the scope of practice of chiropractic doctors no later than January 1, 2022. If the state plan
34 amendment is not approved by the United States Department of Health and Human
35 Services, Centers for Medicare and Medicaid Services, chiropractic doctors will not be
36 reimbursed by the MaineCare program for any additional chiropractic services not
37 currently eligible for reimbursement.
Page 1 - 130LR0603(01)


Statutes affected:
Bill Text LD 1553, HP 1158: 22.3174