JUNE 23, 2023 288
BY GOVERNOR PUBLIC LAW
STATE OF MAINE
IN THE YEAR OF OUR LORD
TWO THOUSAND TWENTY-THREE
H.P. 676 - L.D. 1040
An Act to Require Reimbursement for Gender-affirming Care for
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 22 MRSA §3174-KKK is enacted to read:
§3174-KKK. Coverage for gender-affirming care
1. Definitions. As used in this section, unless the context otherwise indicates, the
following terms have the following meanings.
A. "Gender expression" means an individual's gender-related appearance and
behavior, whether or not stereotypically associated with the sex assigned to the
individual at birth.
B. "Gender identity" means an individual's internal sense of that individual's gender,
regardless of the sex assigned to the individual at birth.
C. "Transgender individual" means an individual who identifies as a gender different
from the sex assigned to the individual at birth.
2. Reimbursement. The department shall provide reimbursement for medically
necessary treatment for or related to gender dysphoria as defined by the Diagnostic and
Statistical Manual of Mental Disorders, 5th edition, published by the American Psychiatric
Association or a comparable or equivalent diagnosis.
3. Discrimination prohibited. The department may not discriminate in its
reimbursement of medically necessary treatment on the basis of a MaineCare member's
gender identity or gender expression or on the basis that the MaineCare member is a
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