An Act To Provide Lung Cancer Counseling and Screening for MaineCare Recipients
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 22 MRSA §3174-BBB is enacted to read:
§ 3174-BBB. Lung cancer counseling and screening reimbursement
1. Reimbursement. The department shall provide for the reimbursement under the MaineCare program for lung cancer shared decision-making counseling and annual screening for lung cancer with low-dose computed tomography for all recipients who meet the eligibility criteria recommended by the United States Preventive Services Task Force or a successor organization.
2. Conditions of reimbursement. Reimbursement under this section must be provided with no copayments or other out-of-pocket cost sharing, including deductibles, and no prior authorization may be required.
3. Rulemaking. The department may adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
SUMMARY
This bill requires that shared decision-making counseling and annual screening for lung cancer for certain recipients be reimbursed under the MaineCare program. The Department of Health and Human Services may adopt routine technical rules to implement this requirement.