LD 1353
pg. 3
Page 2 of 8 An Act To Ensure Women's Health Care Coverage for All Maine Women Page 4 of 8
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LR 1577
Item 1

 
§2741. Maternity benefits for unmarried women policyholders
and

 
the minor dependents of policyholders with dependent or

 
family coverage required

 
All health insurance policies and plans shall must provide,
at appropriate rates, the same maternity benefits for
unmarried women policyholders and the minor dependents of
policyholders with dependent or family coverage under the same
terms and conditions as such maternity coverage is provided to
married policyholders or the wives of policyholders with
maternity coverage. This requirement shall apply applies to
all insurance policies and plans issued or renewed after the
effective date of this Act January 1, 1976. The requirements
of this section additionally apply to all certificates
executed, delivered, issued for delivery, continued or renewed
in this State after July 1, 2003.

 
Sec. B-2. 24-A MRSA §2743, last ¶, as amended by PL 1997, c. 604, Pt.
C, §2, is further amended to read:

 
The requirements of this section apply to all policies
delivered or issued for delivery in this State more than 120
days after the effective date of this Act April 16, 1976. The
requirements of this section additionally apply to all
certificates executed, delivered, issued for delivery,
continued or renewed in this State after July 1, 2003.

 
Sec. B-3. 24-A MRSA §2743-A, as amended by PL 2001, c. 258, Pt. A,
§2, is further amended to read:

 
§2743-A. Maternity and routine newborn care

 
An insurer that issues individual contracts providing
maternity benefits, including benefits for childbirth, shall
provide coverage for services related to maternity and routine
newborn care, including coverage for hospital stay, in
accordance with the attending physician's or attending
certified nurse midwife's determination in conjunction with
the mother that the mother and newborn meet the criteria
outlined in the "Guidelines for Perinatal Care," published by
the American Academy of Pediatrics and the American College of
Obstetrics and Gynecology. For the purposes of this section,
"routine newborn care" does not include any services provided
after the mother has been discharged from the hospital. For
the purposes of this section, "attending physician" includes
the obstetrician, pediatrician or other physician attending
the mother and newborn. Benefits for routine newborn care
required by this section are part of the mother's benefit.
The mother and the newborn are treated as one person in
calculating the deductible, coinsurance and copayments for
coverage required by this


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