An Act To Protect Vision Care Patients and Providers
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §4314, sub-§1, ¶¶C to I are enacted to read:
C. "Contractual discount" means a percentage or other reduction from a provider's usual and customary rate for a covered service or covered material required under a participating provider agreement.
D. "Covered material" means a material for which benefits are provided under a health plan that provides coverage for vision care or eye care services or a limited benefit vision insurance plan.
E. "Covered service" means a service for which benefits are provided under a health plan that provides coverage for vision care or eye care services or a limited benefit vision insurance plan.
F. "Limited benefit vision insurance plan" means a plan offered or administered by a carrier that covers only vision care or any other plan offered or administered by a carrier that includes vision care benefits and is not a health plan.
G. "Materials" means ophthalmic devices, including, but not limited to, lenses, devices containing lenses, artificial intraocular lenses, ophthalmic frames and other lens mounting apparatuses, prisms, lens treatments and coating, contact lenses and prosthetic devices to correct, relieve or treat defects or abnormal conditions of the human eye or its adnexa.
H. "Services" means the professional work performed by an eye care provider.
I. "Vision insurance" means a health plan that provides coverage for vision care or eye care services or a limited benefit vision insurance plan.
Sec. 2. 24-A MRSA §4314, sub-§3, as enacted by PL 2001, c. 408, §1 and affected by §2, is amended to read:
Sec. 3. 24-A MRSA §4314, sub-§6 is enacted to read:
Sec. 4. Application. The requirements of this Act apply to contracts between an eye care provider and a carrier, as defined in the Maine Revised Statutes, Title 24-A, section 4301-A, subsection 3, or a subsidiary or subcontractor of a carrier executed or renewed on or after January 1, 2016.
Effective 90 days following adjournment of the 127th Legislature, First Regular Session, unless otherwise indicated.