Maine LD910: An Act to Collect Data to Better Understand the Consumer's Health Insurance Experience

What the bill says

An Act to Collect Data to Better Understand the Consumer's Health Insurance Experience Received by the Secretary of the Senate on March 5, 2025. Referred to the Committee on Health Coverage, Insurance and Financial Services pursuant to Joint Rule 308.2 and ordered printed. DAREK M. GRANT Secretary of the Senate Presented by Senator TEPLER of Sagadahoc. Cosponsored by Representative ARFORD of Brunswick and Senator: BAILEY of York, Representatives: CLUCHEY of Bowdoinham, MASTRACCIO of Sanford. Printed on recycled paper.

From the engrossed text:

An Act to Collect Data to Better Understand the Consumer's Health Insurance Experience Received by the Secretary of the Senate on March 5, 2025. Referred to the Committee on Health Coverage, Insurance and Financial Services pursuant to Joint Rule 308.2 and ordered printed. DAREK M. GRANT Secretary of the Senate Presented by Senator TEPLER of Sagadahoc. Cosponsored by Representative ARFORD of Brunswick and Senator: BAILEY of York, Representatives: CLUCHEY of Bowdoinham, MASTRACCIO of Sanford. Printed on recycled paper Be it enacted by the People of the State of Maine as follows: Sec. 1. 24-A MRSA §4302, sub-§7 is enacted to read: 7. Claim and prior authorization denial reporting. Beginning in 2026, a carrier shall provide a quarterly report to the superintendent that identifies the number of claims for that quarter that were denied and the number of claims for that quarter for which prior authorization was denied, regardless of whether the claim or the prior authorization was approved at a later date. The quarterly report must also list the 5 most common reasons for a claim denial and the 5 most common reasons for a prior authorization denial, in decreasing order of occurrence. By January 31st of each year, the superintendent shall submit a report on the information collected under this subsection to the joint standing committee of the Legislature …

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Sponsors

• Denise Tepler (D, 24) · primary sponsor