Maine legislation · 132nd Legislature
Maine LD1906: An Act to Improve Accountability and Understanding of Data in Insurance Transactions
Status: Signed into law, July 1, 2025
What the bill says
An Act to Improve Accountability and Understanding of Data in Insurance Transactions.
From the engrossed text:
An Act to Improve Accountability and Understanding of Data in Insurance Transactions Sec. 1. 24-A MRSA §1914 is enacted to right to audit 1. High-cost claims data. Upon request of a plan sponsor that has certified its compliance with the use and disclosure requirements of 45 Code of Federal Regulations, Section 164.504(f), an administrator shall provide data on a high-cost claim so that a plan sponsor may perform an audit to ensure compliance with the plan sponsor's contract prior to payment of the high-cost claim. The data must include any itemized billing statements and medical records associated with the claim in the possession of the administrator or the administrator's agents. The plan sponsor or the plan sponsor's designee shall make a request for data on a high-cost claim within 2 business days of receipt of the claim and the administrator must provide the requested information within 30 business days of the request. For the purposes of this subsection, "high-cost claim" means any claim related to an individual provided health coverage by a plan sponsor that exceeds $100,000. 2. Claims data; right to audit. An administrator that contracts with a plan sponsor to provide health coverage shall permit a plan sponsor to perform a post-payment audit of all claims paid to ensure compliance with the contract at least once in a …
Sponsors
- Donna Bailey (D, 31) · primary sponsor
- Michelle Boyer (D, 123)
- Daughtry, Matthea E. L. (D, 23)
- Ryan Fecteau (D, 132)
- Robert Foley (R, 145)
- Andrew Gattine (D, 126)
- Lori Gramlich (D, 131)
- Kristi Mathieson (D, 151)
- Joshua Morris (R, 91)
- Rolf Olsen (R, 86)
Latest actions
- : On motion by Senator ROTUNDO of Androscoggin taken from the Special Appropriations Table PASSED TO BE ENACTED in concurrence.
- : On motion by Senator RENY of Lincoln PLACED ON THE SPECIAL APPROPRIATIONS TABLE pending ENACTMENT in concurrence
- : PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
- : CONSENT CALENDAR - FIRST DAYUnder suspension of the rules CONSENT CALENDAR - SECOND DAY.The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (S-367).In concurrence. ORDERED SENT FORTHWITH.
- : Report READ and ACCEPTED.READ ONCE.Committee Amendment "A" (S-367) READ and ADOPTED.Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (S-367).Ordered sent down forthwith for concurrence.
- : The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.In concurrence. ORDERED SENT FORTHWITH.
- : Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES suggested and ordered printed REFERENCE to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES Ordered sent down forthwith for concurrence
Subjects: INSURANCE, Legislature, Senate, Other, SELF-ENSURED EMPLOYERS, HEALTH INSURANCE
Common questions
- What is LD1906?
- LD1906 is a bill in the Maine Legislature (132nd Legislature): An Act to Improve Accountability and Understanding of Data in Insurance Transactions.
- What does LD1906 do?
- In its own words: An Act to Improve Accountability and Understanding of Data in Insurance Transactions.
- What is the status of LD1906?
- Signed into law as of July 1, 2025. Latest action: On motion by Senator ROTUNDO of Androscoggin taken from the Special Appropriations Table PASSED TO BE ENACTED in concurrence. (June 25, 2025).
- Who sponsored LD1906?
- Donna Bailey (D, 31), with 9 co-sponsors.
- Where is the official record for LD1906?
- On the Maine Legislature website: https://legislature.maine.gov/legis/bills/display_ps.asp?LD=1906&snum=132
Source: official Maine record. Tracked by Delilah, AI for legislation across all 50 states and Congress.