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MaineLD 1310132nd Maine Legislature (2025-2026)SenateWALLET

An Act to Amend the Laws Governing Insurance Coverage of Preventive and Primary Health Services

Sponsored By: Joseph M. Baldacci (Democratic)

Became Law

INSURANCEINSURANCE - HEALTH INSURANCE

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Free first visits and fair mental health copays

Beginning January 1, 2023, group health plans with an effective date on or after that date cover your first primary care visit each plan year with no copay, coinsurance, or deductible. They also cover your first behavioral health visit each year at no cost. Behavioral health means care for mental health or substance use conditions. After that first behavioral visit, your copay for behavioral health cannot be higher than your primary care copay. These rules do not apply to small-group plans subject to subsection 3‑A. They also do not apply to HSA‑compatible high‑deductible plans unless the IRS allows it, or to plans with no deductible, no coinsurance, and federally compliant out‑of‑pocket limits.

Sponsors & Cosponsors

Sponsor

  • Joseph M. Baldacci

    Democratic • Senate

Cosponsors

  • David Haggan

    Republican • Senate

  • Joshua Morris

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. ACTPUB Chapter 213

    5/1/2026

  2. PASSED TO BE ENACTED, in concurrence.

    6/2/2025Senate

  3. PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.

    5/29/2025House

  4. 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-148).In concurrence. ORDERED SENT FORTHWITH.

    5/28/2025House

  5. Report READ and ACCEPTED.READ ONCE.Committee Amendment "A" (S-148) READ and ADOPTED.Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (S-148).Ordered sent down forthwith for concurrence.

    5/27/2025Senate

  6. The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.In concurrence. ORDERED SENT FORTHWITH.

    3/27/2025House

  7. 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

    3/27/2025Senate

Bill Text

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