An Act to Amend the Laws Governing Insurance Coverage of Preventive and Primary Health Services
Sponsored By: Joseph M. Baldacci (Democratic)
Signed by Governor
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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
Signed by Governor, ACTPUB Chapter 213
6/9/2025PASSED TO BE ENACTED, in concurrence.
6/2/2025SenatePASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
5/29/2025HouseCONSENT 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.
5/28/2025HouseReport 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.
5/27/2025SenateThe Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.In concurrence. ORDERED SENT FORTHWITH.
3/27/2025HouseCommittee 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
Amendment C-A (S-148), adopted by House & Senate
Enacted
Introduced
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