Chapter 56 - HEALTH MAINTENANCE ORGANIZATIONS

Section 4201 - Short title
Section 4202 - Definitions (REPEALED)
Section 4202-A - Definitions
Section 4203 - Establishment of health maintenance organizations
Section 4204 - Issuance of certificate of authority
Section 4204-A - Surplus requirements
Section 4205 - Powers of health maintenance organizations
Section 4205-A - Continuity of licensure; business combinations
Section 4206 - Governing body
Section 4207 - Evidence of coverage and charges for health care services
Section 4207-A - Point-of-service products
Section 4208 - Annual and interim reports
Section 4209 - Information to enrollees
Section 4210 - Open enrollment
Section 4210-A - Continuity of health insurance coverage (REPEALED)
Section 4211 - Complaint system
Section 4212 - Prohibited practices
Section 4213 - Regulation of agents
Section 4214 - Powers of insurers and nonprofit hospital or medical service corporations
Section 4215 - Examinations
Section 4216 - Suspension or revocation of certificate of authority
Section 4217 - Rehabilitation, liquidation or conservation of health maintenance organizations
Section 4218 - Regulations
Section 4218-A - Compliance with the Affordable Care Act
Section 4219 - Administrative procedures
Section 4220 - Fees
Section 4221 - Penalties and enforcement
Section 4222 - Statutory construction and relationship to other laws
Section 4222-A - Rules
Section 4222-B - Applicability
Section 4223 - Filings and reports as public documents
Section 4224 - Confidentiality; liability; access to records
Section 4224-A - Loss information (REPEALED)
Section 4225 - Commissioner of Health and Human Services' authority to contract
Section 4226 - Federal legislation
Section 4227 - Choice of alternative coverage
Section 4228 - Utilization review data
Section 4229 - Acquired Immune Deficiency Syndrome
Section 4230 - Trade practices and frauds (REPEALED)
Section 4231 - Insolvency or withdrawal; alternative coverage
Section 4232 - Replacement coverage
Section 4233 - Registration, regulation and supervision of holding company systems
Section 4233-A - Extension of coverage for dependent children
Section 4233-B - Mandatory offer to extend coverage for dependent children up to 26 years of age
Section 4233-C - Mandatory offer of coverage for certain adults with disabilities
Section 4234 - Child coverage
Section 4234-A - Mental health services coverage
Section 4234-B - Maternity and routine newborn care
Section 4234-C - Newborn children coverage
Section 4234-D - Off-label use of prescription drugs for cancer
Section 4234-E - Off-label use of prescription drugs for HIV or AIDS
Section 4234-F - Maternity and postpartum care
Section 4235 - [Effective Until 8/9/2024] Standardized claim forms
Section 4235 - [Effective 8/9/2024] Standardized claim forms
Section 4236 - Chiropractors in health maintenance organizations
Section 4237 - Coverage for breast cancer treatment
Section 4237-A - Coverage for screening mammograms and diagnostic and supplemental breast examinations
Section 4238 - Medical food coverage for inborn error of metabolism
Section 4239 - Medical child support
Section 4240 - Coverage for diabetes supplies
Section 4241 - Gynecological and obstetrical services
Section 4242 - Coverage for Pap tests
Section 4243 - Limits on priority liens; subrogation
Section 4244 - Coverage for prostate cancer screening
Section 4245 - NCQA accreditation survey report
Section 4246 - Coverage for services provided by registered nurse first assistants
Section 4247 - Coverage for contraceptives
Section 4248 - Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives
Section 4249 - Mandated offer of domestic partner benefits
Section 4250 - Coverage for hospice care services
Section 4251 - Coverage for general anesthesia for dentistry
Section 4252 - Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery
Section 4253 - Enrollment for individuals or families establishing eligibility for MaineCare
Section 4254 - Coverage for colorectal cancer screening
Section 4255 - Coverage for hearing aids
Section 4256 - Coverage for medically necessary infant formula
Section 4257 - Coverage for services provided by independent practice dental hygienist
Section 4258 - Coverage for children's early intervention services
Section 4259 - Coverage for the diagnosis and treatment of autism spectrum disorders
Section 4260 - Dental benefit waiting period