Maddy summaryThis bill requires insurance administrators and pharmacy benefits managers to give plan sponsors (like employers or unions that manage health coverage) full ownership of claims data from their contracts. It mandates that administrators provide specific data - including itemized bills, medical records for high-cost claims over $50,000, and payment details - within 20 business days of a request. Plan sponsors gain the right to conduct annual post-payment audits of claims without facing excessive fees or restrictions on audit scope, timing, or auditor choice. The law applies to all new or renewed contracts after January 1, 2026, ensuring transparency in how insurers process and pay claims.
Rep. Michelle Boyer
Sponsored bills
Maddy summaryLD 1736 requires Maine's Office of Child and Family Services to directly contract with child care providers to create additional child care slots. It specifically targets children under 3 years old, children with disabilities, and children in underserved geographic areas. The office may also use these contracts for other priority groups, such as homeless children or those needing care outside standard hours, based on regional needs assessments. The bill authorizes using existing public or private funding sources to implement this approach, aiming to increase child care availability and stabilize payments for providers.
Maddy summaryLD 1785 requires health insurance carriers in Maine to include annual cost-of-living increases in contracts with independent doctors and small practices (not affiliated with hospitals or groups of 25+ members). Starting January 1, 2026, these contracts must raise compensation based on the U.S. Bureau of Labor Statistics' Consumer Price Index (CPI-U), reflecting inflation. The bill prohibits carriers from reducing baseline reimbursement in 2025 to avoid future increases and bans fee cuts except for federal standard changes. It does not apply to dental or vision plans and affects only specific independent providers.
Maddy summaryLD 1713 prohibits health insurance companies from including specific restrictive clauses in contracts with healthcare providers, effective January 1, 2026. It bans "all-or-nothing" clauses (forcing insurers to include all provider affiliates or set terms for non-participating facilities), "anti-steering" clauses (restricting insurers from directing patients to specific providers), and "anti-tiering" clauses (preventing insurers from organizing provider networks into tiers). This directly affects health insurance carriers and healthcare providers (like hospitals or clinics) negotiating network contracts. The law makes any existing contracts containing these clauses unenforceable and allows insurers to sue providers for violations, while the Attorney General can seek penalties up to $100,000 per violation.
Maddy summaryLD 1445 prevents financial exploitation of Maine residents aged 62 or older by requiring financial institutions to take specific actions. It creates a "trusted contact person" system allowing seniors to designate someone to be notified if exploitation is suspected, and permits banks to delay disbursements if they reasonably believe funds may be misused. Financial institutions must notify the senior, all account holders (unless involved in suspected exploitation), and the Attorney General within two business days of delaying a transaction. The law defines financial exploitation as unauthorized taking, deception to gain control of assets, or undue influence over an older adult's property. This directly affects Maine seniors aged 62+ and financial institutions operating in the state.
Maddy summaryLD 1087 requires Maine to cover at least 25% of major school construction costs or the school district's current state share for education funding (whichever is greater), starting July 1, 2026. The state share percentage is calculated using the same formula that determines the state's contribution to a district's regular education budget. This applies to all school districts in Maine and authorizes the State Board of Education to create implementing rules. The bill directly affects school administrative units by changing their cost-sharing arrangement for new construction projects.
Maddy summaryThis Maine bill (LD 1972) creates a new state review process for major health care transactions, such as hospital sales or mergers. It requires state review before changes in control of hospitals, clinics, or other health care providers (excluding nursing facilities), unless the deal involves subsidiaries of the same parent company. Key terms like "acquisition" and "change of control" are defined to clarify which transactions must undergo review. The law aims to increase transparency and protect consumers by ensuring such deals are evaluated before closing.
Maddy summaryLD 1293 prohibits organized coyote-killing contests in Maine, where participants compete for prizes by killing coyotes. The law makes it illegal to arrange, host, provide a venue for, or knowingly participate in such contests, with violations classified as Class E crimes. It explicitly excludes self-defense, property protection, and government-sanctioned coyote culling from the prohibition. The bill directly affects organizers, venues, and participants in these contests, while allowing existing legal wildlife management practices to continue.
Maddy summaryThis resolution directs Maine's Office of Affordable Health Care to study the costs and funding mechanisms for a universal health care plan. The office must consult with the Department of Health and Human Services and use specific models (including Maine AllCare's All Maine Health Program) to analyze how a publicly funded, privately and publicly provided system could work. The study will conclude with a December 2025 report to the Health Coverage Committee, which may propose legislation based on the findings. This resolution does not create health care coverage but sets the groundwork for future policy decisions.
Maddy summaryThis bill establishes a $750,000 combined single limit for insurance coverage required for intrastate commercial motor vehicles in Maine. It directly affects commercial trucking and bus operators who operate solely within Maine. The key provision updates Maine law to match existing federal financial responsibility standards for commercial vehicles, replacing previous state-specific limits. The change ensures Maine's requirements align with nationwide federal rules for commercial vehicle insurance. This is a technical adjustment to insurance mandates, not a new policy affecting broader public services.