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ME LD1502
Bill
Status
4/8/2025
Primary Sponsor
Matthew Moonen
Click for details
AI Summary
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Expands required prostate cancer screening coverage beyond digital rectal exams and PSA tests to include medically necessary follow-up testing such as urinary analysis, serum biomarker testing, and MRI imaging
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Replaces the current age-based eligibility requirement (men 50-72 years old, once annually) with coverage based on nationally recognized clinical practice guidelines supported by medical and scientific evidence
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Prohibits insurers from imposing deductibles, copayments, coinsurance, or other cost-sharing for prostate cancer early detection services
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Applies to individual and group health insurance policies, nonprofit hospital and medical service plans, and HMO contracts, excluding accidental injury, specified disease, hospital indemnity, Medicare supplement, and long-term care policies
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Takes effect for policies issued or renewed on or after January 1, 2026, with an exception for high-deductible health plans used with health savings accounts pending IRS determination
Legislative Description
An Act to Update the Requirements for Health Insurance Coverage of Prostate Cancer Screening
Legislature
Last Action
Voted: Divided Report
1/21/2026