ME LD910

Health insurance carriers must submit quarterly reports to the Superintendent of Insurance beginning in 2026, detailing the number of denied claims and denied prior authorizations for that quarter

Quarterly reports must include the 5 most common reasons for claim denials and the 5 most common reasons for prior authorization denials, ranked in decreasing order of occurrence

Denials must be reported regardless of whether they were later approved on appeal

The Superintendent must submit an annual report by January 31st to the Legislature's Health Coverage, Insurance and Financial Services Committee, incorporating both carrier data and federal HHS data on ACA-related denials

The legislative committee is authorized to introduce legislation based on the annual report findings