Maine Law Prohibits Cost-Sharing for Abortion Services

Effective January 1, 2024, fully insured group health plans issued in Maine that provide abortion coverage are not allowed to impose any deductible, copayment, coinsurance, or other cost-sharing requirement for the costs of abortion services. Notably, this new requirement does not apply to qualified HDHPs.

As background, a health plan issued in Maine that provides coverage for maternity services has been required to provide coverage for abortion services unless sponsored by a religious employer granted an exclusion.

Employers with fully insured Maine situs plans should be aware of this change and should communicate the necessary changes to their benefit's eligible employees and individuals.

Title 24 §4320-M Coverage for Abortion Services »