Maine Revised Statutes Title 24-A Sec. 4320-V – Coverage for donor breast milk
Current as of: 2023 | Check for updates
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1. Required coverage. A carrier offering a health plan in this State shall provide coverage for pasteurized donor breast milk provided to an infant eligible for coverage under the health plan if a physician or physician assistant licensed under Title 32, chapter 36 or 48 or an advanced practice registered nurse licensed under Title 32, chapter 31 signs an order stating that:
A. The infant is medically or physically unable to receive maternal breast milk or participate in breastfeeding or the infant’s parent is medically or physically unable to produce maternal breast milk in quantities sufficient for the infant; and [PL 2023, c. 229, §1 (NEW).]
B. The infant:
(1) Was born at a birth weight of less than 1,500 grams;
(2) Has a gastrointestinal anomaly or metabolic or digestive disorder or is recovering from intestinal surgery and the infant’s digestive needs require additional support;
(3) Is not appropriately gaining weight or growing;
(4) Has formula intolerance and is experiencing weight loss or difficulty feeding;
(5) Has low blood sugar;
(6) Has congenital heart disease;
(7) Has received or will receive an organ transplant; or
(8) Has another serious medical condition for which donor breast milk is medically necessary. [PL 2023, c. 229, §1 (NEW).]
[PL 2023, c. 229, §1 (NEW).]
SECTION HISTORY
PL 2023, c. 229, §1 (NEW).
Terms Used In Maine Revised Statutes Title 24-A Sec. 4320-V
- Carrier: means :
A. See Maine Revised Statutes Title 24-A Sec. 4301-ADonor: The person who makes a gift. Health plan: means a plan offered or administered by a carrier that provides for the financing or delivery of health care services to persons enrolled in the plan, other than a plan that provides only accidental injury, specified disease, hospital indemnity, Medicare supplement, disability income, long-term care or other limited benefit coverage not subject to the requirements of the federal Affordable Care Act. See Maine Revised Statutes Title 24-A Sec. 4301-A Infant: means a person who has not attained the age of 18 years. See Maine Revised Statutes Title 1 Sec. 72