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Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. 22 MRSA §2426, sub-§2, ¶A, as enacted by IB 2009, c. 1, §5, is amended to read:
 
A. A government medical assistance program or private health insurer, except as provided in Title 24-A, section 4320-K, to reimburse a person for costs associated with the medical use of marijuana; or
Sec. 2.  24-A MRSA §4320-K  is enacted to read:
§ 4320-K. Coverage for marijuana for medical use
A carrier offering a health plan in this State shall provide coverage for marijuana for medical use for an enrollee in accordance with this section.
 
1.  Certification required.     A carrier shall provide coverage to an enrollee who has received certification for the medical use of marijuana from a medical provider under Title 22, section 2423-B.
 
2.  Reimbursement for out-of-pocket costs.     A carrier shall directly reimburse an enrollee for the documented out-of-pocket costs:
 
A.  Associated with obtaining certification from a medical provider authorized under Title 22, chapter 558-C, including any office visits with that medical provider, subject to any applicable copayment, coinsurance, deductible or other cost-sharing requirements under an enrollee's health plan; and
 
B.  To purchase medical marijuana in accordance with the certification from the medical provider under paragraph A.
Sec. 3. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2019. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.
Sec. 4. Exemption from review. Notwithstanding the Maine Revised Statutes, Title 24-A, section 2752, this Act is enacted without review and evaluation by the Department of Professional and Financial Regulation, Bureau of Insurance.’
 
SUMMARY
This amendment is the minority report of the committee and replaces the bill. The amendment requires a health insurance carrier to provide coverage for marijuana for medical use for a health plan enrollee who has received certification for the medical use of marijuana from an authorized medical provider. Carriers are required to directly reimburse a health plan enrollee for the costs of obtaining a medical marijuana certificate and the costs of medical marijuana. The requirements apply to all individual and group policies and contracts issued or renewed on or after January 1, 2019. The amendment also adds language exempting the amendment's provisions from review and evaluation pursuant to the Maine Revised Statutes, Title 24-A, section 2752.