Maine Code § 23-4407

Free nonemergency transportation services for catastrophic medical reasons
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1. Definitions. As used in this section, unless the context otherwise indicates, the following terms
have the following meanings.
A. "Catastrophic illness" means an unforeseen, prolonged and extended illness or medical
condition, the medical and associated travel expenses of which are not covered by any other state
or federal program or any insurance contract. [PL 2005, c. 472, §1 (NEW).]
B. "Free transportation services" means round-trip transportation without charge from an island
served by the Maine State Ferry Service to the mainland and back on scheduled trips of vessels of
the Maine State Ferry Service for one eligible resident and one personal vehicle to transport the
eligible resident to a scheduled medical appointment. "Free transportation services" includes
transportation for one adult attendant to accompany an eligible resident to a scheduled medical
appointment. [PL 2005, c. 472, §1 (NEW).]
C. "Medically necessary" means prescribed by a physician and reasonably necessary to treat a
catastrophic illness. [PL 2005, c. 472, §1 (NEW).]
D. "Unforeseen, prolonged and extended illness or medical condition" means a severe illness or
medical condition of a life-threatening nature, the treatment of which is expected to require a series
of procedures or therapeutic interventions at regular intervals extending over a period of months,
including, but not limited to, cancer requiring chemotherapy or radiation treatments or kidney
disease requiring dialysis treatments. [PL 2005, c. 472, §1 (NEW).]
[PL 2005, c. 472, §1 (NEW).]
2. Eligibility. Residents of the island communities served by the Maine State Ferry Service are
eligible for free transportation services when traveling to and from regularly scheduled, medically
necessary appointments with medical care providers if those appointments pertain to a catastrophic
illness. Free transportation services under this section are not available for routine visits to medical
care providers or to meet transportation needs arising from an emergency, medical or otherwise. Free
transportation services under this section are available only upon approved application.
Reimbursement of expenses incurred prior to application for services pursuant to this section is
prohibited.
[PL 2005, c. 472, §1 (NEW).]
3. Rulemaking authorized. The Maine State Ferry Service may, pursuant to the Maine
Administrative Procedure Act, adopt rules necessary to interpret and administer this section. Rules
adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375,
subchapter 2-A. The ferry service also may develop, adopt, use and from time to time amend forms

for use in connection with the administration of this section. The development, adoption, use and
amendment of these forms is exempt from the rule-making process.
[PL 2005, c. 472, §1 (NEW).]

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