2.__Confidentiality.__Except as provided in subsection 1 and chapter 24, an insurer may not provide additional health care information to the Department of Human Services.

Sec. 3. 24-A MRSA §4224-B is enacted to read:

§4224-B.__Disclosures to Department of Human Services

1.__Required disclosures.__Upon request, a health maintenance organization shall provide the Department of Human Services the following information related to the total number of persons eligible for health coverage under all policies, contracts and certificates issued by the health maintenance organization in this State:

A.__The name of the person eligible for coverage;

B.__The address of the person eligible for coverage; and

C.__The social security number of the person eligible for coverage;

D.__The date of birth of the person eligible for coverage; and

E.__The time period for which the person is eligible for coverage.

2.__Confidentiality.__Except as provided in subsection 1 and chapter 24, a health maintenance organization may not provide additional health care information to the Department of Human Services.

SUMMARY

This bill requires nonprofit hospital and medical service organizations, insurance companies and health maintenance organizations providing health coverage in this State to provide the names, addresses, social security numbers, dates of birth and time periods of eligibility for coverage of all persons receiving health coverage to the Department of Human Services upon request. This information will allow the department to determine whether recipients of Medicaid benefits are concurrently eligible for private coverage from a nonprofit hospital and medical service organization, insurance company or health maintenance organization.