| | | limited to, the review of access to care; the quality, efficiency | | and appropriateness of care and services; provider participation; | | population-based health outcomes; and geographic distribution of | | health care resources. |
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| | | 3.__Standard measurements.__In cooperation with the Maine | | Health Data Organization, the board shall establish a standard | | set of indicators and methods to be used to assess the | | effectiveness of the plan in implementing and fulfilling the | | requirements of this chapter. |
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| | | §9813.__Proceedings generally |
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| | | 1.__Actions before the board.__Pursuant to this section, a | | person or entity aggrieved by an act or decision of the | | administrator or the authority may seek redress before the board.__ | | Proceedings before the board are subject to the Maine | | Administrative Procedure Act and any further rules established by | | the board consistent with the Maine Administrative Procedure Act.__ | | In actions arising under this chapter, the burden of proof is | | upon the party seeking to set aside any determination, | | requirement, direction or order of the board. |
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| | | 2.__Appeals.__A person aggrieved by a final determination of | | the board may appeal to the Superior Court in accordance with the | | Maine Administrative Procedure Act. |
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| | | §9814.__Private insurance |
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| | | 1.__Duplicate benefits prohibited.__A person, insurer, health | | maintenance organization or nonprofit hospital or medical service | | organization may not sell or offer for sale in this State a | | health insurance policy or contract or a health care contract or | | plan that offers benefits that duplicate the health care benefits | | offered by the plan.__A violation of this section constitutes an | | unfair and deceptive trade practice under Title 24-A, section | | 2152. |
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| | | 2.__Supplemental benefits authorized.__A licensed insurer, | | health maintenance organization or nonprofit hospital or medical | | service organization may sell or offer for sale in this State a | | health insurance policy or contract or a health care contract or | | plan that offers coverage and benefits that are supplemental to | | and do not duplicate covered health care benefits offered by the | | plan. |
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| | | 3.__Effective date; application.__This section takes effect on | | July 1, 2000 and applies to all policies, contracts and plans | | executed, delivered, issued for delivery, continued or renewed in | | this State on or after July 1, 2000.__For purposes of this |
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