LD 1310
pg. 1
LD 1310 Title Page An Act to Amend the Maine Health Data Organization Laws Page 2 of 2
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LR 561
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA §8702, sub-§1-A is enacted to read:

 
1-A.__Carrier.__"Carrier" means an insurance company licensed
in accordance with Title 24-A, including a health maintenance
organization, a preferred provider organization, a fraternal
benefit society or a nonprofit hospital or medical service
organization or health plan licensed pursuant to Title 24.__An
employer exempted from the applicability of Title 24-A, chapter
56-A under the federal Employee Retirement Income Security Act of
1974, 29 United State Code, Sections 1001 to 1461 (1988) is not
considered a carrier.

 
Sec. 2. 22 MRSA §8702, sub-§2, as enacted by PL 1995, c. 653, Pt. A,
§2 and affected by §7, is amended to read:

 
2. Clinical data. "Clinical data" includes but is not
limited to the data required to be submitted by providers,
payors, 3rd-party administrators and carriers that provide only
administrative services for a plan sponsor pursuant to sections
8708 and 8711.

 
Sec. 3. 22 MRSA §8702, sub-§§8-A and 10-A are enacted to read:

 
8-A.__Plan sponsor.__"Plan sponsor" means any person, other
than an insurer, who establishes or maintains a plan covering
residents of this State, including, but not limited to, plans
established or maintained by 2 or more employers or jointly by
one or more employers and one or more employee organizations or
the association, committee, joint board of trustees or other
similar group of representatives of the parties that establish or
maintain the plan.

 
10-A.__Third-party administrator.__"Third-party administrator"
means any person who, on behalf of a plan sponsor, health care
service plan, health maintenance organization or insurer,
receives or collects charges, contributions or premiums for, or
adjusts or settles claims on, residents of this State.

 
Sec. 4. 22 MRSA §8703, sub-§1, as amended by PL 1999, c. 353, §2, is
further amended to read:

 
1. Objective. The purpose of the organization is to improve
the health of Maine citizens through the creation and maintenance
of create and maintain a useful, objective, reliable and
comprehensive health information database that is used to improve
the health of Maine citizens. This database must be publicly
accessible while protecting patient confidentiality and


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