LD 585
pg. 1
LD 585 Title Page An Act to Establish a Statewide Primary and Preventive Health Care Program ... Page 2 of 5
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LR 50
Item 1

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

 
Sec. 1. 5 MRSA §12004-I, sub-§36-E is enacted to read:

 
36-E. StatewideExpenses22 MRSA

 
Human ServicesPrimary andfor Members
§3174-DD,

 
Preventativesub-§4

 
Health Care

 
Program

 
Advisory

 
Committee

 
Sec. 2. 22 MRSA §3174-DD is enacted to read:

 
§3174-DD.__Statewide primary and preventive health care
program

 
1.__Program established. There is established a statewide
primary and preventive health care program, referred to in
this section as the "program," to provide primary and
preventive health care for residents of the State who lack
health insurance and meet the requirements of subsection 2.

 
2.__Eligibility; enrollment.__Primary and preventive health
care benefits under the program are available to adults whose
family income is above the eligibility level for MaineCare
under section 3174-G and below the maximum eligibility level
established under paragraph A, as adjusted under paragraph B,
and subject to the requirements of paragraph C.__If premiums
are established for the program under rules adopted by the
department, payment of the premium is required for enrollment
and continued enrollment.

 
A.__The maximum eligibility level, subject to adjustment
by the commissioner under paragraph B, is 300% of the
nonfarm income official poverty line.

 
B.__If the commissioner has determined the fiscal status
of the program under subsection 6 and has determined that
an adjustment in the maximum eligibility level is required
under this paragraph, the commissioner shall adjust the
maximum eligibility level in accordance with the
requirements of this paragraph.

 
(1)__The adjustment must accomplish the purposes of
the program set forth in subsection 1.

 
(2)__If program expenditures are reasonably anticipated by the
commissioner to exceed the program budget, the commissioner
shall lower the maximum eligibility level


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