LD 1239
pg. 4
Page 3 of 15 An Act Concerning Universal Health Insurance Page 5 of 15
Download Bill Text
LR 186
Item 1

 
(3) For an individual whose income is between 300% and
400% of the federal nonfarm income federal poverty
level, the annual maximum limit payable on the policy
is $10,000 per individual covered under the policy;
and

 
(4) For an individual whose income is above 400% of
the federal nonfarm income federal poverty level, the
annual maximum limit payable on the policy is $20,000
per individual covered under the policy.

 
C. The policy must meet the requirements for mandated
benefits under this Title applicable to the policyholder.

 
D.__A carrier may offer an additional discount of up to
20% of the premium rate for the policy based on an
individual's weight or adherence to a recommended schedule
for regular physicals. With respect to weight and regular
physicals, the discount must be based on the individual's
compliance with the Centers for Disease Control and
Prevention guidelines in effect on the year of issuance or
renewal of the policy.

 
E.__If approved by the superintendent, the policy may
include provisions with financial incentives encouraging a
policyholder to receive health care services at a center
of excellence or other high-quality provider designated by
the carrier based on objective quality indicators.

 
Notwithstanding section 4309, rules adopted pursuant to this
section are routine technical rules as defined in Title 5,
chapter 375, subchapter 2-A.

 
Sec. A-4. 24-A MRSA c. 55-A is enacted to read:

 
CHAPTER 55-A

 
MAINE UNIVERSAL HEALTH CARE COVERAGE ACT

 
§4161.__Short title

 
This chapter may be known and cited as "the Maine Universal
Health Care Coverage Act."

 
§4162.__Definitions

 
As used in this chapter, unless the context otherwise
indicates, the following terms have the following meanings.

 
1.__Agency.__"Agency" means the Maine Universal Health Care
Agency established in section 4164.


Page 3 of 15 Top of Page Page 5 of 15