LD 1636
pg. 3
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LR 2199
Item 1

 
recoupment, the State shall reimburse the hospital for all such
recoupment costs paid by the hospital. In the event that federal
financial participation is denied in any payments resulting from
adjustments made pursuant to this subsection, the State may not
recoup any such payments from the hospitals to which they were
made.

 
3. Any carrier subject to this section is immune from any
claim of or liability to any enrollee, any hospital or other
health care provider for any action taken in furtherance of the
authority and directives as set forth in this section. The terms
of this section are deemed to amend the contract between the
carrier and the University of Maine System and prevail over any
inconsistent terms in the contract or certificates of coverage.
A reimbursement rate, discount or rebate resulting from an
agreement under subsection 1 may not be used by the carrier as a
reference or base rate for any other contractual arrangement.

 
5. Notwithstanding the provisions of the Maine Revised
Statutes, Title 24-A, including sections 2174, 2185 and 2677-A,
the agreement negotiated in accordance with subsection 1 may
provide for adjustments to the amounts payable to providers on an
aggregate services basis and on a retrospective basis, and such
adjustments may not require any change to previously calculated
coinsurance amounts, deductibles, lifetime maximums, benefit
differentials or other benefit calculations relating to services
to individual enrollees covered under the plan provided by or
arranged by the University of Maine System. The aggregate share
of financial responsibility contributed by employees and retirees
for their coverage through coinsurance amounts, deductibles,
lifetime maximums, benefits differentials or other benefit
calculations may increase a portion of the total cost.__The
changes made by this subsection may not require any changes in
the current dollar level of employee cost sharing under the plan
provided by or arranged by the University of Maine System. The
chancellor shall provide notice to all such covered persons that
the State has arranged for a reduction negotiated reductions in
the cost of medical services to the University of Maine System
and that such reduction will not be taken into consideration in
and shall describe the effect on the calculation of coinsurance
amounts, deductibles, lifetime maximums, benefit differentials or
other benefit calculations applicable to the plan benefits
provided by or arranged by the system. Such notice must include
any additional disclosures necessary to fully inform such persons
of the implications of this arrangement. It is not the
responsibility of the carrier to provide such disclosure or
notice.

 
Sec. A-3. Retroactivity. That section of this Part that amends
Public Law 2003, chapter 20 applies retroactively to July


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