LD 1611
pg. 13
Page 12 of 73 PUBLIC Law Chapter 469 Page 14 of 73
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LR 2137
Item 1

 
C.__Determine the comprehensive services and benefits to be
included in Dirigo Health Insurance and develop the
specifications for Dirigo Health Insurance in accordance with
the provisions in section 6910. Within 30 days of its
determination of the benefit package to be offered through
Dirigo Health Insurance, the board shall report on the benefit
package, including the estimated premium and applicable
coinsurance, deductibles, copayments and out-of-pocket
maximums, to the joint standing committee of the Legislature
having jurisdiction over appropriations and financial affairs,
the joint standing committee of the Legislature having
jurisdiction over insurance and financial services matters and
the joint standing committee of the Legislature having
jurisdiction over health and human services matters;

 
D.__Develop and implement a program to publicize the
existence of Dirigo Health and Dirigo Health Insurance and
the eligibility requirements and the enrollment procedures
for Dirigo Health Insurance and to maintain public awareness
of Dirigo Health and Dirigo Health Insurance;

 
E.__Arrange the provision of Dirigo Health Insurance benefit
coverage to eligible individuals and eligible employees
through contracts with one or more qualified bidders;

 
F. Develop a high-risk pool for plan enrollees in Dirigo
Health Insurance in accordance with the provisions of
section 6971; and

 
G.__Establish and operate the Maine Quality Forum in
accordance with the provisions of section 6951.

 
3. Budget. The revenues and expenditures of Dirigo Health are
subject to legislative approval in the biennial budget process.
At the direction of the board, the executive director shall
prepare the budget for the administration and operation of Dirigo
Health in accordance with the provisions of law that apply to
departments of State Government.

 
4.__Audit.__Dirigo Health must be audited annually by the
State Auditor. The board may, in its discretion, arrange for an
independent audit to be conducted. A copy of the audit must be
provided to the State Controller, to the superintendent, to the
joint standing committee of the Legislature having jurisdiction
over appropriations and financial affairs, to the joint standing
committee of the Legislature having jurisdiction over insurance
and financial services matters and to the joint standing


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