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A. Each health care practitioner, as defined in the Maine | | Revised Statutes, Title 24, section 2502, subsection 1-A, is | | asked to limit the growth of net revenue of the practitioner's | | practice to 3% for the practitioner's fiscal year beginning | | July 1, 2003 and ending June 30, 2004. |
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| | | B. Each hospital licensed under Title 22, chapter 405 is | | asked to voluntarily restrain cost increases, measured as | | expenses per case mix adjusted discharge, to no more than | | 3.5% for the hospital fiscal year beginning July 1, 2003 and | | ending June 30, 2004. Each hospital is asked to voluntarily | | hold hospital consolidated operating margins to no more than | | 3% for the hospital's fiscal year beginning July 1, 2003 and | | ending June 30, 2004. |
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| | | C. Each health insurance carrier licensed in this State is | | asked to voluntarily limit the pricing of products it sells | | in this State to the level that supports no more than 3% | | underwriting gain less federal taxes for the carrier's | | fiscal year beginning July 1, 2003 and ending June 30, 2004. |
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| | | 2. Report. By January 1, 2004, the Maine Hospital | | Association and the Governor's Office of Health Policy and | | Finance shall agree on a timetable, format and methodology for | | the hospital association to report on hospital charges, cost | | efficiency and consolidated operating margins. In accordance | | with the agreement, the Maine Hospital Association shall report | | to the Governor and the joint standing committee having | | jurisdiction over health and human services matters. |
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| | | Sec. F-2. MaineCare report. The Department of Human Services shall | | conduct a comprehensive review of reimbursement rates in the | | MaineCare program and shall report the results of that review to | | the joint standing committee of the Legislature having | | jurisdiction over health and human services matters by January | | 15, 2005. The review must provide opportunity for input from | | health care consumers, providers, practitioners and insurance | | carriers and must include consideration of the costs of providing | | health care in different settings, reflecting the recovery offset | | in bad debt and charity care, and a review of rates paid in other | | states and by insurance carriers and the Medicare program. The | | review must also identify options and costs for increasing rates | | and must propose strategies for achieving stated priorities. The | | joint standing committee having jurisdiction over health and | | human services matters may report out legislation on MaineCare | | provider rates to the First Regular Session of the 122nd | | Legislature. |
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| | | Sec. F-3. Commission to Study Maine's Community Hospitals. |
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