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individuals participating in Dirigo Health, including | medical expense reimbursement accounts and dependent care | reimbursement accounts. ; and |
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| (8)__Dirigo Health shall administer or contract to | administer individual health savings accounts for | individuals participating in Dirigo Health. |
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| | Sec. A-14. 24-A MRSA §6910, sub-§4, ¶¶B and C, as enacted by PL 2003, c. | 469, Pt. A, §8, are repealed. |
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| | Sec. A-15. 24-A MRSA §6910, sub-§4, ¶D is enacted to read: |
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| D.__Dirigo Health may not establish an out-of-pocket | maximum, including deductibles, copayments and coinsurance, | that exceeds 10% of an individual's adjusted gross income. |
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| | Sec. A-16. 24-A MRSA §6910, sub-§5, ¶¶A and B, as enacted by PL 2003, c. | 469, Pt. A, §8, are amended to read: |
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| A. Dirigo Health shall publicize the availability of Dirigo | Health Insurance to businesses, self-employed individuals | and others eligible to enroll in Dirigo Health Insurance. |
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| B. Dirigo Health shall screen all eligible individuals and | employees for eligibility for subsidies under section 6912 | and eligibility enrollee hardship funds under section 6912-A | or for MaineCare. To facilitate the screening and referral | process, Dirigo Health shall provide a single application | form for Dirigo Health and MaineCare. The application | materials must inform applicants of subsidies available | through Dirigo Health and of the additional coverage | available through MaineCare. It must allow an applicant to | choose on the application form to apply or not to apply for | MaineCare or for a subsidy enrollee hardship funds. It must | allow an applicant to provide household financial | information necessary to determine eligibility for MaineCare | or a subsidy enrollee hardship funds. Except when the | applicant has declined to apply for MaineCare or a subsidy | enrollee hardship funds, an application must be treated as | an application for Dirigo Health, for a subsidy enrollee | hardship funds and for MaineCare. MaineCare must shall make | the final determination of eligibility for MaineCare. |
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| | Sec. A-17. 24-A MRSA §6912, as enacted by PL 2003, c. 469, Pt. A, | §8, is repealed. |
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| | Sec. A-18. 24-A MRSA §6912-A is enacted to read: |
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