LD 1577
pg. 4
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LR 1479
Item 1

 
a subsidy an individual or employee must:

 
A. Have Be enrolled in the Dirigo Health Program, have an
income under 300% of the federal poverty level, and be a
resident of the State, be ineligible for MaineCare coverage
and be enrolled in Dirigo Health Insurance; or

 
B. Be enrolled in a health plan of an employer with more
than 50 employees and have an income under 300% of the
federal poverty level. The health plan must meet any
criteria established by Dirigo Health. The individual must
meet other eligibility criteria established by Dirigo
Health.

 
Sec. A-9. 24-A MRSA §6912, sub-§6, as enacted by PL 2003, c. 469, Pt.
A, §8, is amended to read:

 
6. Report. Within 30 days after any subsidies are
established pursuant to this section, the board shall report on
the amount of the subsidies, the funding required for the
subsidies and the estimated number of Dirigo Health Program
enrollees eligible for the subsidies and submit the report 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.

 
Sec. A-10. 24-A MRSA §6913, sub-§1, as enacted by PL 2003, c. 469, Pt.
A, §8, is repealed and the following enacted in its place:

 
1. Determination of cost savings.__The following are the
procedures for determining cost savings.

 
A.__After an opportunity for a hearing conducted pursuant to
Title 5, chapter 375, subchapter 4, the board shall
determine annually not later than April 1st the aggregate
measurable cost savings, including any reduction or
avoidance of bad debt and charity care costs to health care
providers in this State as a result of the operation of
Dirigo Health and any increased MaineCare enrollment due to
an expansion in MaineCare eligibility occurring after June
30, 2004.

 
B.__Within 30 days of the board's determination pursuant to
paragraph A, the board shall file with the superintendent
its determination as well as the supporting information for
that determination.__The filing constitutes a public record.


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