LD 1577
pg. 9
Page 8 of 20 PUBLIC Law Chapter 400 Page 10 of 20
Download Chapter Text
LR 1479
Item 1

 
Meetings of the working group must be moderated by an independent
facilitator selected by the Superintendent of Insurance.

 
5. Monthly reports; notice of meetings. The working group
shall provide monthly reports to the Joint Standing Committee on
Insurance and Financial Services and shall notify committee
members of each meeting of the working group. The monthly reports
must include any recommendations the working group has made to
the board pursuant to subsection 3.

 
6. Termination of working group. The working group terminates
December 31, 2005.

 
Sec. B-2. Provisions governing first year of savings offset payments.

 
1. Definition of paid claims; first assessment year. The
Board of Directors of Dirigo Health shall adopt rules regarding
the definition of paid claims under section 1 of this Part for
the calculation of savings offset payments for the first 12-month
calendar year period of savings offset payments, referred to in
this section as "the first assessment year," due from health
insurance carriers, 3rd-party administrators and employee benefit
excess insurance carriers pursuant to the Maine Revised Statutes,
Title 24-A, section 6913. In adopting these rules, the board
shall take into account the recommendations of the working group
established under section 1 with respect to the definition of
paid claims and the methodology for calculating and invoicing
savings offset payment assessments based on paid claims. Rules
adopted pursuant to this section are routine technical rules as
defined in Title 5, chapter 375, subchapter 2-A. For savings
offset payments after the first assessment year, the board shall
define paid claims through major substantive rulemaking in
accordance with Title 24-A, section 6913, subsection 10.

 
2. Timeline. Notwithstanding any deadlines specified in the
Maine Revised Statutes, Title 24-A, section 6913, the Board of
Directors of Dirigo Health shall comply with the following
deadlines for the first assessment year:

 
A. No later than the effective date of this Act, the board
shall file with the Superintendent of Insurance its
determination as to the aggregate measurable cost savings in
this State, including any reduction or avoidance of bad debt
and charity care cost to health care providers 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 as well as the
supporting information for that determination. The filing
constitutes a public record; and


Page 8 of 20 Top of Page Page 10 of 20
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer