SP0335
LD 990
Session - 126th Maine Legislature
C "A", Filing Number S-202, Sponsored by
LR 1970
Item 2
Bill Tracking, Additional Documents Chamber Status

Amend the bill by striking out all of section 1 and inserting the following:

Sec. 1. 22 MRSA §1718-A  is enacted to read:

§ 1718-A Consumer information regarding health care practitioner prices

Each health care practitioner, as defined in section 1711-C, subsection 1, paragraph F, shall maintain a price list of the health care practitioner's most frequently provided health care services and procedures. The prices stated must be the prices that the health care practitioner charges clients directly, when there is no insurance coverage for the services or procedures or when reimbursement by an insurance company is denied. The prices stated must be accompanied by the applicable standard medical codes listed by diagnosis. For purposes of this section, "frequently provided health care services and procedures" means those health care services and procedures that were provided by the health care practitioner at least 50 times in the preceding calendar year. Health care practitioners shall inform clients about the availability of the price list and provide copies of the price list upon request. Health care practitioners shall make available written information on health claims data that may be obtained through the publicly accessible website of the Maine Health Data Organization established pursuant to chapter 1683. This section does not apply to pharmacists.

SUMMARY

This amendment retains the provisions of the bill that require a health care practitioner to maintain and make available to clients a price list of the health care practitioner's most frequently provided services and procedures. The amendment exempts pharmacists from the consumer information requirements. The amendment adds a requirement that the prices must be accompanied by the applicable standard medical codes listed by diagnosis. The amendment requires health care practitioners to make available written information on health claims data that may be obtained through the publicly accessible website of the Maine Health Data Organization.


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