LD 392
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LD 392 Title Page An Act to Implement the Recommendations of the Joint Select Committee to Study ... Page 2 of 2
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LR 250
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24 MRSA c. 19, sub-c. V is enacted to read:

 
SUBCHAPTER V

 
COMMUNITY HEALTH ACCESS PROGRAM

 
§2381.__Community Health Access Program

 
1.__Definitions.__As used in this section, unless the context
otherwise indicates, the following terms have the following
meanings.

 
A.__"Benefit design" means the health care benefits package
provided through the Community Health Access Program.

 
B.__"Community board" means the local governing board of a
community health plan corporation.

 
C.__"Community health plan corporation excess insurance"
means insurance that protects a plan offered by a community
health plan corporation against higher than expected
obligations at retention levels that do not have the effect
of making the plan an insured plan.__The issuance of
community health access program excess insurance does not
constitute the business of reinsurance.

 
D.__"Complementary health care provider" means a health care
professional, including a massage therapist, naturopath,
chiropractor, physical therapist or acupuncturist, who
provides care or treatment to a person that complements the
care or treatment provided by a primary care physician and
is credentialed by a community board.

 
E.__"Health quality measures" means statistical data that
provides information on the quality of health care outcomes
for individuals and groups with similar health problems.

 
F.__"Medical data collection system" means the computerized,
systematic collection of individual medical data, including
the cost of medical care, that when analyzed provides
information on the quality and costs of health care
outcomes.

 
G.__"Micro-employer" means an employer that has an average
of 4 or fewer employees eligible for health care benefits in
the 12 months preceding its enrollment in a plan offered by
a community health plan corporation.


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