LD 1611
pg. 33
Page 32 of 47 An Act To Provide Affordable Health Insurance to Small Businesses and Individua... Page 34 of 47
Download Bill Text
LR 2137
Item 1

 
(5)__Avoidance of duplication of hospital resources; and

 
(6)__Continuation or establishment of needed
educational programs for health care professionals and
providers.

 
B.__In evaluating the proposed plan, the Governor shall
assess the extent to which the proposed plan presents one or
more of the following disadvantages:

 
(1)__The extent of any likely adverse impact on the
ability of health maintenance organizations, preferred
provider organizations, managed health care service
agents or other health care payors to negotiate optimal
payment and service arrangements with hospitals,
physicians, allied health care professionals or other
health care providers;

 
(2)__The extent of any reduction in competition among
hospitals, physicians, allied health professionals,
other health care providers or other persons furnishing
goods or services to, or in competition with, hospitals
that is likely to result directly or indirectly from
the proposed plan;

 
(3)__The extent of any likely adverse impact on
patients or clients in the quality, availability and
price of health care services;

 
(4)__The availability of arrangements that are less
restrictive to competition and achieve the same
benefits or a more favorable balance of benefits over
disadvantages attributable to any reduction in
competition likely to result from the proposed plan;
and

 
(5)__The extent of any likely adverse impact on the
access of persons in in-state educational programs for
health professions to existing or future clinical
training programs.

 
C.__The Governor shall consult with the Attorney General
regarding the evaluation of any potential reduction in
competition resulting from the proposed plan.

 
7.__Administrative procedures.__Prior to approval of the
proposed plan, the Governor or the Governor's designee shall
conduct an adjudicatory proceeding in conformity with the Maine
Administrative Procedure Act.


Page 32 of 47 Top of Page Page 34 of 47