LD 1614
pg. 186
Page 185 of 201 An Act To Make Supplemental Appropriations and Allocations for the Expenditures... Page 187 of 201
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LR 1999
Item 1

 
Sec. Z-1. Authorization to negotiate provider contracts in fiscal years 2003-04 and
2004-05.

 
1. The Chancellor of the University of Maine System, referred
to in this section as "the chancellor," and any insurance company
or 3rd-party administrator, referred to in this section as "the
carrier," insuring or administering the University of Maine
System health plan, referred to in this section as "the plan,"
shall jointly negotiate agreements with hospitals participating
in the carrier's provider network to reduce the expense incurred
by the plan in state fiscal year 2003-04 by the amount of
$2,250,000 and in state fiscal year 2004-05 by the amount of
$2,250,000. In undertaking such negotiations, the carrier is
deemed at all times to be the agent of the University of Maine
System. The chancellor and the carrier acting at the direction
of the chancellor may offer or demand such terms and conditions
as the chancellor considers to be in the best interest of the
university to reduce the expense of the plan, including, but not
limited to, offering or demanding reductions in standard hospital
reimbursement rates, rebates and refunds and uniform terms
relating to such reductions, rebates or refunds. The chancellor
may not affect or seek to affect amounts paid to hospitals
relating to any other customer of the carrier.

 
2. The Commissioner of Human Services shall implement
appropriate normalizing adjustments, no less than annually, to
the public revenue component and the annual periodic interim
payments of each hospital under subsection 1, consistent with the
requirements of Title XIX of the federal Social Security Act, to
offset the impact of any plan-related revenue reduction under
this section. If any payment made in accordance with this
subsection is subsequently determined to be subject to
recoupment, the State shall reimburse the hospital for all such
recoupment costs paid by the hospital.

 
3. Any carrier subject to this section is immune from any
claim of or liability to any hospital or other health care
provider for any action taken in furtherance of the authority and
directives as set forth in this section. A reimbursement rate,
discount or rebate resulting from an agreement under subsection 1
may not be used by the carrier as a reference or base rate for
any other contractual arrangement.

 
4. In the event that the expense-reduction target specified
in subsection 1 is not achieved, either in whole or in part, the
Governor shall request funding to the extent necessary to address
any resulting funding shortfall.

 
PART AA


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