LD 1507
pg. 13
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LR 1913
Item 1

 
 
PART I

 
Sec. I-1. 22 MRSA §3192, sub-§7, as enacted by PL 2001, c. 439, Pt.
BBB, §1 and affected by §3, is amended to read:

 
7. Community health plan corporation excess insurance. In
order to ensure adequate financial resources to pay for medical
services allowed in the benefit plans developed by community
health plan corporations, a local community health plan
corporation is required to enter into agreements with insurers
licensed in this State to obtain community health plan
corporation excess insurance and to provide coverage for those
portions of the health care benefits package that expose the
corporations to financial risks beyond the resources of the
corporation. The department may develop rules to provide further
options for community health plan corporations to maintain
financial solvency. Participation in the Medicaid program
satisfies the requirement of this subsection. Rules adopted
pursuant to this subsection are major substantive routine
technical rules as defined in Title 5, chapter 375, subchapter
II-A and must be reviewed before final approval by the joint
standing committee of the Legislature having jurisdiction over
health insurance matters 2-A.

 
Sec. I-2. 22 MRSA §3192, sub-§8, śC, as enacted by PL 2001, c. 439, Pt.
BBB, §1 and affected by §3, is amended to read:

 
C. The department may seek a waiver from the Federal
Government as necessary to permit funding under the Medicaid
program to be used for coverage of Medicaid-eligible
individuals enrolled in a plan offered by a community health
plan corporation. The department may adopt rules required to
implement the waiver in accordance with this paragraph.
Rules adopted pursuant to this paragraph are major
substantive routine technical rules as defined in Title 5,
chapter 375, subchapter II-A and must be reviewed before
final approval by the joint standing committee of the
Legislature having jurisdiction over health insurance
matters 2-A.

 
Sec. I-3. 22 MRSA §3192, sub-§14, as enacted by PL 2001, c. 439, Pt.
BBB, §1 and affected by §3, is amended to read:

 
14. Rules. The department shall adopt rules establishing
minimum standards for financial solvency, benefit design,
enrollee protections, disclosure requirements, conditions for
limiting enrollment and procedures for dissolution of a community
health plan corporation. The department may also adopt any rules


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