LD 1611
pg. 65
Page 64 of 73 PUBLIC Law Chapter 469 Page 66 of 73
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LR 2137
Item 1

 
A. Each health care practitioner, as defined in the Maine
Revised Statutes, Title 24, section 2502, subsection 1-A, is
asked to limit the growth of net revenue of the practitioner's
practice to 3% for the practitioner's fiscal year beginning
July 1, 2003 and ending June 30, 2004.

 
B. Each hospital licensed under Title 22, chapter 405 is
asked to voluntarily restrain cost increases, measured as
expenses per case mix adjusted discharge, to no more than
3.5% for the hospital fiscal year beginning July 1, 2003 and
ending June 30, 2004. Each hospital is asked to voluntarily
hold hospital consolidated operating margins to no more than
3% for the hospital's fiscal year beginning July 1, 2003 and
ending June 30, 2004.

 
C. Each health insurance carrier licensed in this State is
asked to voluntarily limit the pricing of products it sells
in this State to the level that supports no more than 3%
underwriting gain less federal taxes for the carrier's
fiscal year beginning July 1, 2003 and ending June 30, 2004.

 
2. Report. By January 1, 2004, the Maine Hospital
Association and the Governor's Office of Health Policy and
Finance shall agree on a timetable, format and methodology for
the hospital association to report on hospital charges, cost
efficiency and consolidated operating margins. In accordance
with the agreement, the Maine Hospital Association shall report
to the Governor and the joint standing committee having
jurisdiction over health and human services matters.

 
Sec. F-2. MaineCare report. The Department of Human Services shall
conduct a comprehensive review of reimbursement rates in the
MaineCare program and shall report the results of that review to
the joint standing committee of the Legislature having
jurisdiction over health and human services matters by January
15, 2005. The review must provide opportunity for input from
health care consumers, providers, practitioners and insurance
carriers and must include consideration of the costs of providing
health care in different settings, reflecting the recovery offset
in bad debt and charity care, and a review of rates paid in other
states and by insurance carriers and the Medicare program. The
review must also identify options and costs for increasing rates
and must propose strategies for achieving stated priorities. The
joint standing committee having jurisdiction over health and
human services matters may report out legislation on MaineCare
provider rates to the First Regular Session of the 122nd
Legislature.

 
Sec. F-3. Commission to Study Maine's Community Hospitals.


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