LD 130
pg. 9
Page 8 of 22 An Act To Establish a Single-payor Health Care System Page 10 of 22
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LR 241
Item 1

 
3.__Efficiency of care.__The agency shall establish an efficiency-
of-care program and shall adopt rules to implement that program.__
Rules adopted pursuant to this subsection are routine technical
rules as defined in Title 5, chapter 375, subchapter 2-A.__The
agency shall review health care malpractice insurance costs and
shall work with organized delivery systems, participating providers
and insurers to ensure that the resources of the fund are used for
maximum service delivery.__The agency shall develop claims handling
and data collection methods and forms, including, but not limited
to, uniform billing forms and procedures to facilitate the exchange
of information and communication between the agency and
participating providers.

 
4.__Health planning.__The agency shall establish a health
planning program and adopt rules to implement that program.__
Rules adopted pursuant to this subsection are routine technical
rules as defined in Title 5, chapter 375, subchapter 2-A.__Health
planning must be considered in light of the programs on quality,
affordability and efficiency established under subsections 1 to
3.__The program must include, but is not limited to:

 
A.__Global budgets for all expenditures of the plan for the
base year of the plan and for each following year based on
the level of expenditures in the preceding year as increased
by the percentage of increase in the average per capita
personal income applicable to the State, as developed by the
United States Department of Commerce;

 
B.__Global budgets for hospitals and institutional providers
with adjustments for case mix, volume and region and
separate capital budgets for hospitals and institutional
providers;

 
C.__A certificate of need program, pursuant to chapter 103-
A;

 
D.__A health planning program; and

 
E.__Data collection regarding health care needs, resources
and expenditures.

 
SUBCHAPTER 4

 
FINANCING OF THE MAINE HEALTH CARE PLAN

 
§374.__Financing of Maine Health Care Plan

 
Financing of the plan is accomplished by the fund.


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