LD 1577, Page 2 - 122th Legislature, FIRST SPECIAL Session

	6. Savings offset payments through reductions in growth in
State's health care spending and bad debt and charity care. On
an annual basis no later than ~~April~~ August of each year, the
board shall prospectively determine the savings offset to be
applied during each 12-month period. To make its determination,
the board shall use the criteria and reports described in
subsections 7 and 8. Annual offset payments must be reconciled to
determine whether unused payments may be returned to health
insurance carriers, employee benefit excess insurance carriers
and third-party administrators according to a formula developed
by the board. Savings offset payments must be used solely to fund
the subsidies authorized by section 6912 and to support the Maine
Quality Forum established in subchapter 2 and may not exceed
savings from reductions in growth of the State's health care
spending and bad debt and charity care.

SUMMARY

This bill clarifies and makes changes to the date the savings
offset payment determination is made and the dates payments may
begin under the Dirigo Health Act. The changes reflect the delay
in the implementation of the Dirigo health plan. In addition,
the bill changes the basis for computing savings offset payments
from premiums to paid claims. This change puts the calculation
of the savings offset payments on an equal footing with likely
payments from self-insured plans.

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