|
a subsidy an individual or employee must: |
|
| A. Have Be enrolled in the Dirigo Health Program, have an | income under 300% of the federal poverty level, and be a | resident of the State, be ineligible for MaineCare coverage | and be enrolled in Dirigo Health Insurance; or |
|
| B. Be enrolled in a health plan of an employer with more | than 50 employees and have an income under 300% of the | federal poverty level. The health plan must meet any | criteria established by Dirigo Health. The individual must | meet other eligibility criteria established by Dirigo | Health. |
|
| | Sec. A-9. 24-A MRSA §6912, sub-§6, as enacted by PL 2003, c. 469, Pt. | A, §8, is amended to read: |
|
| | 6. Report. Within 30 days after any subsidies are | established pursuant to this section, the board shall report on | the amount of the subsidies, the funding required for the | subsidies and the estimated number of Dirigo Health Program | enrollees eligible for the subsidies and submit the report to | the joint standing committee of the Legislature having | jurisdiction over appropriations and financial affairs, the joint | standing committee of the Legislature having jurisdiction over | insurance and financial services matters and the joint standing | committee of the Legislature having jurisdiction over health and | human services matters. |
|
| | Sec. A-10. 24-A MRSA §6913, sub-§1, as enacted by PL 2003, c. 469, Pt. | A, §8, is repealed and the following enacted in its place: |
|
| | 1. Determination of cost savings.__The following are the | procedures for determining cost savings. |
|
| A.__After an opportunity for a hearing conducted pursuant to | Title 5, chapter 375, subchapter 4, the board shall | determine annually not later than April 1st the aggregate | measurable cost savings, including any reduction or | avoidance of bad debt and charity care costs to health care | providers in this State as a result of the operation of | Dirigo Health and any increased MaineCare enrollment due to | an expansion in MaineCare eligibility occurring after June | 30, 2004. |
|
| B.__Within 30 days of the board's determination pursuant to | paragraph A, the board shall file with the superintendent | its determination as well as the supporting information for | that determination.__The filing constitutes a public record. |
|
|