An Act To Support Universal Health Care
Sec. 1. 5 MRSA §12004-G, sub-§14-I is enacted to read:
|Health Care||Maine Health Board||Compensation determined under 24-A MRSA §7510, sub-§3||24-A MRSA §7510|
Sec. 2. 24-A MRSA c. 95 is enacted to read:
MAINE HEALTH PLAN ACT
§ 7501. Short title
This chapter may be known and cited as "the Maine Health Plan Act."
§ 7502. Maine Health Plan
§ 7503. Eligibility
§ 7504. Benefits
(1) Required to correct a congenital defect or restore or correct a part of the body that has been altered as a result of injury, disease or surgery; or
(2) Determined to be medically necessary by a qualified, licensed health care provider in the Maine Health Plan; and
§ 7505. Patient care
§ 7506. Maine Health Fund
§ 7507. Revenue sources
In the event that a repeal or a waiver of law or regulations cannot be secured, the board shall adopt rules, or seek conforming state legislation, consistent with federal law, in an effort to best fulfill the purposes of this chapter.
§ 7508. Subrogation
(1) Health insurance policies and the medical components of automobile, homeowner's and other forms of insurance;
(2) Medical components of workers' compensation;
(3) Pension plans;
(4) Employer plans;
(5) Employee benefit contracts;
(6) Government benefit programs;
(7) A judgment for damages for personal injury;
(8) The state of last domicile for individuals moving to the State for medical care who have extraordinary medical needs; and
(9) Any 3rd party who is or may be liable to an individual for health care services or costs.
(1) A contract or plan that is subject to federal preemption; or
(2) Any governmental unit, agency or service to the extent that subrogation is prohibited by law. An entity described in paragraph A is not excluded from the obligations imposed by this section by virtue of a contract or relationship with a governmental unit, agency or service.
§ 7509. Provider payments
§ 7510. Maine Health Board
(1) A detailed 10-year budget plan; and
(2) A detailed analysis regarding the estimated impact of the waiver on health insurance coverage in the State;
(1) Instituting aggressive public health measures, early intervention and preventive care, health and wellness education and promotion of personal health improvement;
(2) Making changes in the delivery of health care services and administration that improve efficiency and care quality;
(3) Minimizing administrative costs;
(4) Ensuring that the delivery system does not contain excess capacity; and
(5) Negotiating the lowest possible prices for prescription drugs, medical equipment and medical services.
If the board determines that there will be a revenue shortfall despite the cost control measures mentioned in paragraph J, the board shall implement measures to correct the shortfall, including an increase in premiums and other revenues. The board shall report to the Legislature on the causes of the shortfall, reasons for the inadequacy of cost controls and measures taken to correct the shortfall.
§ 7511. Implementation
The Maine Health Plan must be operational beginning January 1, 2023. Beginning on the date the Maine Health Plan becomes operational, a health plan may not be sold in this State for services provided by the Maine Health Plan.
This bill establishes the Maine Health Plan to provide universal health care coverage to all residents of this State. The bill is modeled on proposed legislation considered in Minnesota.