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PUBLIC LAWS OF MAINE
First Special Session of the 118th

CHAPTER 163
H.P. 401 - L.D. 546

An Act to Ensure Responsible Coordination of Medical Care under Managed Care

Be it enacted by the People of the State of Maine as follows:

     Sec. 1. 24-A MRSA §4303, sub-§2, ¶¶A and B, as enacted by PL 1995, c. 673, Pt. C, §1 and affected by §2, are amended to read:

     Sec. 2. 24-A MRSA §4303, sub-§3-A is enacted to read:

     3-A. Termination of participating providers. A carrier offering a managed care plan may not terminate or nonrenew a contract with a participating provider unless the carrier provides the provider with a written explanation prior to the termination or nonrenewal of the reasons for the proposed contract termination or nonrenewal and provides an opportunity for a review or hearing in accordance with this subsection. The existence of a termination without cause provision in a carrier's contract with a provider does not supersede the requirements of this subsection. This subsection does not apply to termination cases involving imminent harm to patient care, a final determination of fraud by a governmental agency, a final disciplinary action by a state licensing board or other governmental agency that impairs the ability of a provider to practice. A review or hearing of proposed contract termination must meet the following requirements.

See title page for effective date.

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