An Act To Establish the Universal Childhood Immunization Program
Sec. 1. 5 MRSA §12004-G, sub-§15-B is enacted to read:
|Human Services: Immunization||Maine Vaccine Board||Not Authorized||22 MRSA §1066|
Sec. 2. 22 MRSA §1066 is enacted to read:
§ 1066. Universal Childhood Immunization Program
(1) An insurance company licensed in accordance with Title 24-A to provide health insurance;
(2) A health maintenance organization licensed pursuant to Title 24-A, chapter 56;
(3) A preferred provider arrangement administrator registered pursuant to Title 24-A, chapter 32;
(4) A fraternal benefit society as defined in Title 24-A, section 4101;
(5) A nonprofit hospital or medical service organization or health plan licensed pursuant to Title 24;
(6) A multiple-employer welfare arrangement approved by the superintendent under Title 24-A, section 6603; or
(7) A self-insured employer subject to state regulation as described in Title 24-A, section 2848-A.
(1) The commissioner shall serve as an ex officio, nonvoting member.
(2) The Treasurer of State shall serve as an ex officio, nonvoting member.
(3) The Governor shall appoint 8 members, as follows:
(a) Three representatives of health insurance carriers, appointed from a list of nominees submitted by a statewide association of health insurance carriers;
(b) Three representatives of providers in the State, appointed from lists of nominees submitted by statewide associations of providers, including associations of primary care providers, allopathic and osteopathic physicians, nurse practitioners and persons with expertise in public health;
(c) A representative of employers that self-insure for health coverage, appointed from lists of nominees submitted by statewide associations of employers; and
(d) A representative of the pharmaceutical manufacturing industry, appointed from a list of nominees submitted by a statewide association of pharmaceutical manufacturers.
(1) Vaccines recommended by the advisory committee that are available under contract with the United States Department of Health and Human Services, Centers for Disease Control and Prevention;
(2) Recommendations of the department, based on the department's review of the advisory committee recommendations; and
(3) Clinical and cost-benefit analyses.
The board shall review new vaccines and update the list of vaccines to be made available through the program on a timely basis in accordance with the considerations described in this paragraph.
(1) Determine the total costs of the fund for the succeeding program year;
(2) Add a reserve of up to 10% of the total costs of the fund under subparagraph (1) for unanticipated costs associated with providing vaccines to children covered by the assessed entity;
(3) Subtract the amount of any unexpended assessments collected in the preceding year and any unexpended interest accrued to the fund during the preceding year; and
(4) Calculate the assessment on a monthly basis per child to be paid by an assessed entity by dividing the amount determined in accordance with subparagraphs (1), (2) and (3) by the number of children projected to be covered by the assessed entity during the succeeding program year divided by 12.
(1) An assessed entity shall pay a quarterly assessment equal to the monthly assessment rate per child as described under paragraph A, subparagraph (4) multiplied by the number of child member months covered by the assessed entity in the preceding calendar quarter; and
(2) The assessment must be paid within 45 days following the close of the calendar quarter.
The superintendent may take any action authorized under Title 24-A to enforce collection of any unpaid assessment or fine and may impose any penalty authorized under Title 24A for noncompliance with this section if the assessed entity has engaged in a pattern of conduct that demonstrates a lack of good faith in complying with the requirements of this subsection.
Sec. 3. Staggered terms. Notwithstanding the Maine Revised Statutes, Title 22, section 1066, subsection 3, paragraph B, with respect to the initial appointees to the Maine Vaccine Board under Title 22, section 1066, subsection 3, paragraph A, subparagraph (3), divisions (a) and (b), the Governor shall appoint one representative of health insurance carriers and 2 representatives of providers to terms of 2 years and the remaining members to 3-year terms.
Sec. 4. Appropriations and allocations. The following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Universal Childhood Immunization Program N105
Initiative: Provides a baseline allocation of funds for the costs of purchasing vaccines for children and for the authorized operating expenses of the newly established Maine Vaccine Board.
|CHILDHOOD IMMUNIZATION TRUST FUND||2009-10||2010-11|
|CHILDHOOD IMMUNIZATION TRUST FUND TOTAL||$0||$500|