Maine Revised Statutes

§1718-D. Prohibition on balance billing for surprise bills

(CONTAINS TEXT WITH VARYING EFFECTIVE DATES)
(WHOLE SECTION TEXT EFFECTIVE 1/1/18)
1. Definitions.   As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
A. "Enrollee" has the same meaning as in Title 24-A, section 4301-A, subsection 5. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]
B. "Health plan" has the same meaning as in Title 24-A, section 4301-A, subsection 7. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]
C. "Provider" has the same meaning as in Title 24-A, section 4301-A, subsection 16. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]
D. "Surprise bill" has the same meaning as in Title 24-A, section 4303-C, subsection 1. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]
2. Prohibition on balance billing.   An out-of-network provider reimbursed for a surprise bill under Title 24-A, section 4303-C, subsection 2, paragraph B may not bill an enrollee for health care services beyond the applicable coinsurance, copayment, deductible or other out-of-pocket cost expense that would be imposed for the health care services if the services were rendered by a network provider under the enrollee's health plan.
[ 2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF) .]
SECTION HISTORY
2017, c. 218, §1 (NEW). 2017, c. 218, §3 (AFF).