Sec. I-1. 22 MRSA §3192, sub-§7, as enacted by PL 2001, c. 439, Pt. BBB, §1 and affected by §3, is amended to read:
7. Community health plan corporation excess insurance. In order to ensure adequate financial resources to pay for medical services allowed in the benefit plans developed by community health plan corporations, a local community health plan corporation is required to enter into agreements with insurers licensed in this State to obtain community health plan corporation excess insurance and to provide coverage for those portions of the health care benefits package that expose the corporations to financial risks beyond the resources of the corporation. The department may develop rules to provide further options for community health plan corporations to maintain financial solvency. Participation in the Medicaid program satisfies the requirement of this subsection. Rules adopted pursuant to this subsection are major substantive routine technical rules as defined in Title 5, chapter 375, subchapter II-A and must be reviewed before final approval by the joint standing committee of the Legislature having jurisdiction over health insurance matters 2-A.
Sec. I-2. 22 MRSA §3192, sub-§8, ¶C, as enacted by PL 2001, c. 439, Pt. BBB, §1 and affected by §3, is amended to read:
C. The department may seek a waiver from the Federal Government as necessary to permit funding under the Medicaid program to be used for coverage of Medicaid-eligible individuals enrolled in a plan offered by a community health plan corporation. The department may adopt rules required to implement the waiver in accordance with this paragraph. Rules adopted pursuant to this paragraph are major substantive routine technical rules as defined in Title 5, chapter 375, subchapter II-A and must be reviewed before final approval by the joint standing committee of the Legislature having jurisdiction over health insurance matters 2-A.
Sec. I-3. 22 MRSA §3192, sub-§14, as enacted by PL 2001, c. 439, Pt. BBB, §1 and affected by §3, is amended to read:
14. Rules. The department shall adopt rules establishing minimum standards for financial solvency, benefit design, enrollee protections, disclosure requirements, conditions for limiting enrollment and procedures for dissolution of a community health plan corporation. The department may also adopt any rules necessary to carry out the purposes of this section. Rules adopted pursuant to this subsection are major substantive routine technical rules as defined in Title 5, chapter 375, subchapter II-A and must be reviewed before final approval by the joint standing committee of the Legislature having jurisdiction over health insurance matters 2-A.
Emergency clause. In view of the emergency cited in the preamble, Part I of this Act takes effect when approved and Parts A to H take effect 90 days after approval of this Act.
Effective June 5, 2003, unless otherwise indicated.
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