S.P. 529 - L.D. 1444
Sec. A-1. 22 MRSA §8712, sub-§2, as repealed and replaced by PL 2009, c. 71, §8, is amended to read:
2. Cost and quality.
The organization shall create a publicly accessible interactive website that presents reports related to health care facility and practitioner payments for services rendered to residents of the State. The services presented must include, but not be limited to, imaging, preventative health, radiology and surgical services and other services that are predominantly elective and may be provided to a large number of patients who do not have health insurance or are underinsured. The website must also be constructed to display prices paid by individual commercial health insurance companies, 3rd-party administrators and, unless prohibited by federal law, governmental payors.
A. The organization shall promote public transparency of the quality and cost of health care in the State, in conjunction with the Maine Quality Forum as established in Title 24-A, section 6951, and shall collect, synthesize and publish information and reports on an annual basis that are easily understandable by the average consumer and in a format that allows the user to compare the information listed in this section to the extent practicable. The organization's publicly accessible websites and reports shall, to the extent practicable, coordinate, link and compare information regarding health care services, their outcomes, the effectiveness of those services, the quality of those services by health care facility and by individual practitioner and the location of those services. The organization's health care costs website must provide a link in a publicly accessible format to provider-specific information regarding quality of services required to be reported to the Maine Quality Forum.
Sec. A-2. 24-A MRSA §6951, sub-§4, as enacted by PL 2003, c. 469, Pt. A, §8, is amended to read:
The forum shall work collaboratively with the Maine Health Data Organization, health care providers, health insurance carriers and others to report in useable formats comparative health care quality information to consumers, purchasers, providers, insurers and policy makers. The forum shall produce annual quality reports in conjunction with the Maine Health Data Organization pursuant to Title 22, section 8712. No later than September 1, 2010, the forum shall make provider-specific information regarding quality of services available on its publicly accessible website.
Sec. A-3. Advisory Council on Health Systems Development; payment reform. The Advisory Council on Health Systems Development shall solicit input and develop recommendations on payment reform. The council shall:
1. Solicit input from various stakeholders, including private purchasers of health care, working on the measurement and reporting of health care value;
2. Consult with state agencies with expertise in provider reimbursement and payment systems;
3. Integrate any reforms adopted by the United States Congress or federal agencies that affect provider reimbursement;
4. Review and consider payment reform proposals in other states; and
5. To the extent permitted by federal and state law, recommend unified payment systems across public and private sectors.
The council shall submit a report that includes its findings and recommendations, including suggested legislation, for presentation to the Joint Standing Committee on Health and Human Services and the Joint Standing Committee on Insurance and Financial Services no later than January 15, 2010. After receipt and review of the report, the Joint Standing Committee on Health and Human Services or the Joint Standing Committee on Insurance and Financial Services may introduce a bill related to the subject matter of the report to the Second Regular Session of the 124th Legislature.