| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24-A MRSA §2736-D is enacted to read: |
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| | | §2736-D.__Individual catastrophic plans; premium subsidies |
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| | | 1.__Definitions.__As used in this section, unless the context | | otherwise indicates, the following terms have the following | | meanings. |
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| | | A.__"Carrier" has the same meaning as in section 2736-C. |
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| | | B.__"Individual catastrophic health plan" means an | | individual health plan providing comprehensive benefits, | | including preventive benefits, that imposes a $2,500 | | deductible.__The plan must meet the requirements for | | mandated coverage for specific health services, for specific | | diseases and for certain providers of health services under | | Title 24 and this Title applicable to individual health | | plans. |
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| | | 2.__Catastrophic health plan coverage.__The superintendent | | shall negotiate with carriers the premium rates charged for | | coverage under an individual catastrophic health plan, including | | premium rates for family coverage.__The superintendent shall | | contract through a competitive bidding process with at least one | | carrier that will offer individual catastrophic health plan | | coverage to individuals in all geographic regions of the State.__ | | The superintendent may contract with more than one carrier. |
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| | | 3.__Premium subsidies.__An individual is eligible for a | | premium subsidy to contribute to the premium rate for an | | individual catastrophic health plan in accordance with the | | requirements of this subsection. |
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| | | A.__An individual who is eligible for or is receiving | | coverage under Medicaid or the Cub Care program may not | | receive a premium subsidy for coverage under an individual | | catastrophic health plan. |
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| | | B.__An individual with an income at or below 200% of the | | nonfarm income official poverty line is eligible for a | | subsidy of 100% of the premium rate for coverage under an | | individual catastrophic health plan. |
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| | | C.__An individual with an income between 200% and 210% of | | the nonfarm income official poverty line is eligible for a | | subsidy of 80% of the premium rate for coverage under an | | individual catastrophic health plan. |
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