| | | Be it enacted by the People of the State of Maine as follows: |
|
| | | Sec. 1. 24-A MRSA §4301-A, sub-§§15-A and 16-A are enacted to read: |
|
| | | 15-A.__Price list.__"Price list" means a document that | | describes each service offered by a provider or the provider's | | employer and that for each such service states: |
|
| | | A.__The price charged by the provider or the provider's | | employer; |
|
| | | B.__The lowest reimbursement from a nonpublic source | | applicable as of January 1, 2004 to which the provider or | | the provider's employer has agreed; and |
|
| | | C.__The lowest reimbursement from a nonpublic source that | | the provider or the provider's employer has accepted | | within the preceding 90 days. |
|
| | | 16-A.__Reimbursement.__"Reimbursement" means the total | | financial payment to a provider for a specific service | | accepted or agreed to, including any payments made or to be | | made to fulfill a copayment or deductible requirement or any | | other form of financial payment by the patient. |
|
| | | Sec. 2. 24-A MRSA §§4306-A, 4306-B and 4306-C are enacted to read: |
|
| | | §4306-A.__Price list required |
|
| | | Effective January 1, 2004, each provider shall publish a | | price list.__The price list must be published in a format that | | allows a person with a 6th-grade reading level, as determined | | by a recognized instrument for measuring adult literacy | | levels, to understand the nature and purpose of each service | | or variation thereof.__The price list must be made available | | to patients or customers at the initial visit to a provider | | and at any other time upon request.__The price list must be | | published on a publicly accessible site on the Internet | | maintained by a provider or the provider's employer.__The | | price list must be updated and published every 6 months. |
|
| | | §4306-B.__Price information for hospital stay |
|
| | | 1.__Required.__Effective January 1, 2004, each hospital | | shall include in its price list information set forth in | | section 4301-A, subsection 15 for all charges from that | | hospital that arose, from admission through discharge, for an | | admission scheduled for the 3 most frequently occurring | | variations under the International Classification of Diseases, | | Ninth Revision, |
|
|