| | | B.__All income generated pursuant to this chapter must be | | deposited into the fund, which may not lapse but must be | | carried forward from one fiscal year to the next. |
|
| | | C.__All funds remaining in the fund at the end of the | | fiscal year must be reported to the Legislature by January | | 1st of the following year and may be used, by vote of the | | Legislature, to expand the coverage of services paid for | | by the plan. |
|
| | | D.__Expenditures from the fund are authorized for payments | | to participating providers for health care services | | rendered, payments to enrollees from the Enrollee Hardship | | Fund established in subsection 2 and payments for | | administration of the fund, the plan and the agency. |
|
| | | 2. Enrollee Hardship Fund.__The Enrollee Hardship Fund is | | established as part of the fund to provide financial | | assistance to enrollees for whom the premium for a primary | | health care policy is a hardship based on income. The agency | | shall adopt rules for income eligibility of enrollees, the | | amount of financial assistance available and the application | | process for enrollees. |
|
| | | 3.__Budget.__The annual administrative costs for the agency | | and for all administrative aspects of the plan may not exceed | | 5% of the total annual budget for the fund.__The agency shall | | implement cost-control measures to reduce administrative costs | | and eliminate unnecessary health care.__Cost-control measures | | may not be implemented to limit necessary health care. |
|
| | | Sec. B-1. 24 MRSA c. 19-A is enacted to read: |
|
| | | MAINE NONPROFIT HEALTH INSURANCE COMPANY |
|
| | | The Maine Nonprofit Health Insurance Company, referred to in | | this chapter as "the company," is established to provide | | health insurance coverage to residents of this State and to | | promote competition in the State's health insurance | | marketplace. |
|
|