LD 1614
pg. 177
Page 176 of 234 PUBLIC Law Chapter 451 Page 178 of 234
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LR 1999
Item 1

 
2. The Commissioner of Human Services shall implement appropriate
normalizing adjustments, no less than annually, to the public
revenue component and the annual periodic interim payments of each
hospital under subsection 1, consistent with the requirements of
Title XIX of the federal Social Security Act, to offset the impact
of any plan-related revenue reduction under this section. If any
payment made in accordance with this subsection is subsequently
determined to be subject to recoupment, the State shall reimburse
the hospital for all such recoupment costs paid by the hospital.

 
3. Any carrier subject to this section is immune from any
claim of or liability to any enrollee, any hospital or other
health care provider for any action taken in furtherance of the
authority and directives as set forth in this section. A
reimbursement rate, discount or rebate resulting from an
agreement under subsection 1 may not be used by the carrier as a
reference or base rate for any other contractual arrangement.

 
4. In the event that the expense-reduction target specified
in subsection 1 is not achieved, either in whole or in part, the
Governor shall request funding to the extent necessary to address
any resulting funding shortfall.

 
5. Notwithstanding the provisions of the Maine Revised
Statutes, Title 24-A, including sections 2174, 2185 and 2677-A,
the agreement negotiated in accordance with subsection 1 may
provide for adjustments to the amounts payable to providers on an
aggregate services basis and on a retrospective basis, and such
adjustments may not require any change to previously calculated
coinsurance amounts, deductibles, lifetime maximums, benefit
differentials or other benefit calculations relating to services
to individual enrollees covered under the plan provided by or
arranged by the University of Maine System. The chancellor shall
provide notice to all such covered persons that the State has
arranged for a reduction in the cost of medical services to the
University of Maine System and that such reduction will not be
taken into consideration in the calculation of coinsurance
amounts, deductibles, lifetime maximums, benefit differentials or
other benefit calculations applicable to the plan benefits
provided by or arranged by the system. Such notice must include
any additional disclosures necessary to fully inform such persons
of the implications of this arrangement. It is not the
responsibility of the carrier to provide such disclosure or
notice.

 
PART AA

 
Sec. AA-1. 36 MRSA §1760, sub-§46, as amended by PL 1993, c. 670, §3,
is repealed and the following enacted in its place:


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