Maine Archives - Page 3 of 45 - The Source on HealthCare Price and Competition

11 08, 2023

LD 1639

This bill establishes the Maine Quality Care Act in order to ensure adequate direct-care registered nurse staffing assignments in health care facilities, including hospitals, freestanding emergency departments and ambulatory surgical facilities, to provide safe and effective patient care. It establishes minimum direct-care registered nurse staffing requirements based on patient care unit and patient needs, specifies the method to calculate a health care facility's compliance with the staffing requirements, protects direct-care registered nurses from retaliation and includes notice, record-keeping and enforcement requirements.

LD 1639

11 08, 2023

LD 1816

This bill requires that a state entity, health plan or participating plan qualified under the federal Employee Retirement Income Security Act of 1974 may not purchase prescription drugs to be dispensed or delivered to a consumer of this State at a cost that exceeds the maximum fair price. The maximum fair price of a prescription drug is the maximum rate for a drug determined by the Secretary of the United States Department of Health and Human Services under the federal Medicare program. Any savings generated as a result must be used to reduce costs [...]

LD 1816

11 08, 2023

LD 1829

This bill requires that a state entity, health plan or participating plan qualified under the federal Employee Retirement Income Security Act of 1974 may not purchase prescription drugs to be dispensed or delivered to a consumer of this State at a cost that exceeds the maximum fair price. The maximum fair price of a prescription drug is the maximum rate for a drug determined by the Secretary of the United States Department of Health and Human Services under the federal Medicare program. Any savings generated as a result must be used to reduce costs [...]

LD 1829

11 08, 2023

LD 1856

This resolve directs the Office of Affordable Health Care to study, in consultation with the Department of Health and Human Services, the options for establishing a MaineCare public health plan. It directs the Office of Affordable Health Care to submit a report to the Joint Standing Committee on Health Coverage, Insurance and Financial Services no later than January 31, 2024 with its recommendations, including any suggested legislation. The committee may report out legislation related to the report.

LD 1856

11 08, 2023

LD 1955

This bill does the following. 1. It directs the Department of Health and Human Services to adopt rules, consistent with the federal Hill-Burton Act, for the provision of free health care services to patient who are state residents and meet certain income requirements. 2. It requires hospitals and hospital-affiliated providers to adopt a modified adjusted gross income methodology in determining a patient's eligibility for financial assistance. 3. It requires that hospitals and hospital-affiliated providers use a single streamlined application for all financial assistance programs and provides for other resources relating to applications and for [...]

LD 1955

11 08, 2023

LD 940

This bill authorizes a pharmacist licensed in this State or licensed in another state to provide telehealth services for patients of a federally qualified health center in this State, including delivering those services through a pharmaceutical vending machine located at the health center.

LD 940

11 08, 2023

LD 935

This bill requires that hospitals comply with the price transparency requirements established at 45 Code of Federal Regulations, Part 180, as in effect on January 1, 2023. It provides that upon application of the Attorney General, the Department of Health and Human Services or any affected patient, the Superior Court or District Court has full jurisdiction to enforce the price transparency laws. It prohibits a hospital from billing a patient, a patient guarantor or a 3rd-party payor for items or services provided to the patient, and requires that a hospital refund any payment made [...]

LD 935

11 08, 2023

LD 1085

This bill makes the following changes to the law relating to the comparable health care incentive program. 1. It removes the requirement that the small group health plan design be compatible with a health savings account. 2. It requires that the incentives be equal to or greater than 25% of the difference between the price of the service from the provider selected and the statewide average for the same covered health care service based on data reported on the publicly accessible health care costs website of the Maine Health Data Organization. 3. It adds [...]

LD 1085

11 08, 2023

LD 1105

This bill prohibits health care providers and health care practitioners from denying health care services or treatment based on the manner in which a patient intends to pay for health care services or treatment. The bill also requires health care providers and health care practitioners to disclose the cash price of health care services or treatments and allow a patient to pay cash instead of filing an insurance claim. The bill also prohibits a health insurance carrier from prohibiting a provider from providing an enrollee with the option of paying the provider's cash price [...]

LD 1105

11 08, 2023

LD 1143

This bill requires a hospital to issue a bill within one year of providing a service or the patient or guardian of the patient who received the service is not obligated to pay the bill.

LD 1143