LD 2111 – Maine

Status: Enacted
Year Introduced: 2020
Link: http://legislature.maine.gov/legis/bills/display_ps.asp?LD=2111&snum=129

An Act To Establish Patient Protections in Billing for Health Care. An out-of-network provider reimbursed for a surprise bill under Title 24-A, section 4303-C, subsection 2, paragraph B may not bill an enrollee for health care services beyond the applicable coinsurance, copayment, deductible or other out-of-pocket cost expense that would be imposed for the health care services if the services were rendered by a network provider under the enrollee’s health plan. A provider receiving a nonemergency referral or self-referral for any in-person health care service or procedure shall disclose to the enrollee whether that provider to whom the enrollee is being referred is a member of the provider network under the enrollee’s health plan before the enrollee schedules the appointment for that service or procedure.

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