MRS Title 22 §1718-D. PROHIBITION ON BALANCE BILLING FOR SURPRISE BILLS

Maine Revised Statutes

Title 22: HEALTH AND WELFARE

Chapter401: GENERAL PROVISIONS

§1718-D. PROHIBITION ON BALANCE BILLING FOR SURPRISE BILLS

(WHOLE SECTION TEXT EFFECTIVE 1/1/18)

1.Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.

A. "Enrollee" has the same meaning as in Title 24-A, section 4301-A, subsection 5. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]

B. "Health plan" has the same meaning as in Title 24-A, section 4301-A, subsection 7. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]

C. "Provider" has the same meaning as in Title 24-A, section 4301-A, subsection 16. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]

D. "Surprise bill" has the same meaning as in Title 24-A, section 4303-C, subsection 1. [2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF).]

2.Prohibition on balance billing. 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.

[ 2017, c. 218, §1 (NEW); 2017, c. 218, §3 (AFF) .]

SECTION HISTORY

2017, c. 218, §1 (NEW). 2017, c. 218, §3 (AFF).

The State of Maine claims a copyright in its codified statutes. If you intend to republish this material, we require that you include the following disclaimer in your publication:

All copyrights and other rights to statutory text are reserved by the State of Maine. The text included in this publication reflects changes made through the First Special Session of the 128th Maine Legislature and is current through November 1, 2017. The text is subject to change without notice. It is a version that has not been officially certified by the Secretary of State. Refer to the Maine Revised Statutes Annotated and supplements for certified text.

The Office of the Revisor of Statutes also requests that you send us one copy of any statutory publication you may produce. Our goal is not to restrict publishing activity, but to keep track of who is publishing what, to identify any needless duplication and to preserve the State's copyright rights.

PLEASE NOTE: The Revisor's Office cannot perform research for or provide legal advice or interpretation of Maine law to the public. If you need legal assistance, please contact a qualified attorney.

Generated 11.3.2017 / | XXX