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ME LD270
Bill
AI Summary
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Authorizes final adoption of Chapter 850: Health Plan Accountability rule from the Bureau of Insurance, contingent on specific amendments being made
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Removes the requirement that written adverse health care treatment decisions include the names and titles of appeal reviewers, replacing it with attestation of reviewers' credentials and confirmation they were not involved in the initial decision
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Requires health insurance carriers to provide enrollees with a named point of contact including address and telephone number to answer questions about adverse decisions
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Applies the same credential attestation and point-of-contact requirements to adverse benefit determinations that do not involve health care treatment decisions (grievance review process)
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Enacted as emergency legislation, taking effect immediately upon the Governor's approval on May 23, 2025
Legislative Description
Resolve, Regarding Legislative Review of Portions of Chapter 850: Health Plan Accountability, a Major Substantive Rule of the Department of Professional and Financial Regulation, Bureau of Insurance
Insurance Bureau
Last Action
FINALLY PASSED - Emergency - 2/3 Elected Required, in concurrence.
5/21/2025