Maine Revised Statutes Title 24-A Sec. 6912 – Subsidies
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Dirigo Health may establish sliding-scale subsidies for the purchase of Dirigo Health Program coverage paid by eligible individuals or employees whose income is under 300% of the federal poverty level. Dirigo Health may also establish sliding-scale subsidies for the purchase of employer-sponsored health coverage paid by employees of businesses with more than 50 employees, whose income is under 300% of the federal poverty level. [PL 2005, c. 400, Pt. A, §7 (AMD).]
1. Administration. Dirigo Health shall, by rule, establish procedures to administer this section.
[PL 2003, c. 469, Pt. A, §8 (NEW).]
Terms Used In Maine Revised Statutes Title 24-A Sec. 6912
- Board: means the Board of Trustees of Dirigo Health, as established in section 6904. See Maine Revised Statutes Title 24-A Sec. 6903
- Dirigo Health Program: means the program of services provided by Dirigo Health that includes comprehensive health benefits coverage, subsidies, wellness programs and quality improvement initiatives. See Maine Revised Statutes Title 24-A Sec. 6903
- Employer: means the owner or responsible agent of a business authorized to sign contracts on behalf of the business. See Maine Revised Statutes Title 24-A Sec. 6903
- in writing: include printing and other modes of making legible words. See Maine Revised Statutes Title 1 Sec. 72
- Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
- Subsidy: means a subsidy as described in section 6912. See Maine Revised Statutes Title 24-A Sec. 6903
2. Eligibility for subsidy. To be eligible for a subsidy an individual or employee must:
A. Be enrolled in the Dirigo Health Program, have an income under 300% of the federal poverty level and be a resident of the State; or [PL 2005, c. 400, Pt. A, §8 (AMD).]
B. Be enrolled in a health plan of an employer with more than 50 employees and have an income under 300% of the federal poverty level. The health plan must meet any criteria established by Dirigo Health. The individual must meet other eligibility criteria established by Dirigo Health. [PL 2005, c. 400, Pt. A, §8 (AMD).]
[PL 2005, c. 400, Pt. A, §8 (AMD).]
3. Limitation of subsidies. Dirigo Health shall limit the availability of subsidies to reflect limitations of available funds.
[PL 2003, c. 469, Pt. A, §8 (NEW).]
4. Limitation on amount subsidized.
[PL 2007, c. 629, Pt. B, §1 (RP).]
5. Notification of subsidy. Dirigo Health shall notify applicants and their employers in writing of their eligibility and approved level of subsidy.
[PL 2003, c. 469, Pt. A, §8 (NEW).]
6. Report. Within 30 days after any subsidies are established pursuant to this section, the board shall report on the amount of the subsidies, the funding required for the subsidies and the estimated number of Dirigo Health Program enrollees eligible for the subsidies and submit the report to the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs, the joint standing committee of the Legislature having jurisdiction over insurance and financial services matters and the joint standing committee of the Legislature having jurisdiction over health and human services matters.
[PL 2005, c. 400, Pt. A, §9 (AMD).]
SECTION HISTORY
PL 2003, c. 469, §A8 (NEW). PL 2005, c. 400, §§A7-9 (AMD). PL 2007, c. 629, Pt. B, §1 (AMD).