An Act To Authorize the State Employee Health Commission's Preferred Provider Program

Sec. 1. 5 MRSA §285, sub-§15  is enacted to read:

summary

This bill authorizes the State Employee Health Commission to develop and implement a preferred provider program, health insurance program or any other program the purpose of which is to rank into tiers health care providers, including hospitals and health care organizations, to determine preferred hospital or health care provider status for the state employee health insurance program and to steer the state employee health insurance program members to be treated by or to consult with certain health care providers, including hospitals and health care organizations, based on cost and quality of health care. The commission is directed to adopt major substantive rules to develop and implement the preferred provider program.