Maine 2023-2024 Regular Session

Maine House Bill LD1708

Introduced
4/18/23  
Refer
4/18/23  
Refer
4/20/23  

Caption

An Act to Address Anticompetitive Terms in Health Insurance Carrier and Health Care Provider Contracts

Impact

This legislation would significantly modify state laws governing health insurance contracts, providing carriers with greater flexibility to structure their networks. By prohibiting anti-competitive contract terms, the bill aims to ensure that carriers can steer patients toward cost-effective and quality providers, thus enhancing competition in the healthcare market. The Attorney General is tasked with monitoring compliance and has the authority to intervene if market conditions suggest that a provider's contract termination could lead to excessive market concentration or adversely affect healthcare costs in a region.

Summary

LD1708, titled 'An Act to Address Anticompetitive Terms in Health Insurance Carrier and Health Care Provider Contracts,' intends to eliminate certain restrictive clauses in contracts between health insurance carriers and healthcare providers. Specifically, it targets provisions such as anti-steering, anti-tiering, and all-or-nothing clauses that may limit a carrier's ability to manage their networks effectively. The goal of the bill is to promote a more competitive healthcare environment and enhance patient access to providers, potentially lowering costs associated with healthcare services.

Sentiment

The general sentiment surrounding LD1708 is mixed, reflecting a balance of support and opposition among stakeholders. Proponents, including certain legislators and healthcare advocates, argue that the elimination of restrictive clauses will empower health plans to offer greater choices to consumers. They believe that fostering competition can drive down costs and improve service quality. Conversely, critics voice concerns that the bill might lead to unintended consequences, such as reduced bargaining power for providers, potentially destabilizing smaller practices and creating access issues in underserved areas.

Contention

Notable points of contention in the discussions regarding LD1708 center around concerns about market dynamics and provider autonomy. Opponents warn that while the intention of the bill is to enhance competition, it could disadvantage healthcare providers, particularly smaller ones, by allowing larger carriers to manipulate contract terms unfavorably. This situation lays bare the tension between promoting consumer choice and maintaining a robust provider network that can adequately serve different populations.

Companion Bills

No companion bills found.

Previously Filed As

ME LD1713

An Act to Prohibit Certain Provisions in Health Care Provider Contracts with Insurance Carriers

ME HB06620

An Act Promoting Competition In Contracts Between Health Carriers And Health Care Providers.

ME SB00983

An Act Limiting Anticompetitive Health Care Practices.

ME SB00416

An Act Promoting Competition In Contracts Between Health Carriers And Health Care Providers.

ME HB2861

Addressing Anti-Competitive Health Care Contract Clauses Act

ME HB3020

Addressing Anti-Competitive Health Care Contract Clauses Act

ME HB1117

Health provider contracts.

ME SB00433

An Act Concerning Standards And Requirements For Health Carriers' Provider Networks And Contracts Between Health Carriers And Participating Providers.

ME LD1785

An Act to Require Health Insurance Carriers to Provide Contact Information for Employees Responsible for Negotiating Health Care Provider Contracts

ME SB00426

An Act Concerning Contracts Between Health Carriers And Health Care Providers, Agents Or Vendors, Participating Provider Directories And Surprise Bills.

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