Maine Revised Statutes Title 24-A Sec. 4205 – Powers of health maintenance organizations
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1. The powers of health maintenance organizations include, but are not limited to the following:
A. Subject to such licensure laws or regulations as are applicable, the purchase, lease, construction, renovation, operation or maintenance of hospitals, medical facilities, or both, and their ancillary equipment, and such property as may reasonably be required for its principal office or for such other purposes as may be necessary in the transaction of the business of the organization; [PL 1975, c. 503 (NEW).]
B. The making of loans to a medical group under contract with it in furtherance of its program or the making of loans to a corporation or corporations under its control for the purpose of acquiring or constructing medical facilities and hospitals or in furtherance of a program providing health care services to enrollees; [PL 1975, c. 503 (NEW).]
C. The furnishing of health care services through providers which are under contract with or employed by the health maintenance organization; [PL 1975, c. 503 (NEW).]
D. The contracting with any person for the performance on its behalf of certain functions such as marketing, enrollment and administration; [PL 1975, c. 503 (NEW).]
E. The contracting with an insurance company licensed in this State for the provision of insurance or indemnity or with a nonprofit hospital or medical service organization for reimbursement against the cost of health care services provided by the health maintenance organization; [PL 1975, c. 503 (NEW).]
F. The offering, in addition to basic health care services, of:
(1) Additional health care services;
(2) Indemnity benefits covering out-of-area services;
(3) Indemnity benefits, in addition to those relating to out-of-area services. [PL 1975, c. 503 (NEW).]
[PL 1975, c. 503 (NEW).]
SECTION HISTORY
PL 1975, c. 503 (NEW).
Terms Used In Maine Revised Statutes Title 24-A Sec. 4205
- Basic health care services: means health care services that an enrolled population might reasonably require in order to be maintained in good health and includes, at a minimum, emergency care, inpatient hospital care, inpatient physician services, outpatient physician services, ancillary services such as x-ray services and laboratory services and all benefits mandated by statute and mandated by rule applicable to health maintenance organizations. See Maine Revised Statutes Title 24-A Sec. 4202-A
- Contract: A legal written agreement that becomes binding when signed.
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Health care services: means any services included in the furnishing of medical care, dental care or hospitalization to an individual, or any services incident to the furnishing of that care or hospitalization, as well as the furnishing of any other services to an individual to prevent, alleviate, cure or heal human illness or injury. See Maine Revised Statutes Title 24-A Sec. 4202-A
- Health maintenance organization: means a public or private organization that is organized under the laws of the Federal Government, this State, another state or the District of Columbia or a component of such an organization, and that:
A. See Maine Revised Statutes Title 24-A Sec. 4202-ALease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC Nonprofit hospital or medical service organization: means any organization defined in and authorized to act under Title 24, chapter 19. See Maine Revised Statutes Title 24-A Sec. 4202-A Person: means an individual, firm, partnership, corporation, association, syndicate, organization, society, business trust, attorney-in-fact or any legal entity. See Maine Revised Statutes Title 24-A Sec. 4202-A