Acts and Regulations

M-7 - Medical Services Payment Act

Section 2
Disposition versions

Full text
Medical services plan
2(1)The provincial authority shall take such action as is necessary
(a) to establish a medical services plan
(i) that is subject in respect of its accounts and financial transactions to audit by such person as is charged by law with the audit of the accounts of the Province,
(ii) that provides payment for the furnishing of entitled services upon uniform terms and conditions to all beneficiaries in the Province,
(iii) that does not impose a waiting period in excess of three months before persons who become residents of the Province are eligible for entitled services,
(iii.1) that provides for the payment of amounts in respect of the cost of entitled services furnished to a non-resident in the Province, in accordance with an agreement entered into under section 2.1,
(iv) that provides for the payment of amounts in respect of the cost of entitled services furnished to a beneficiary outside the Province or while temporarily absent from the Province, and
(v) that, in the case of persons who move from this Province to become residents of another province, provides for such persons to be deemed to be temporarily absent for any period not exceeding three months that is required to obtain medical care insurance coverage in that other province; and
(b) to establish a division within the Department of Health to administer and operate the medical services plan.
2(2)Notwithstanding subparagraph (1)(a)(iv), the medical services plan shall not provide payments of amounts in respect of the cost of entitled services provided to a beneficiary outside Canada unless the services
(a) are rendered in an emergency, or
(b) are not available in Canada and the provincial authority has authorized the payment.
2(3)Notwithstanding subsection (2), the medical services plan may pay amounts in respect of entitled services furnished to a beneficiary outside Canada if the provincial authority considers it reasonable and appropriate in the circumstances and authorizes the payment.
2(4)Notwithstanding subsection (2), the provincial authority may enter into an agreement with medical facilities in the State of Maine to provide entitled services to beneficiaries who reside in a prescribed geographic area within New Brunswick, and the medical services plan may provide payments of amounts in respect of entitled services furnished to those beneficiaries at those medical facilities at the rate negotiated by the provincial authority.
1968, c.85, s.2; 1971, c.31, s.1; 1986, c.8, s.72; 1988, c.22, s.2; 1997, c.20, s.1; 2000, c.26, s.186; 2003, c.20, s.2; 2006, c.16, s.107
Medical services plan
2(1)The provincial authority shall take such action as is necessary
(a) to establish a medical services plan
(i) that is subject in respect of its accounts and financial transactions to audit by such person as is charged by law with the audit of the accounts of the Province,
(ii) that provides payment for the furnishing of entitled services upon uniform terms and conditions to all beneficiaries in the Province,
(iii) that does not impose a waiting period in excess of three months before persons who become residents of the Province are eligible for entitled services,
(iii.1) that provides for the payment of amounts in respect of the cost of entitled services furnished to a non-resident in the Province, in accordance with an agreement entered into under section 2.1,
(iv) that provides for the payment of amounts in respect of the cost of entitled services furnished to a beneficiary outside the Province or while temporarily absent from the Province, and
(v) that, in the case of persons who move from this Province to become residents of another province, provides for such persons to be deemed to be temporarily absent for any period not exceeding three months that is required to obtain medical care insurance coverage in that other province; and
(b) to establish a division within the Department of Health to administer and operate the medical services plan.
2(2)Notwithstanding subparagraph (1)(a)(iv), the medical services plan shall not provide payments of amounts in respect of the cost of entitled services provided to a beneficiary outside Canada unless the services
(a) are rendered in an emergency, or
(b) are not available in Canada and the provincial authority has authorized the payment.
2(3)Notwithstanding subsection (2), the medical services plan may pay amounts in respect of entitled services furnished to a beneficiary outside Canada if the provincial authority considers it reasonable and appropriate in the circumstances and authorizes the payment.
2(4)Notwithstanding subsection (2), the provincial authority may enter into an agreement with medical facilities in the State of Maine to provide entitled services to beneficiaries who reside in a prescribed geographic area within New Brunswick, and the medical services plan may provide payments of amounts in respect of entitled services furnished to those beneficiaries at those medical facilities at the rate negotiated by the provincial authority.
1968, c.85, s.2; 1971, c.31, s.1; 1986, c.8, s.72; 1988, c.22, s.2; 1997, c.20, s.1; 2000, c.26, s.186; 2003, c.20, s.2; 2006, c.16, s.107