Maine Code § 22-1721

Prohibition on payment for health care facility mistakes or preventable adverse events
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1. Definitions. As used in this section, unless the context otherwise indicates, the following terms
have the following meanings.
A. "Health care facility" means a hospital or ambulatory surgical center licensed under chapter
405. [PL 2007, c. 605, §1 (NEW).]
B. "Mistake or preventable adverse event" means any of the following events that is within the
health care facility's control to avoid:
(1) Surgery performed on the wrong body part;
(2) Surgery performed on the wrong patient;
(3) The wrong surgical procedure performed on a patient;
(4) Unintended retention of a foreign object in a patient after surgery or another procedure;
(5) Intraoperative or immediately postoperative preventable death of a patient classified as a
normal healthy patient under guidelines published by a national association of
anesthesiologists;

(6) Patient death or serious disability caused by the use of contaminated drugs, devices or
biologics provided by a hospital or ambulatory surgical center;
(7) Patient death or serious disability caused by the use or function of a device in patient care
in which the device is used for functions other than as intended;
(8) Patient death or serious disability caused by an intravascular air embolism that occurs while
being cared for in a health care facility;
(9) An infant's being discharged to the wrong person;
(10) Patient death or serious disability caused by a patient's elopement for more than 4 hours;
(11) Patient suicide or attempted suicide resulting in serious disability while being cared for
in a health care facility;
(12) Patient death or serious disability caused by a medication error such as an error involving
the wrong drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation or
wrong route of administration;
(13) Patient death or serious disability caused by a hemolytic reaction due to the administration
of incompatible blood or blood products;
(14) Maternal death or serious disability caused by labor or delivery in a low-risk pregnancy,
labor and delivery while being cared for in a health care facility;
(15) Patient death or serious disability caused by hypoglycemia, the onset of which occurs
while the patient is being cared for in a health care facility;
(16) Death or serious disability caused by failure to identify and treat hyperbilirubinemia in
neonates prior to discharge;
(17) Stage 3 or 4 pressure ulcers acquired after admission to a health care facility;
(18) Patient death or serious disability due to spinal manipulative therapy;
(19) Patient death or serious disability caused by an electric shock while being cared for in a
health care facility;
(20) Any incident in which a line designated for oxygen or other gas to be delivered to a patient
contains the wrong gas or is contaminated by toxic substances;
(21) Patient death or serious disability caused by a burn incurred from any source while being
cared for in a health care facility;
(22) Patient death caused by a fall by a patient who was or should have been identified as
requiring precautions due to risk of falling while being cared for in a health care facility;
(23) Patient death or serious disability caused by the use of restraints or bedrails while being
cared for in a health care facility;
(24) Any instance of care ordered by or provided by someone impersonating a physician,
nurse, pharmacist or other licensed health care provider;
(25) Abduction of a patient of any age;
(26) Sexual assault of a patient within a health care facility;
(27) Death or significant injury of a patient resulting from a physical assault that occurs within
a health care facility; and
(28) Artificial insemination with the wrong donor sperm or donor egg. [PL 2007, c. 605, §1
(NEW).]
[PL 2007, c. 605, §1 (NEW).]

2. Prohibition. A health care facility is prohibited from knowingly charging a patient or the
patient's insurer or the patient's employer as defined in Title 39-A, section 102, subsection 12 for health
care services it provided as a result of or to correct a mistake or preventable adverse event caused by
that health care facility.
[PL 2009, c. 31, §1 (AMD).]
3. Patient education. A health care facility is required to inform patients of the prohibition on
payment for health care facility mistakes or preventable adverse events.
[PL 2007, c. 605, §1 (NEW).]
REVISOR'S NOTE: §1721. Voluntary restraint (As enacted by PL 2007, c. 629, Pt. C, §1 is
REALLOCATED TO TITLE 22, SECTION 1722)

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