An Act To Control County Jail and Prison Health Care Expenses Incurred Outside the Facilities LR 0915(02)
Maine Legislature, Session 121, LD 0808
Committee Amendment CA_A_H365 (House)
Amends: 30-A MRSA §1561

COMMITTEE AMENDMENT "P " to H. P • 585, L.D. 
Act To Control County Jail Health Care Expenses" 
808, Bill, "An 
Amend the bill by inserting after the title and before the 
enacting clause the following: 
'Mandate preamble. 
This measure requires one or more local 
units of government to expand or modify activities so as to 
necessitate additional expenditures from local revenues but does 
not provide funding for at least 90' of those expenditures. 
Pursuant to the Constitution of Maine, Article IX, Section 21, 
2/3 of all of the members elected to each House have determined 
it necessary to enact this measure. I 
Further amend the bill by striking out everything after the 
enacting clause and before the summary and inserting in its place 
the following: 
'Sec. 1. 30-A MRSA §1561, sub-§4 is enacted to read: 
4. 
Limitation on reimbursement rate to medical service 
providers for services outside county jail. 
A county may pay to 
a provider of a medical service for a prisoner an amount no 
greater than the reimbursement rate applicable to that provider 
and that service as established by rule of the Department of 
Human Services for the MaineCare program under Title 22. 
This 
limitation 
applies 
to 
all 
medical 
care 
services, 
goods, 
prescription drugs and medications provided to a prisoner outside 
the county jail.' 
Page l-LR0915(2) 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT .~. to H.P. 585, L.D. 808 
SUMMARY 
This amendment clarifies that the reimbursement rate applies 
only to services and medications provided to an inmate outside a 
county jail. 
The 
reimbursement rate does 
not 
apply to 
any 
contracts for services within county jails. 
This amendment also 
adds a mandate preamble. 
FISCAL 'iOTF. HF.QURED 
(See attached) 
COMMITTEE AMENDMENT 
State Mandate 
New or Expanded Activity 
Approved: 04/22/03 frae 
Office of Fiscal and Program Review 
LD808 
An Act To Control County Jail and Prison Health Care Expenses 
Incurred Outside the Facilities 
LR 0915(02) 
Fiscal Note for Bill as Amended by Committee Amendment" " 
Committee: Criminal Justice and Public Safety 
Fiscal Note Required: Yes 
Fiscal Note 
Current costs - State Mandate 
Acquiring and maintaining Mainecare pricing infonnation and 
modifying existing reimbursement systems creates a State mandate 
for the counties. 
Unit Affected 
County 
Costs 
Insignificant 
Fiscal Detail and Notes 
While the bill helps limit county jail and State prison health care costs, limiting the amount paid for medical services 
provided to a prisoner outside a correctional facility to the Mainecare reimbursement rate applicable to that provider 
will impose certain recordkeeping functions on the counties and the Department of Corrections, generating additional 
administrative costs. Any additional costs to the Department of Corrections and the Department of Human Services 
in implementing the provisions of this bill can be absorbed within existing budgeted resources. 
LR0915(2) - Fiscal Note - Page 1 of 1