An Act Health Care System and Health Amend' the bill by inserting after the enacting clause and before section 1 the following: Sec. 1. PL 2001, c. 439, Pt. ZZZ, §1, sub-§I, fll'st, is amended to read: 1. Board established. The Health Care System and Heal th Security Board, referred to in this section as the "board, consists of 19 1Q members as follows: Further amend the bill by inserting after section 1 the following: read: Sec. 2. PL 2001, c. 439, Part ZZZ, §1, sub-§I, ,G is amended to G. A representative of each of the following, appointed by the Speaker of the House: (1) A statewide organization that represents Maine senior citizens; (2) A statewide labor organization; (3) A statewide organization of nurses; Page 1-LR0578(2) COMMITTEE AMENDMENT
Maine Legislature, Session 121, LD 0020
Committee Amendment CA_A_H113 (House)

COMMITTEE AMENDMENT "jJ., to 
to Extend the Authority of the 
Security Board" 
H.P. 27, L.D. 20, Bill, "An Act 
Health Care System and Health 
Amend' the bill by inserting after the enacting clause and 
before section 1 the following: 
'Sec. 1. PL 2001, c. 439, Pt. ZZZ, §1, sub-§I, fll'st, is amended to 
read: 
1. 
Board established. 
The Health Care System and Heal th 
Security Board, 
referred to in this section as the "board," 
consists of 19 1Q members as follows:' 
Further amend the bill by inserting after section 1 the 
following: 
read: 
'Sec. 2. PL 2001, c. 439, Part ZZZ, §1, sub-§I, ,G is amended to 
G. 
A representative of each of the following, appointed by 
the Speaker of the House: 
(1) 
A statewide organization that represents Maine 
senior citizens; 
(2) 
A statewide labor organization; 
(3) 
A statewide organization of nurses; 
COMMITTEE AMENDMENT 
.,. 
~ 
COMMITTEE AMENDMENT I~" to H.P. 27, L.D. 20 
(4) 
Large hospitals in the State; 
(5) 
The business community; aRe 
(6) 
An organization representing the self-employed ... 1.. 
~ 
(7) 
The public. I 
Further amend the bill by striking out all of section 3 and 
inserting in its place the following: 
I Sec. 3. PL 2001, c. 439, Pt. ZZZ, §1, sub-§§6 to 9 are amended to 
read: 
6. 
Staff assistance. 
The board may contract with and 
retain staffing and technical assistance from a health policy 
organization. 
Upon approval of the Legislative Council, 
the 
Office 
of 
Policy 
and 
Legal 
Analysis 
msy 
provide 
necessary 
staffing services to the board. 
7. 
Fundinq. 
The board may seek and accept outside funding 
through the public or private sector to advance its work .e.u.d 
support 
its 
activities, 
including, 
but 
not 
limited 
to, 
legislative per diem and reimbursement of members for travel and 
other necessary expenses. costs associated with public hearings, 
printing expenses and postage. 
Funds may 
not be appropriated 
from the General Fund to support any activit3 of the board. 
8. 
Compensation. 
'niese Subject to the availability of 
funds, 
those 
members 
of the board 
who 
are Legislators are 
entitled to receive the legislative per diem as defined in the 
Maine Revised Statutes, Title 3, section 2 and reimbursement for 
travel and other necessary expenses related to their attendance 
at meetings of the board. 
Subject to the availability of funds, 
public members not otherwise compensated b.y their employers or 
other entities whom 
they represent are entitled to 
receive 
reimbursement of necessary expenses and, upon demonstration of 
financial hardship, a per diem equal to the legislative per diem 
for their attendance at meetings of the board. 
9. 
Report. 
. Based on its review, the board shall develop 
recommendations regarding the implementation of a single-payor 
plan to provide health care coverage to all citizens of this 
State and shall submit its final report, together with any 
necessary implementing legislation, ee-~~~~~~-SessieR 
e~-~ae-~~~~~~~~~~~~-kr-aGG6 for presentation to the 
~. ~~-~~-BeaFe-~~~-aR-~~~-e~-~~-ee-~-ies 
COMMITTEE AMENDMENT 
.,. 
~ 
COMMITTEE AMENDMENT .. If, to H.P. 27, L.D. 20 
teFet~T-4~-.may-~~-1;G--~he-be~4iSJ..a~4¥e-'{:-0unc4.J....,--wh-i-Gh--ffiay"-~taB~ 
~he--eK~eBsieBT 
The 
board shall 
submit 
an 
interim 
report, 
together with any implementing legislation, to the First Regular 
Session of the l2lst Legislature by January 15, 
2003. 
Upon 
submission of the· final report, the board may not take further 
action unless further action is authorized by law. 
Sec. 
4. 
Appropriations 
and 
Allocations. 
appropriations and allocations are made. 
LEGISLA'1'ORE 
Health Care System and Health Security Board 
The 
following 
Initiative: 
Provides an allocation of Other Special Revenue· 
funds for expenses of the board if outside sources of funding are 
received for this purpose. 
Other Special Revenue Funds 
Personal Services 
All Other 
Other Special Revenue Funds Total 
2003-04 
$1,925 
$7,700 
$9,625 
2004-05 
$1,375 
$6,000 
$7,375' 
Further amend the 
nonconsecutive 
Part 
consecutively. 
bill by relettering 
letter 
or 
section 
or renumbering any 
number 
to 
read 
SUMMARY 
This amendment is the majority report of the committee. 
It 
allows 
the Health Care 
System and Health Security Board to 
continue its work and submit a final report on November 1, 2004. 
The amendment also adds a 20th member to the board who represents 
the public and is appointed by the Speaker of the House of 
Representatives. 
The amendment also clarifies that legislative 
members 
and 
members 
who 
are 
not 
otherwise 
compensated 
are 
entitled to the legislative per diem or reimbursement of expenses 
if funds are available. 
The amendment also prohibits the board 
from receiving funding from the General Fund for any purpose. 
The amendment· also adds an allocation section to the bill. 
~CALNOTEREQumED 
(See attached) 
COMMITTEE AMENDMENT 
Appropriations! Allocations 
Other Special Revenue Funds 
Revenue 
Other Special Revenue Funds 
Legislative Study 
Approved: 03/26/03 ~ae. 
121stMaine Legislature 
Office of Fiscal and Program Review 
LD20 
An Act to Extend the Authority of the Health Care System and Health 
Security Board 
LR0578(02) 
Fiscal Note for Bill as Amended by Committee Amendment" " 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
2003-04 
$9,625 
$9,625 
2004-05 
$7,375 
$7,375 
Projections 
2005-06 
$0 
$0 
Projections 
2006-07 
$0 
$0 
Allocations of Other Special Revenue funds are required in fiscal year 2003-04 of $9,625 and in fiscal year 2004-05 
of $7,375 to fund the general operating expenses of the board. Although this legislation states that funds may not be 
appropriated from the General Fund to support any activity of the board, if outside funding is not received, the per 
diem and expenses for legislative members will have to be paid out of the G~eral Fund and other expenses will not 
be able to be incurred, including the printing of the required reports. The General Fund costs, without outside 
funding, are expected to be $4,690 in fiscal year 2003-04 and $3,850 in fiscal year 2004-05. The Legislature has 
budgeted $30,000 in fiscal year 2003-04 and $20,000 in fiscal year 2004-05 for legislative studies. Whether the 
amounts are sufficient to fund all the studies will depend on the number of studies authorized by the Legislative 
Council and the Legislature. 
LR0578(2) - Fiscal Note- Page 1 of 1