An Act To Provide Affordable Insurance to Small Businesses and Individuals and To Health Care Costs to H.P. Health Control
Maine Legislature, Session 121, LD 1611
Committee Amendment CA_A-HA_D_H575 (House)

HOUSE 
AMENDMENT ,:V" to COMMITTEE 
AMENDMENT 
"A" 
1187, 
L.D. 
1611, Bill, 
"An Act To Provide Affordable 
Insurance to Small Businesses and Individuals and To 
Health Care Costs" 
to H.P. 
Health 
Control 
Amend the amendment in Part A in section 8 in that part 
designated "§69I0." in subsection 1 in the 3rd line (page 15, 
line 
in 
amendment) 
by 
inserting 
after 
the 
following: 
"Insurance" the following: 
'in one county of the State' 
Further amend the amendment in Part A in section 8 in that 
part designated "§69I0." in subsection 1 in the 3rd line (page 
15, 
line 
in amendment) 
by inserting after the following: 
.,~" the following: 
'After Dirigo Health Insurance has been 
operational 
for 
one 
year, 
the 
board shall 
seek Legislative 
approval for expansion to a statewide basis. ' 
Further amend the amendment in Part A in section 8 in that 
part designated "§69I0." by inserting after subsection 1 
the 
following: 
'I-A. 
Interim rE!ROrt. 
Before the Legislature may approve 
expansion on a statewide basis, the board shall report to the 
joint standing committees of the Legislature having jurisdiction 
over appropriations, insurance and human resources matyers on the 
impact of Dirigo Health Insurance on access, cost and quality of 
health coverage on individuals and small businesses.' 
Further amend the amendment by striking out all of Part H 
and inserting in its place the following: 
Page l-LR2137(5) 
HOUSE AMENDMENT 
• 
~ 
HOUSE AMENDMENT <J/" to COMMITTEE 
AMENDMENT 
"A" to H.P. 1187, 
L.D. 1611 
'PARTH 
Sec. H·l. Transfer. 
Notwithstanding any other 
prov~s~on of 
law, the State Controller shall transfer $10,600,000 from the 
unappropriated surplus of the General Fund to the Dirigo Health 
Fund in a 
manner to be determined in consultation with the 
Executive Director of Dirigo Health but in no case later than 
June 30, 2004. 
Sec. 
H·2. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
The 
following 
DIRlGO HEALTH 
Dirigo Health Fund 
9999 
Ini tiati ve: 
Allocates funds for a one-county, one-year Dir igo 
Health Plan pilot. 
Other Special Revenue Funds 
Unallocated 
Other Special Revenue Funds Total 
DIRlGO HEALTH 
DEP.AR"..r.IIEIr.r '1'OTALS 
OTHER SPECIAL REVENUE FORDS 
DEPAR'lMERT "l"O'rAL -
ALL FUBDS 
BUMAH SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 
0147 
2003-04 
2004-05 
$270,000 
$15,308,201 
$270,000 
$15,308,201 
2003-04 
2004-05 
$270,000 
$15,308,201 
$270,000 
$15,308,201 
Initiative: 
Allocates funds for a one-county, one-year Dirigo 
Health Plan pilot. 
Federal Ezpenditures Fund 
All Other 
Federal Expenditures Fund Total 
Other Special Revenue Funds 
All Other 
Other Special Revenue Funds Total 
BUMAH SERVICES, DEPAR"l"MENT OF 
DEPARTMENT '1'OTALS 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
2003-04 
2004-05 
$9,303,253 
$9,303,253 
2004-05 
$4,790,449 
$4,790,449 
2004-05 
HOUSE AMENDMENT 
~ 
~' 
HOUSE AMENDMENT ""p" to COMMITTEE 
AMENDMENT "A" to H.P. 1187, 
L.D. 1611 
FEDERAL EXPENDITURES FOND 
0'.rBER SPECIAL REVENUE FONDS 
DEPARTMENT ".lU.lAL -
ALL FDRDS 
SECTION rorALS 
FEDERAL EXPENDITURES FOND 
OTBER SPECIAL REVENUE FONDS 
SECTION rorAL -
ALL FDRDS 
SUMMARY 
$0 
$0 
2003-04 
$0 
270,000 
$270,000 
$9,303,253 
4,790,449 
$14,093,702 
2004-05 
$9,303,253 
20,098,651 
$29,401,903' 
This amendment provides that the Dirigo Health Insurance 
program will exist in only one county for its first year of 
operation. 
In order for the program to expand to a statewide 
program, the Board of Directors of Dirigo Health must report to 
the Legislature and receive its approval for expansion. 
The 
amendment 
replaces 
the 
fiscal 
information of 
the 
committee 
amendment. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED BY: ~~~'I 
(Representative CURLEY) 
~ 
TOWN: 
Scarborough 
HOUSE AMENDMENT 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Transfers 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Approved: 06/12/03 ~ac 
Office of Fiscal and Program Review 
LD 1611 
An Act To Provide Affordable Health Insurance to Small Businesses and 
Individuals and To Control Health Care Costs 
LR2137(05) 
Fiscal Note for House Amendment" " to Committee Amendment" " 
Sponsor: Rep. Curley 
Fiscal Note Required: Yes 
Fiscal Note 
2003-04 
2004-05 
($42,400,000) 
$0 
$0 
($37,213,010) 
($1,080,000) 
($80,394,602) 
$0 
($37,213,010) 
$0 
($49,965,984) 
$42,409,000 
$0 
($42,400,000) 
$0 
Projections 
2005-06 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
Projections 
2006-07 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
Limiting the Dirigo Health to one county in its fIrst year of operation is assumed to save at least 80% of the costs of 
the plan in year one. The impact in future years will depend on the report and subsequent decision by the Legislature 
and cannot be determined at this time. 
LR2137(5) - Fiscal Note - Page 1 of 1