An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State Government and to Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2004 and June 30,2005 LR2833(05)
Maine Legislature, Session 121, LD 1919
Committee Amendment CA_A-HA_Y_H951 (House)
Amends: 36 MRSA §4062, 5 MRSA §285, 22 MRSA §3174-D, 22 MRSA §3174-V, 24-A MRSA §6902, 24-A MRSA §6903, 24-A MRSA §6908, 24-A MRSA §6910, 24 MRSA §2327, 24-A MRSA §2736, 24-A MRSA §2736-A, 24-A MRSA §2736-C, 24-A MRSA §2, 22 MRSA §3, 22 MRSA §8711, 24 MRSA §2317-B, 24 MRSA §2318, 24 MRSA §2318-A, 24 MRSA §2319, 24 MRSA §2320, 24 MRSA §2320-A, 24 MRSA §2320-B, 24 MRSA §2320-C, 24 MRSA §2320-D, 24 MRSA §2320-E, 24 MRSA §2324, 24 MRSA §2325-A, 24 MRSA §2325-C, 24 MRSA §2329, 24 MRSA §2331, 24 MRSA §2332-B, 24 MRSA §2332-G, 24 MRSA §2332-J, 24 MRSA §2332-L, 24 MRSA §2332-M, 24-A MRSA §2741, 24-A MRSA §2741-A, 24-A MRSA §2742, 24-A MRSA §2743-A, 24-A MRSA §2745-B, 24-A MRSA §2832, 24-A MRSA §2832-A, 24-A MRSA §2833, 24-A MRSA §2834, 24-A MRSA §2834-A, 24-A MRSA §2835, 24-A MRSA §2837, 24-A MRSA §2837-B, 24-A MRSA §2837-C, 24-A MRSA §2837-D, 24-A MRSA §2837-E, 24-A MRSA §2837-F, 24-A MRSA §2837-G, 24-A MRSA §2837-H, 24-A MRSA §2840-A, 24-A MRSA §2842, 24-A MRSA §2845, 24-A MRSA §2846, 24-A MRSA §2847-E, 24-A MRSA §2847-F, 24-A MRSA §2847-G, 24-A MRSA §2847-H, 24-A MRSA §2847-I, 24-A MRSA §2847-J, 24-A MRSA §2847-K, 24-A MRSA §4222-B, 24-A MRSA §4229, 24-A MRSA §4234, 24-A MRSA §4234-B, 24-A MRSA §4249, 24-A MRSA §4250, 24-A MRSA §4310, 24-A MRSA §4315, 36 MRSA §6201-A, 36 MRSA §6207, 36 MRSA §6209, 36 MRSA §6210, 36 MRSA §6218, 36 MRSA §6219, 36 MRSA §6220, 30-A MRSA §5681, 36 MRSA §683, 36 MRSA §5122, 36 MRSA §5218, 36 MRSA §5219-S, 24-A MRSA §2808-B, 24-A MRSA §6951

HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
1420, 
L.D. 
1919, 
Bill, 
"An 
Act 
To 
Make 
Supplemental 
Appropriations 
and Allocations for 
the Expenditures of State 
Government and To Change Certain Provisions of the Law Necessary 
to the Proper Operations of State Government for the Fiscal Years 
Ending June 30, 2004 and June 30, 2005" 
Amend the amendment in Part D by striking out all of section 
(page 107, lines 1 to 17 in amendment) and inserting in its 
place the following: 
'Sec. D-l. 36 MRSA §4062, sub-§l-A.1fA-l is enacted to read: 
A-I. 
For the estates of decedents dying on or after January 
L 
2005, "federal credit" means the maximum credit for state 
death taxes determined under the Code, Section 2011 as of 
December 31, 2002 exclusive of: the reduction of the maximum 
credit contained in the Code, Section 20l1(b)(2); the Eeriod 
of limitations under the Code, 
Section 2011(c); 
and the 
termination 
Erov~s~on 
contained 
in 
the 
Code, 
Section 
2011(0. 
The adjusted taxable estate is to be determined 
using the aEPlicable section of the Code as of the date of 
the 
decedent's 
death, 
except ,that the state death 
tax 
deduction contained in the Code, 
Section 
2058 is to be 
disregarded. 
The unified credit is the apElicable credit 
amount 
determined 
under 
the 
Code, 
Section 
2010 
as 
of 
December 31, 2003.' 
Further amend the amendment in Part BB by striking out all 
of section 3 (page 175, lines 36 to 40 in amendment) 
Page l-LR2833(5) 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
"y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
Further amend the amendment by striking out all of Parts 00 
and PP. 
Further amend the amendment in Part UU by striking out all 
of sections 2 to 4 (page 210, lines 31 to 50 and page 211, lines 
to 14 in amendment) 
Further amend the amendment in Part MMM in section 1 in that 
part designated "§3174-FF." in subsection 3 by striking out all 
of paragraph C (page 
241, 
lines 46 
to 49 in amendment) 
and 
inserting in its place the following: 
'C. 
A 
member 
is 
eligible 
for 
psychological 
services 
benefits for individual and group counseling.' 
Further amend the amendment in Part MMM in section 1 in that 
part designated "§3174-FF." in subsection 3 by striking out all 
of paragraph F 
(page 
242, 
lines 
to 51 in amendment) 
and 
inserting in its place the following: 
'F. 
A member is eligible for benefits for chiropractic 
services provided by a chiropractor licensed under Title 32.' 
Further amend the amendment by inserting after Part EEEE and 
before the emergency clause the following: 
'PART FFFF 
Sec. FFFF-l. 5 MRSA §285, sub-§2, as amended by PL 1991, c. 
780, Pt. Y, §23, is further amended to read: 
2. 
Coverage. 
Each supplemental state employee to whom this 
section applies is eligible for a group health plan as provided 
in Title. 24-11., 
sections 2802 to 
28l2T--i-na-1-ud-i-ng--ma3~--RleQ3,ea± 
BeBe~:i:t;s or through a self-funded a.l ternative. 
The provisions of 
the 
group 
insurance 
policy 
or 
policies 
or 
the 
self-funded 
alternative must be determined, insofar as the provisions are not 
inconsistent with terms and conditions contained in collective 
bargaining agreements negotiated pursuant to Title 26, chapter 
9-B, 
by the State Employee Health Commission as provided in 
section 285-11.. 
The master pOlicy for the group health plan must 
be held by the Commissioner 
of 
Administrative 
and Financial 
Services. 
Sec. FFFF-2. 5 MRSA §285. sub-§2-A is enacted to read: 
2-A. 
Primary group health coverage. 
Each state employee 
and retiree to whom this section applies is eligible and shall 
receive 
primary group health 
coverage 
through Dirigo 
Health 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
"y .. to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
Insurance as provided in Title 24 A, chapter 87. 
Notwithstanding 
any other provision of this section, coverage for state employees 
and retirees under this subsection must be financed through the 
Dirigo Health Fund pursuant to Title 24-A, section 6915. 
Sec. FFFF-3. 5 MRSA §285, sub-§7-A is enacted to read: 
7-A. 
Health savings accounts. 
The State shall establish a 
health savings accou~as authorized under federal law for each 
eligible employee and retiree. 
The State may contribute funds to 
health 
saving~ounts, insofar 
as 
the 
provisions 
are 
not 
inconsistent with terms and conditions contained in collective 
bargaining agreements negotiated pursuant to Title 26, chapter 
9-B. 
For each eli~le retiree who is participating in the group 
health plan on the effective date of this subsection. the State 
shall make a one-time contribution of $1.000 to a health savings 
account. 
Sec. FFFF-4. 22 MRSA §3174-DD, as enacted by PL 2003, c. 
469, Pt. A, §6, is amended to read: 
§3174-DD. 
Dirigo Health coverage 
The department may 
~l],_aJ.Jo contract with one or more health 
insurance 
carriers 
to 
purchase 
Dirigo 
Health 
Insurance 
for 
MaineCare members 
whe--se.e-*---t.~-eR~e,1,1--1;h.~--t.-bEH.~--em~,1eyei=s 
pHFsHaR~-~e-~~-t.~~-~r-see~iea-e91gT-~~~~~~~r-pa~~~~h-g. 
A MaineCare member who enrolls in a Dirigo Health Insurance plan 
as-a-~-~-~~~~~-~FeQP receives full MaineCare benefits 
through Dirigo Health Insurance. 
The benefits are delivered 
through the empJ:eyeF-aase€l.--hea-1-t-b--pJ:aH Dir igo Health Insurance, 
subject to nominal cost sharing as permitted by 42 United States 
Code, Section 13960(2003) and additional coverage provided under 
contract by the department. 
Sec. FFFF-5. 22 MRSA §3174-V, sub-§2, as amended by. PL 2003, 
c. 469, Pt. A, §7, is further amended to read: 
2. 
Contracted services. 
When a federally qualified health 
center 
otherwise 
meeting 
the 
requirements 
of 
subsection 
contracts with a-H1aHa~eQ-eaFe-pJ:aH-eF Dirigo Health Insurance for 
the 
provision 
of 
MaineCare 
services, 
the 
department 
shall 
reimburse that center the difference between the payment received 
by the 
center 
from 
~he--H1aHa~e€l.--eaFe--pJ,aH--eF Dirigo Health 
Insurance and 100'loo of the reasonable cost, reduced by the total 
copayments 
for 
which 
members 
are 
responsible, 
incurred 
in 
providing services within the scope of service approved by the 
federal 
Health 
Resources 
and 
Services 
Administration 
or 
the 
commissioner. 
Any 
such 
H1aHa~eQ--eaFe contract 
must 
provide 
payments for the services of a center that are not less than the 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "t" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
1420, 
L.D. 1919 
level and amount of payment that sRe-ma£~~~~~~a-e~ Dirigo 
Heal th Insurance would make for services provided by an entity 
not defined as a federally qualified health center. 
Sec. FFFF -6. 24-A MRSA §6902, as enac ted by PL 2003, c. 469, 
Pt. A, §8, is amended to read: 
§6902. Diriqo Health established; declaration necessity 
Dirigo Health is established as 
an independent executive 
agency to arrange for the provision of comprehensive, affordable 
health care coverage to eligible 
small-~-€rY-e-£-6'7--ine-~ing--s.Re 
sel~-empleyeaT-~hei£-~~€e-6-~~~r~aG-~aa~¥~a~a*&-ea 
a-vel~B~a~y-9asis residents of this State. 
Dirigo Health is also 
responsible for monitoring and improving the quality of health 
care in this State. 
The exercise by Dirigo Health of the powers 
conferred by this chapter must be deemed and held to be the 
performance of essential governmental functions. 
Sec. FFFF-7. 24-A MRS A §6903, sub-§§5, 6 and 7, as enacted by 
PL 2003, c. 469, Pt. A, §8, are repealed. 
Sec. FFFF-8. 24-A MRSA §6903, sub-§7-A is enacted to read: 
7-A. 
Eligible individual. 
"Eligible indiyidual" means an 
individual who is a resident of this State. 
Sec. FFFF-9. 24-A MRSA §6903, sub-§§8 and 12, as enacted by PL 
2003, c. 469, Pt. A, §8, are repealed. 
Sec. FFFF-I0. 24-A MRSA §6903, sub-§13, as enacted by PL 
2003, c. 469, Pt. A, §8, is amended to read: 
13". 
Plan 
enrollee. 
"Plan enrollee" 
means 
an 
eligible 
individual 
e~-~*~~i91e-~pleyee who enrolls in Dirigo Health 
Insurance through Dirigo Health. 
"Plan enrollee" includes an 
eligible 
empleyee 
individual 
who 
is 
eligible 
to 
enroll 
in 
MaineCare and an eligible state employee and retiree pursuant to 
Title 5, section 285. 
Sec. FFFF-l1. 24-A MRS A §6903, sub-§19, as enacted by 
PL 
2003, c. 469, Pt. A, §8, is repealed. 
Sec. FFFF-12. 24-A MRSA §6908, sub-§I, ,A, as enacted by PL 
2003, c. 469, Pt. A, §8, is amended to read: 
A. 
Take any legal actions necessary or proper ~e-~eeeye~-et 
eellee~--&iW-i-ng-s--e.f.ft5e~-~yme-a~s--4le---~~~~l§Je--HeaJ...t.-h--e~ that 
are necessary for the proper administration of Dirigo Health; 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y" to COMMITTEE 
AMENDMENT "A" to H.P. l420, 
L.D. 1919 
Sec. FFFF-13. 24-A MRSA §6908, sub-§2, 1fB, as enacted by PL 
2003, c. 469, Pt. A, §8, is repealed. 
Sec. FFFF-14. 24-A MRSA §6908, sub-§2, 1fE, as enacted by PL 
2003, c. 469, Pt. A, §8, is amended to read: 
E. 
Arrange the provision of Dirigo Health Insurance benefit 
coverage to eligible individuals 
a:eEi-~..,i-9"i-b-1-e--emfl"l-ei'ees~ 
eligible 
state 
employees 
and 
retirees 
and 
to 
eligible 
MaineCare 
members 
through 
contracts 
with 
one 
or 
more 
qualified bidders; 
Sec. FFFF·15. 24·A MRSA §6910, sub-§l, as enacted by PL 2003, 
c. 469, Pt. A, §8, is amended to read: 
1. 
Dirigo Health Insurance. 
Dirigo Health shall arrange 
for the 
prov~s~on of health benefits coverage 
through Dirigo 
Health Insurance not later than ge~ebe~-lT-~QQ4 January 1, 2005. 
Dirigo 
Health 
Insurance 
must 
comply 
with 
all 
relevant 
requirements of this Title. 
Dirigo Health Insurance may 
be 
offered by health insurance carriers that apply to the board and 
meet qualifications described in this section and any additional 
qualifications set by the board. 
Sec. FFFF-16. 24-A MRSA §6910. sub-§3, 1fA, as enacted by PL 
2003, c. 469, Pt. A, §8, is amended to read: 
A. 
Provide the comprehensive health services and benefits 
as determined by the board, including a 
standard benefit 
package that 
lIIee~6--t-h&--Fe~\I..,i-Femeil-t.6--:fG.~--mandat.-ed--eeveFa~e 
~eF--&fl"ee1~1e-~~~-~~~,-~~..,i~-e~6ea6e6--aBEi--~eF 
eeF~ai:e-F-FeviEie-F6-~~-~~~~~i~~--~~&~-b4-a:ee-~Bis 
~i~le is 
compatible 
with 
an 
individual 
health 
savings 
account as authorized under federal law and any supplemental 
benefits the board wishes to make available; and 
Sec. FFFF-17. 24·A MRS A §6910, sub-§4, 1fA, as enacted by PL 
2003, c. 469, Pt. A, §8, is amended to read: 
A. 
Dirigo 
Health 
may 
contract 
with 
health 
insurance 
carriers licensed to sell health insurance in this State or 
other private or public 
~B.iFe-fl"aF~i' 3rd-party administrators 
to provide Dirigo Health Insurance. 
In addition: 
0) 
Dirigo Health shall issue requests for proposals 
from health insurance carriers; 
(2) 
Dirigo Health may 
include quality improvement, 
disease 
prevention, 
disease 
management 
and 
cost-containment 
provisions 
in 
the 
contracts 
with 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. i.. to COMMITTEE 
AMENDMENT 
.. A" to H. P . 
2 0, 
L.D. 1919 
by 
participating health insurance carriers or may arrange 
for the provision of such services through contracts 
with other entities; 
f~+--~~~~-Hea~~h-~~~-~e~~~~e-~~-~~-~-heal~b 
iBs~~aBee-€a~~~e~6-~~~~~-~~~~-~~~-1Qea~iea±-~e 
9i~~~e-~1t~-~~~--!e~--waiea-~-~~~~-Healtb 
s~Bsiaies-~~-~~~~--~B--~ae-~~~-~mad~--~~e~p 
R'laFlf:e~t 
(4) 
Dirigo Health shall make payments to participating 
health 
insurance 
carriers 
under 
a 
Dirigo 
Health 
Insurance contract to provide Dirigo Health Insurance 
benefits to plan enrollees not enrolled in MaineCare; 
(5) 
Dirigo 
Health 
may 
set 
allowable 
rates 
for 
administration and underwriting gains for Dirigo Health 
Insurance; 
~9+--g~~~~e-~~~~~~~~-e&~~1a~a~~a-BeBe~i~s 
EeF-e~~~~B~e-~£e4¥4e~a~£-~~~~1~~~it~-~-er-R'le~e 
eR'lpleyees-~~~-p~~ebaseQ-~~~-~~-eeveFa~e 
ebFe~~b--~~~~-~1t~--~&r--~be--~~~~-~~--tbei~ 
eli~iBility-~~~-~r-€eB~4B~a~4eB-~-it~-p~Fs~aat 
ee----~a&----f~~~---~~~~~---Qffia4~~£----Q~a~et 
ReeeBeiliatieB-A€~7-~~~€-~~~r-~i&~-Xr-PFivate 
Healtb-IBs~~aBee-beveFa~eT-See~ieAs-1QQQl-~e-1QQQ~T-aAa 
(7) 
Dirigo 
Health 
may 
administer 
or 
contract 
to 
administer the United States Internal Revenue Code of 
1986, Section 125 plans for 
eRlpleyer&-~-emp~eyees 
individuals participating in Dirigo Health, including 
medical expense 
reimbursement accounts 
and dependent 
care reimbursement accounts T ; 
and 
(8) 
Dirigo Health shall administer or contract to 
administer 
individual 
health 
savings 
accounts 
for 
individuals participating in Dirigo Health. 
Sec. FFFF·18. 24·A MRSA §6910, sub·§4, "B and C, as enacted 
PL 2003, c. 469, Pt. A, §8, are repealed. 
Sec. FFFF·19. 24·A MRSA §6910, sub·§4"D is enacted to read: 
D. 
Dirigo 
Health 
may 
not 
establish 
an 
out-of-pocket 
maximum, including deductibles, copayments and coinsurance, 
that exceeds 10% of an individual's adjusted gross income. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. r" to COMMITTEE AMENDMENT 
.. A" 
to H. P . 
2 0, 
L.D. 1919 
Sec. FFFF·20. 24·A MRSA §6910~ sub·§5, 1l1lA and B, as enacted 
by PL 2003, c. 469, Pt. A, §8, are amended to read: 
A. 
Dirigo Health shall publicize the availability of Dirigo 
Health Insurance to 
b~siHeSSeS7--Se±E-emp±eyea individuals 
aRa-eEae~s eligible to enroll in Dirigo Health Insurance. 
B. 
Dirigo Health shall screen all eligible individuals aHa 
empleyees for eligibility for 
s\:lbsi-ai-es-~--&e-e-t;-iGn--e9±~ 
aRa-eJi~ibiliEY enrollee hardship funds under section 69l2-A 
for MaineCare. 
To facilitate the screening and referral 
process, Dirigo Health shall provide a single application 
form 
for 
Dirigo 
Health 
and MaineCare. 
The 
application 
materials must 
inform applicants 
of 
subsidies 
available 
through 
Dirigo 
Health 
and 
of 
the 
additional 
coverage 
available through MaineCare. 
It must allow an applicant to 
choose on the application form to apply or not to apply for 
MaineCare or for 
a-5~B6iay enrollee hardship funds. It must 
allow 
an 
applicant 
to 
provide 
household 
financial 
information necessary to determine eligibility for MaineCare 
or 
a--s\:lbsiay enrollee hardship funds. 
Except 
when 
the 
applicant has declined to apply for MaineCare or a--s-QB-siay 
enrollee hardship funds, an application must be treated as 
an application for Dirigo Health, for 
a--&1:.l-b-si-ay enrollee 
hardship funds and for MaineCare. 
MaineCare must make the 
final determination of eligibility for MaineCare. 
Sec. FFFF·21. 24·A MRSA §6910, sub·§7 is enacted to read: 
7. 
Coordination 
with 
Medicaid. 
Dirigo 
Health 
shall 
maximize the use of federal funds available through the Medicaid 
program 
to 
provide 
health care 
coverage 
to all 
individuals 
enrolled in Dirigo Health Insurance who 
are or could become 
eligible for Medicaid pursuant to 42 United States Code, Section 
1396a( r)( 2), 1396u-l or 1397bb. 
For enrollees and dependents 
eligible for Medicaid, health serv.ices provided by Medicaid must 
continue to be provided in coordination with health services 
covered under Dirigo Health Insurance. 
The Department of Human 
Services shall apply for any necessary federal Medicaid waivers 
to provide health care coverage through Dirigo Health Insurance 
under this section. 
Sec. FFFF·22. 24·A MRSA §6912, as enacted by PL 
2003, 
c. 
469, Pt. A, §s, is repealed. 
Sec. FFFF·23. 24·A MRSA §6912·A is enacted to read: 
§6912-A. 
Enrollee Hardship Fund 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
l420, 
L.D. 1919 
Dirigo Health may establish an Enrollee Hardship Fund to 
provide financial assistance to eligible individuals for whom the 
payment 
of 
the 
out of-pocket 
maximum, 
including 
required 
deductibles, copayments and coinsurance, is a hardship based on 
income. 
Dirigo Health shall adopt rules for income eligibility 
of eligible individuals, the amount of the financial assistance 
available and the application process for individuals. 
Sec. FFFF-24. 24-A MRS A §6913, as enacted by PL 2003, c. 
469, Pt. A, §8, is repealed. 
Sec. FFFF-25. 24-A MRSA §§6914 and 6915, as enacted by PL 
2003, c. 469, Pt. A, §8, are amended to read: 
§69l4. Intraqovernmental transfer 
Starting July 1, 2004, Dirigo Health shall transfer funds, 
as necessary, to a special dedicated, nonlapsing revenue account 
administered by the agency of State Government that administers 
MaineCare for the purpose of providing a state match for federal 
Medicaid dollars. Dirigo Health shall annually set the amount of 
contribution. 
~he-~~~~~-~-~~-iael~ee-m&aey-~~~~-a&-a 
savia~s-paymeat-e~~set-p~Fs~aat-t9-seetiea-991dT 
§6915. Diriqo Health Fund 
The Dirigo Health Fund is created as to finance coverage 
under Dirigo Health. 
The 
fund is a 
dedicated fund for the 
deposit of any funds advanced for initial operating expenses, 
payments made by employers and individuals, any 
sav4B~6--e-~~&et 
paymeats-.maQe.--pa-F-&aa-&t,.-~e--5eGt;-ion--e91d funds received from the 
State Tax Assessor pursuant to Title 36, section 2831 and any 
funds received from any public or private source. 
The fund may 
not lapse, but must be carried forward to carry out the purposes 
of this chapter. 
Expenditures from the fund are authorized for 
payments to participating carriers for Dirigo Health Insurance, 
payments for the administration of Dirigo Heal th and payments 
from the Enrollee Hardship Fund created under section 6912-A. 
Sec. FFFF-26. 36 MRSA c. 370-A is enacted to read: 
CHAPTER 370-A 
INDIVIDUAL HEALTH ASSESSMENT 
§2831. 
Assessment on wages and earnings 
1. Assessment levied. 
Beginning January 
L 
2005, 
every 
resident 
individual 
in 
this 
State, 
and 
every 
nonresident 
individual subject to Maine 
income tax liability under this 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "'(,, to COMMITTEE 
AMENDMENT 
" A" 
L.D. 1919 
to H.P. 1420, 
Title, 
shall pay 
an assessment of 
5% 
on that individual's 
adjusted gross income up to $150,000 and an assessment of 1% on 
that portion of adjusted gross income that exceeds $150,000. 
2. P~nt of assessment; returns. 
Every individual subject 
to the assessment imposed by this section shall, on or before 
Apr il 15th, file with the assessor on forms prescribed by the 
assessor a return for the prior calendar year. 
At the time of 
filing such a return, each individual shall pay to the assessor 
the amount of assessment shown due. 
3. 
Dirigo 
Health 
FunQ. 
The 
assessor 
shall 
pay 
collected 
under 
this 
section 
to 
the 
Dirigo 
Health 
taxes 
Fund 
established in Title 24-A, section 6915. 
Sec. FFFF-27. 
Calculation and transfer; Dirigo Health Fund. 
Notwithstanding any other provision of law, 
the State Budget 
Officer shall calculate the amount of savings in section 2 that 
applies against each General Fund account for all departments and 
agencies 
from 
savings 
realized as 
a 
result 
of 
transferring 
responsibility for funding the state costs of the state employee 
heal th 
plan 
and 
the 
MaineCare 
program 
from 
General 
Fund 
appropriations to Other Special Revenue funds transferred from 
the Dirigo Health Fund. 
The State Budget Officer shall transfer 
the calculated amounts by financial order upon the approval of 
the 
Governor. 
These transfers are considered adjustments 
to 
appropriations in fiscal year 2004-05. 
The State Budget Officer 
shall provide the joint standing committee of the Legislature 
having jurisdiction over appropriations and financial affairs a 
report of the transferred amounts and the Other Special Revenue 
funds received as a result of these efforts no later than January 
15, 2005. 
Sec. FFFF -28. Appropriations and allocations. 
appropriations and allocations are made. 
ADMINISTRATIVE AND FINANCIAL 
SERVICES, DEPARTMENT OF 
Departments and Agencies - Statewide 
0016 
The 
following 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the state employee health plan in the Dirigo Health 
Fund. 
General Fund 
All Other 
General Fund Total 
HOUSE 
2003-04 
2004-05 
$0 
($28,584,063) 
$0 
($28,584,063) 
AMENDMENT 
HOUSE 
AMENDMENT "i .. 
to COMMITTEE 
AMENDMENT 
"A" to H.P. 
L.D. 1919 
1420, 
Other Special Revenue Funds 
All Other 
Other Special Revenue Funds Total 
2003-04 
$0 
$0 
2004-05 
$28,584,063 
$28,584,063 
ADMINISTRATIVE AND FINANCIAL 
SERVICES, DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
BEHAVIORAL AND DEVEWPMENTAL 
2003-04 
2004-05 
$0 
($28,584,063) 
o 
28,584,063 
$0 
$0 
SERVICES, DEPARTMENT OF 
Medicaid Services - Mental Retardation 0705 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
All Other 
General Fund Total 
Other Special Revenue Funds 
All Other 
Other Special Revenue Funds Total 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
Mental Health Services - Child Medicaid 
0731 
2004-05 
($7,892,207) 
($7,892,207) 
2004-05 
$7,892,207 
$7,892,207 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in ,the Dirigo Health Fund. 
General Fund 
All Other 
General Fund Total 
Other Special Revenue Funds 
All Other 
Other Special Revenue Funds Total 
2003-04 
$0 
2004-05 
($14,877,953) 
$0 
($14,877,953) 
2003-04 
$0 
$0 
2004-05 
$14,877,953 
$14,877,953 
Mental Health Services -
Community Medicaid 0732 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y.. to COMMITTEE 
AMENDMENT 
"A" 
L.D. 1919 
to H.P. 1420, 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
($17,105,285) 
General Fund Total 
$0 
($17,105,285) 
Other Special Revenue Funds 
2003-04 
2004-05 
All Other 
$0 
$17,105,285 
Other Special Revenue Funds Total 
$0 
$17,105,285 
Mental Retardation Waiver - MaineCare 0987 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
($34,089,351) 
General Fund Total 
$0 
($34,089,351) 
Other Special Revenue Funds 
2003-04 
2004-05 
All Other 
$0 
$34,089,351 
Other Special Revenue Funds Total 
$0 
$34,089,351 
Office of Substance Abuse - Medicaid Seed 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
All Other 
General Fund Total 
Other Special Revenue Funds 
All Other 
Other Special Revenue Funds Total 
BEHAVIORAL AND DEVELOPMENTAL 
SERVICES, D~PARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
2003-04 
2004-05 
$0 
($798,116) 
$0 
($798,116) 
2003-04 
2004-05 
$0 
$798,116 
$0 
$798,116 
2003-04 
2004-05 
$0 
($74,762,911) 
o 
74,762,911 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT "A" to H.P. 
L.D. 1919 
1420, 
DEPARTMENT TOTAL -
ALL FUNDS 
$0 
$0 
HUMAN SERVICES. DEPAR"I'MENT OF 
Medical Care -
Payments to Providers 0147 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
2003-04 
2004-05 
All Other 
$0 ($168,993,925) 
General Fund Total 
$0 ($168,993,925) 
Other Special Revenue Funds 
2003-04 
2004-05 
All Other 
$0 
$168,993,925 
Other Special Revenue Funds Total 
$0 
$168,993,925 
Nursinq Facilities 0148 
Initiative: 
Deappropriates and allocates funds to reflect the 
inclusion of the MaineCare program in the Dirigo Health Fund. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
($31,742,102) 
General Fund Total 
$0 
($31,742,102) 
Other Special Revenue Funds 
2003-04 
2004-05 
All Other 
$0 
$31,742,102 
Other Special Revenue Funds Total 
$0 
$31,742,102 
HUMAN SERVICES, DEPAR"I'MENT OF 
DEPAR'l'MENT TOTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 ($200,736,027) 
OTHER SPECIAL REVENUE FUNDS 
200,736.027 
DEPARTMENT TOTAL -
ALL FUNDS 
$0 
$0 
SECTION TOTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 {$304,083,001} 
OTHER SPECIAL REVENUE FUNDS 
304,083,001 
SECTION TOTAL -
ALL FUNDS 
$0 
$0 
Page l2-LR2833(5) 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
1420, 
L.D. 1919 
PARTGGGG 
Sec. GGGG-l. 24 MRSA §2327, as amended by PL 2003, c. 469, 
Pt. E, §l, is further amended to read: 
§2327. Group rates 
A group 
health care 
contract 
may 
not 
be 
issued 
by 
a 
nonprofit hospital or medical service organization in this State 
until a copy of the group rates to be used in calculating the 
premium for these contracts has been filed for informational 
purposes with the superintendent. 
The filing must include the 
base rates and a description of any procedures to be used to 
adjust the 
base 
rates 
to reflect factors 
including but not 
limited to age, gender, health status, claims experience, group 
size and coverage of dependents. 
Notwithstanding this section, 
rates 
for 
group 
Medicare 
supplement, 
nursing 
home 
care 
or 
long-term care contracts and for certain group contracts included 
within the definition of individual health plan in Title 24-A, 
section 
2736-C, 
subsection 1, 
paragraph 
C must 
be filed in 
accordance with section 2321 
aBEl--{"-at-e-s--.fe-£--sma1-1---g.£~-aealt::a 
~laBs-~-~-~-&y-~4~~e-~~-~~-6g@g-g-~£~-~-~~~-iB 
aeeeFElaBee-wit::a-t::aat::-seet::ieB. 
Sec. GGGG-2. 24-A MRSA §2736, sub-§3, ,8, as amended by PL 
2003, c. 469, Pt. E, §9, is further amended to read: 
B. 
The 
insurer 
must 
demonstrate 
in 
accordance 
with 
generally 
accepted 
actuarial 
principles 
and 
practices 
consistently applied that, as of a date no more than 210 
days prior to the filing, the ratios of benefits incurred to 
premiums earned for those products average no less than 80% 
for the previous 12-month period. 
~e~-~he---p-l.H'~~~-l:ais 
ealealat::ieBT-~-sa¥4R§s-~~~&&~-~£--~ai4-~~--l:e 
seet::ieB-991~-masl:-ge-t:;Feat:;eEl-as-iBeQFFeEl-elaimsT 
Sec. GGGG-3. 24-A MRSA §2736, sub-§4, 1(C, as amended by PL 
2003, c. 469, Pt. E, §10, is further amended to read: 
C. 
In any hearing conducted under this subsection, 
the 
Bureau of Insurance and any party asserting that the rates 
are excessive have the burden of establishing that the rates 
are 
excessive. 
The 
burden 
of 
proving 
that 
rates 
are 
adequateT and not unfairly discriminatory 
aBEl--i-n--eGffi~1-iaRee 
wit:;a--&h&--r~~r~~-~--£e€~4eR--9913 remains with the 
insurer. 
Sec. GGGG-4. 24-A MRSA §2736-A, first " 
as amended by PL 
2003, c. 469, Pt. E, §11, is further amended to read: 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. {.. to COMMITTEE 
AMENDMENT 
.. A" to H. P . 
L.D. 1919 
1420, 
If at any time the superintendent has reason to believe that 
a 
filing does 
not meet 
the 
requirements that rates not 
be 
excessive, 
inadequateT 
or unfairly 
discriminatory 
e~--Be~--iB 
eeHlF:liaBee--wi-th--se-G-t:-iGn--a9B or that the filing violates any of 
the provisions of chapter 23, the superintendent shall cause a 
hearing to be held. 
Sec. GGGG-5. 24-A MRSA §2736-C, sub-§2, ,D, as amended by PL 
2001, c. 410, Pt. A, §2 and affected by §10, is repealed. 
Sec. GGGG-6. 24-A MRSA §2736-C, sub-§5, as amended by PL 
2003, c. 469, Pt. E, §13, is further amended to read: 
5. 
Loss ratios. 
For all policies and certificates issued 
on 
or 
after 
the 
effective 
date 
of 
this 
section, 
the 
superintendent shall disapprove any premium rates filed by any 
carrier, whether initial or revised, for an individual health 
policy unless it is anticipated that the 
aggregate benefits 
estimated to be paid under all the individual health policies 
maintained in force by the carrier for the period for which 
coverage is to be provided will return to policyholders at least 
65% of the aggregate premiums collected for those policies, as 
determined in accordance with accepted actuarial principles and 
practices and on the basis of incurred claims experience and 
earned premiums. 
~e~--~&~-~~-~--~~~-€~~€~~a~ieB7--aBY 
saviB~s-~~~-FaYHleB~s-~~-~U£5~~B~--~-5~~~~--&~~~-~--Be 
s~easea-as-iBea~~ea-e:laiHlsT 
Sec. GGGG-7. 24-A MRSA §2S0S-B, sub-§2, ,D, as 'amended by PL 
2001, c. 410, Pt. A, §4 and affected by §10, is repealed. 
Sec. GGGG-S. 24-A MRSA §2S0S-B, sub-§§2-A, 2-B and 2-C, as 
enacted by PL 2003, c. 469, Pt. E, §16, are repealed. 
Sec. GGGG-9. 24-A MRSA §2S39-B, as enacted by PL 2003, c. 
469, Pt. E, §17, is repealed. 
PARTHHHH 
, 40 
Sec. HHHH-I. 22 MRSA §3I73-D, as enacted by PL 1983, c. 
752, §1, is amended to read: 
§3173-D. 
Reimbursement for alcoholism and drug dependency 
. treatment 
The department shall provide reimbursement, to the maximum 
extent allowable, under the United States Social Security Act, 
Title 
XIX, 
for 
alcoholism 
and 
drug 
dependency 
treatment. 
Treatment 
saall must 
include, 
but 
need 
not 
be 
limited 
to, 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. y.. to COMMITTEE 
AMENDMENT "A" to H. P . 
1420, 
L.D. 1919 
residential treatment and outpatient care 
as--de-~ined---i-n--~it,±e 
~4-AT-see~ieB-6846. 
For purposes of this section, the following terms have the 
following meanin~ 
1. 
Outpatient care. 
Outpatient care means care rendered by 
a 
state-licensed, 
approved 
or 
certified 
detoxification, 
residential 
treatment 
or 
outpatient 
program 
or 
partial 
hospitalization program on a periodic basis, including, but not 
limited 
to, 
patient 
diagnosis, 
assessment 
and 
treatment: 
individual, 
family and group counseling: 
and educational 
and 
support services. 
2. 
Reside~tia~~atment. 
Residential 
treatment 
means 
services at a facility that provides care 24 hours a day to one 
or more patients, inCluding, but not limited to, the following 
services: 
room and board: medical, nursing and dietary services: 
patient 
diagnosi~_jtssessl!Lent 
a.1}~ trea,~nt; individual, family 
and 
group 
counseling: 
and educational 
and 
support 
services. 
Residential treatment includes a designated unit of a licensed 
health care facility providing any services specified in this 
subsection to patients with the illnesses of alcoholism and drug 
dependency. 
Sec. HHHH-2. 22 MRSA §8711, sub-§2, as amended by PL 1999, 
c. 353, §16, is further amended to read: 
2. 
Information on mandated services. 
The organization is 
authorized 
and 
directed 
to 
require 
providers 
of 
mammography 
services to furnish information with respect to those services 
for the purpose of assisting in the evaluation of the social and 
financial impact and the efficacy of 
~ae--fllanda-t-e4-~-i-t.--fe!; 
screening mammograms 
l:lBae!;--',1!.i-t,.1e---2~--see~ieB-..,6..~--antl--~i~±e 
64-AT--s&Gt-.Hms--~749-A-_and_-~8~1-A. 
The information that may be 
collected 
includes 
the 
location 
of 
mammography 
units, 
the 
purchase of new mammography units, the number of screening and 
diagnostic mammograms performed, the Charge per mammogram and the 
method and amount of payment, and the number of cancers detected 
by screening mammograms. 
Sec. HHHH-3. 24 MRSA §2317-B, sub-§§9 and 11, as enacted by 
PL 1999, c. 256, Pt. M, §10, are repealed. 
Sec. HHHH-4. 24 MRSA §2317-B, sub-§12-A, as enacted by PL 
2001, c. 358, Pt. LL, §l and affected by §5, is repealed. 
Sec. HHHH-5. 24 MRSA §2317-B, sub-§16-A, as enacted by PL 
2001, c. 258, Pt. G, §2, is repealed. 
Page l5-LR2833(5) 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
L.D. 1919 
Sec. HHHH-6. 24 MRSA §2318, as amended by PL 2003, c. 517, 
Pt. B, §1, is repealed. 
Sec. HHHH-7. 24 MRSA §2318-A, as amended by PL 2003, c. 
517, Pt. B, §2, is repealed. 
Sec. HHHH-8. 24 MRSA §2319, as amended by PL 2003, c. 517, 
Pt. A, §1, is repealed. 
Sec. HHHH-9. 24 MRSA §2320, as amended by PL 1977, c. 696, 
§201, is repealed. 
Sec. HHHH-I0. 24 MRSA §2320-A, as amended by PL 2003, c. 
517, Pt. B, §3, is repealed. 
Sec. HHHH-li. 24 MRSA §2320-B, as amended by PL 2003, c. 
517, Pt. B, §4, is repealed. 
'Sec. HHHH-12. 24 MRSA §2320-C, as amended by PL 2003, c. 
517, Pt. B, §5, is repealed. 
Sec. HHHH-13. 24 MRSA §2320-D, as renumbered by RR 1995, c. 
1, §13, is repealed. 
Sec. HHHH-14. 24 MRSA §2320-E, as amended by PL 2003, c. 
517, Pt. A, §2 and affected by §13, is repealed. 
Sec. HHHH-15. 24 MRS A §§2320-F and 2320-G, as enacted by PL 
1997, c. 701, §1, are repealed. 
Sec. HHHH-16. 24 MRSA §2324, as enacted by PL 1979, c. 376, 
is repealed. 
Sec. HHHH-17. 24 MRSA §2325-A, as amended by PL 2003, c. 
517, Pt. B, §6, is repealed. 
Sec. HHHH-18. 24 MRSA §2325-C; as enacted by PL 1997, c. 
754, §1, is repealed. 
Sec. HHHH-19. 24 MRSA §2329, as amended by PL 1989, c. 490, 
§2, is repealed. 
Sec. HHHH·20. 24 MRSA §2331, as reallocated by PL 1981, c. 
698, §107, is repealed. 
Sec. HHHH-21. 24 MRSA §2332-B, as repealed and replaced by 
PL 1991, c. 3, §2, is repealed. 
Sec. HHHH-22. 24 MRS A §2332-F, as amended by PL 2003, c. 
517, Pt. A, §3 and affected by §13, is repealed. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y'" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
1420, 
L.D. 1919 
Sec. HHHH-23. 24 MRSA §2332-G, as amended by PL 2003, c. 
517, Pt. A, §4 and affected by §13, is repealed. 
Sec. HHHH-24. 24 MRSA §2332-J, as amended by PL 2003, c. 
517, Pt. B, §7, is repealed. 
Sec. HHHH-25. 24 MRS A §2332-K, as amended by PL 2003, c. 
517, Pt. B, §8, is repealed. 
Sec. HHHH-26. 24 MRSA §2332-L, as amended by PL 2003, c. 
517, Pt. B, §9, is repealed. 
Sec. HHHH-27. 24 MRSA §2332-M, as amended by PL 2003, c. 
517, Pt. B, §10, is repealed. 
Sec. HHHH-28. 24-A MRSA 2412, sub-§I-A, 1JD, as enacted by PL 
1997, c. 370, Pt. G, §2, is amended to read: 
D. 
The superintendent may disapprove a form filed pursuant 
to this subsection only if: 
(1) 
The policy or form is not in compliance with the 
laws of the state in which it was issued or delivered: 
(2) 
The policy or form is not in compliance with the 
laws of this State that apply when the policy is issued 
outside this State, such as chapter 36 eF-see~ieB-Jg4~; 
or 
(3) 
The superintendent determines that the form is 
deceptive or misleading. 
Sec. HHHH-29. 24-A MRSA §2741, as enacted by PL 1975, c. 
276, §2, is repealed. 
Sec. HHHH-30. 24-A MRSA §2741-A, as enacted by PL 2001, c. 
347, §2 and affected by §5, is repealed. 
Sec. HHHH-3!. 24-A MRSA §2742, as amended by PL 1997, c. 
795, §§8 and 9, is repealed. 
Sec. HHHH-32. 24-A MRS A §2743, as amended by PL 1997, c. 
604, Pt. C, §2, is repealed. 
Sec. HHHH-33. 24-A MRSA §2743-A, as amended by PL 2001, c. 
258, Pt. A, §2, is repealed. 
Sec. HHHH-34. 24-A MRS A §2744, as amended by PL 2003, c. 
65, §1 and affected by §s, is repealed. 
Page l7-LR2833(5) 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. y.. to COMMITTEE 
AMENDMENT "A" to H. P. 
2 0, 
L.D. 1919 
Sec. HHHH·35. 24·A MRSA §2745, as enacted by PL 1977, c. 
470, §2, is repealed. 
Sec. HHHH·36. 24·A MRSA §2745-A, as amended by PL 1997, c. 
408, §3 and affected §8, is repealed. 
Sec. HHHH-37. 24-A MRSA §2745-B, as amended by PL 1995, c. 
671, §9, is repealed. 
Sec. HHHH·38. 24·A MRSA §2745·C, as repealed and replaced 
by PL 1997, c. 408, §4 and affected by §8, is repealed. 
Sec. HHHH·39. 24·A MRSA §2745·D, as renumbered by RR 1995, 
c. 1, §15, is repealed. 
Sec. HHHH·40. 24·A MRSA §2745·E, as reallocated by RR 1997, 
c. 2, §51, is repealed. 
Sec. HHHH·41. 24·A MRSA §2745.F, as enacted by PL 1997, c. 
701, §2, is repealed. 
Sec. HHHH·42. 24·A MRSA §2745·G, 
as 
reallocated by 
RR 
1997, c. 2, §51, is repealed. 
Sec. HHHH·43. 24·A MRSA §2748, as amended by PL 1993, c. 
669, §2, is repealed. 
Sec. HHHH-44. 24·A MRSA §2749·C, as amended by PL 2003, c. 
20, Pt. VV, §§8 and 9 and affected by §25, is repealed. 
Sec. HHHH·45. 24·A MRSA §2750, as enacted by PL 1989, c. 
176, §5, is repealed. 
Sec. HHHH·46. 24·A MRSA §2754, as enacted by PL 1995, c. 
592, §2, is repealed. 
Sec. HHHH·47. 24·A MRSA §2756. as reallocated by RR 1999, 
c. 1, §§32 and 33, is repealed. 
Sec. HHHH·48. 24·A MRSA §2757, as reallocated by RR 1999, 
c. 1, §32, is repealed. 
Sec. HHHH-49. 24-A MRS A §2758, as reallocated by RR 1999, 
c. 1, §33, is repealed. 
Sec. HHHH·50. 24·A MRSA §§2759 and 2760, as reallocated by 
RR 2001, c. 1, §31, are repealed. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. Y" to COMMITTEE 
AMENDMENT 
"A" to H.P. l420, 
L.D. 1919 
Sec. HHHH-51. 24-A MRSA §2832, as amended by PL 2003, c. 
517, Pt. B, §11, is repealed. 
Sec. HHHH-52. 24-A MRSA §2832-A, as enacted by PL 2001, c. 
347, §3 and affected by §5, is repealed. 
Sec. HHHH-53. 24-A MRSA §2833, as amended by PL 1993, c. 
666, Pt. A, §§5 and 6, is repealed. 
Sec. HHHH-54. 24-A MRSA §2834, as amended by PL 2003, c. 
517, Pt. A, §§5 and 6 and affected by §13, is repealed. 
Sec. HHHH-55. 24-A MRSA §2834-A, as amended by PL 2003, c. 
517, Pt. B, §12, is repealed. 
Sec. HHHH-56. 24-A MRSA §2835, as amended by PL 2003, c. 
517, Pt. B, §13, is repealed. 
Sec. HHHH-57. 24-A MRSA §2837, as amended by PL 1977, c. 
696, §202, is repealed. 
Sec. HHHH-58. 24-A MRS A §2837-A, as amended by PL 1997, c. 
408, §5 and affected by §8, is repealed. 
Sec. HHHH-59. 24-A MRSA §2837-B, as amended by PL 2003, c. 
517, Pt. B, §14, is repealed. 
Sec. HHHH-60. 24-A MRSA §2837-C, as amended by PL 2003, c. 
517, Pt. B, §15, is repealed. 
Sec. HHHH-61. 24-A MRSA §2837-D, as renumbered by RR 1995, 
c. 1, §17, is repealed. 
Sec. HHHH-62. 24-A MRSA §2837-E, as enacted by PL 2003, c. 
517, Pt. A, §7 and affected by §13, is repealed. 
Sec. HHHH-63. 24-A MRSA §2837-F, as reallocated by RR 1997, 
c. 2, §S2, is repealed. 
Sec. HHHH-64. 24-A MRSA §2837-G, as enacted by PL 1997, c. 
701, §3, is repealed. 
Sec. HHHH-65. 24-A MRSA §2837-H, 
as 
reallocated by 
RR 
1997, c. 2, §52, is repealed. 
Sec. HHHH-66. 24-A MRSA §2840-A, as amended by PL 1993, c. 
669, §3, is repealed. 
Sec. HHHH-67. 24-A MRSA §2842, as amended by PL 1989, c. 
490, §3, is repealed. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "'(,, to COMMITTEE 
AMENDMENT 
"A" to H. P • 
2 0, 
L.D. 1919 
Sec. HHHH·68. 24·A MRSA §2843, as amended by PL 2003, c. 
517, Pt. B, §16, is repealed. 
Sec. HHHH-69. 24-A MRSA §2845, as enacted by PL 1987, c. 
293, §2, is repealed. 
Sec. HHHH-70. 24-A MRSA §2846, as amended by PL 2003, c. 
517, Pt. B, §17, is repealed. 
Sec. HHHH-71. 24-A MRSA §2847-E, as amended by PL 2003, c. 
517, Pt. A, §8 and affected by §13, is repealed. 
Sec. HHHH-72. 24-A MRSA §2847-F, as amended by PL 2003, c. 
517, Pt. A, §9 and affected by §13, is repealed. 
Sec. HHHH-73. 24-A MRSA §2847-G, as amended by PL 2003, c. 
517, Pt. B, §18, is repealed. 
Sec. HHHH-74. 24-A MRSA §2847-H, as amended by PL 2003, c. 
517, Pt. B, §19, is repealed. 
Sec. HHHH-75. 24-A MRSA §2847-I, as amended by PL 2003, c. 
517, Pt. B, §20, is repealed. 
Sec. HHHH-76. 24-A MRSA §2847-J, as amended by PL 2003, c. 
517, Pt. B, §21, is repealed. 
Sec. HHHH-77. 24-A MRSA §2847-K, as amended by PL 2003, c. 
517, Pt. B, §22, is repealed. 
Sec. HHHH-78. 24-A MRSA §4222-B, sub-§II, as enacted by PL 
1997, c. 445, §31 and affected by §32, is repealed. 
Sec. HHHH-79. 24-A MRSA §4222-B, sub·§14, as amended by PL 
2001, c. 258, Pt. G, §3, is repealed. 
Sec. HHHH-80. 24-A MRSA §4229, as enacted by PL 1989, c. 
176, §9, is repealed. 
Sec. HHHH-81. 24-A MRSA §4234, as amended by PL 1993, c. 
666, Pt A, §§7 and 8 and amended by Pt. B, §3, is repealed. 
Sec. HHHH-82. 24·A MRSA §4234-A, as amended by PL 2003, c. 
655, §3 and affected by §5, is repealed. 
Sec. HHHH-83. 24-A MRSA §4234-B, as amended by PL 2003, c. 
517, Pt. B, §23, is repealed. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. y .. to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
L.D. 1919 
Sec. HHHH·84. 24·A MRSA §4234·C, 3rd t, as enacted by PL 
1997, c. 604, Pt. C, §4, is amended to read: 
If payment of a specific premium or subscription fee is 
required 
to provide 
coverage 
for 
a 
child, 
the contract 
may 
require that notification of birth of a 
newly born child and 
payment of the required fees must be furnished to the nonprofit 
hospital or medical service organization within 31 days after the 
date of birth in order to have the coverage continue beyond that 
31-day period. 
The payment may be required to be retroactive to 
the date of birth. 
i!eBeH~s--r~-r-e4--bj<--see~ieB-42-&4--B-~-:ae 
paie-Fe~aFeless-e~-wBe~BeF-eeveFa~e-~BeeF-~his-see~i9B-is-elee6eeT 
Sec. HHHH·85. 24·A MRSA §§4234·D and 4234·E, as enacted by 
PL 1997, c. 701, §4, are repealed. 
Sec. HHHH·86. 24·A MRS A §4236, as amended by PL 1997, c. 
99, §1, is repealed. 
Sec. HHHH·87. 24·A MRSA §4237, as amended by PL 2003, c. 
517, Pt. B, §24, is repealed. 
Sec. HHHH·88. 24·A MRSA §4237.A, as amended by PL 2003, c. 
517, Pt. B, §25, is repealed. 
Sec. HHHH·89. 24·A MRSA §4238, as renumbered by RR 1995, c. 
1, §19, is repealed. 
Sec. HHHH·90. 24·A MRSA §4240, as amended by PL 2003, c. 
517, Pt. A, §10 and affected by §13, is repealed. 
Sec. HHHH-91. 24·A MRSA §4241, as amended by PL 2003, c. 
517, Pt. A, §11 and affected by §13, is repealed. 
Sec. HHHH·92. 24·A MRSA §4242, as amended by PL 2003, c. 
517, Pt. A, §12 and affected by §13, 
~s repealed. 
Sec. HHHH·93. 24·A MRS A §4244. as reallocated by RR 1997, 
c. 2, §53, is repealed. 
Sec. HHHH·94. 24·A MRSA §4246, as amended by PL 2003, c. 
517, Pt. B, §26, is repealed. 
Sec. HHHH·95. 24·A MRSA §4247, as amended by PL 2003, c. 
517, Pt. B, §27, is repealed. 
Sec. HHHH·96. 24·A MRSA §4248, as amended by PL 2003, c. 
517, Pt. B, §28, is repealed. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. y" to COMMITTEE 
AMENDMENT 
L.D. 1919 
"A" to H.P. 
1420, 
Sec. HHHH-97. 24-A MRSA §4249, as reallocated by RR 200l, 
c. 1, §§36 and 37, is repealed. 
Sec. HHHH-98. 24-A MRSA §4250, as amended by PL 2003, c. 
517, Pt. B, §29, is repealed. 
Sec. HHHH-99. 24-A MRS A §4251, as amended by PL 2003, c. 
517, Pt. B, §30, is repealed. 
Sec. HHHH-I00. 24-A MRSA §4310, as amended by PL 2003, c. 
517, Pt. B, §3l, is repealed. 
Sec. HHHH-101. 24·A MRSA §431l, as amended by PL 2003, c. 
517, Pt. B, §32, is repealed. 
Sec. HHHH·I02. 24·A MRSA §4314, as amended by PL 2003, c. 
517, Pt. B, §33, is repealed. 
Sec. HHHH·I03. 24-A MRSA §4315, as amended by PL 2003, c. 
459, §l and affected by §2, is repealed. 
Sec. HHHH·I04. 24·A MRSA §505l, sub-§§4 and 5, as enacted by 
PL 
1989, 
c. 
556, Pt. 
B, 
§2, 
are repealed and the following 
enacted in their place: 
4. 
Bome health care provider. 
Home health care provider 
means a home health care agency certified under Title XVIII of 
the federal Social Security Act of 1965, as amended, that: 
A. 
Is primarily engaged in and licensed or certified to 
provide skilled nursing and other therapeutic services: 
B. 
Has 
standards, 
policies 
and 
rules established by 
a 
professional 
group 
associated 
with 
the 
agency 
or 
organization, which professional group must include at least 
one physician and one registere~ nurse; 
C. 
Is available to provide the care needed in the home 7 
days a week and has telephone answering service available 24 
hours per day; 
D. 
Has the ability to and does provide, either directly or 
through contract. the services of a coordinator responsible 
for 
case 
discovery 
and 
planning 
and 
ensuring 
that 
the 
covered 
person 
receives 
the 
services 
ordered 
by 
the 
physician; 
E. 
Has under contract the services of a physician-advisor 
licensed by the State or a physician; 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
L.D. 1919 
1420, 
F. 
Conducts periodic case conferences for the purpose of 
individualized patient care planning and utilization review; 
and 
G. 
Maintains a complete medical record on each patient. 
5. 
Home health care services. 
Home health care services 
means those health care services rendered in a person's place of 
residence on a part time basis to a covered person only if the 
plan covering the home health care services is established as 
prescribed in writing by a physician. 
There is no reguirement that hospitalization be an antecedent to 
coverage under the policy. 
Home health care services include: 
A. 
Visits by a registered nurse or licensed practical nurse 
to carry out treatments prescribed or supportive nursing 
care and observation as indicated; 
B. 
A physician's home or office visits or both; 
C. 
Visits by a registered physicaL speech, occupational, 
inhalation 
or 
dietary 
therapist 
for 
services 
or 
for 
evaluation of, consultation with and instruction of nurses 
in 
carrying 
out 
therapy 
prescribed 
by 
the 
attending 
physician, or both; 
D. 
Any prescribed laboratory tests and x ray examination 
using hospital or community facilities, drugs, 
dressing~ 
oxygen or medical appliances and eguipment as prescribed by 
a physician, but only to the extent that such charges would 
have been covered under the contract if the covered person 
had remained in the hospital; and 
E. 
Visits by persons who have completed a home health aide 
training .course under the supervision of a registered nurse 
for the purpose of giving personal care to the patient and 
performing light household tasks as reguired by the plan of 
care, but not inCluding medical services. 
PART 1111 
Sec. IllI-t. 36 MRSA c. 907, as amended, is 
repealing the chapter headnote and enacting 
following: 
CHAPTER 907 
HOMESTEAD TAX CAP PROGRAM 
further amended by 
in its place the 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
"I" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
l420, 
Sec.lIll-2. 36 MRSA §6201-A, as enacted by PL 1989, c. 534, 
Pt. A, §4, is amended to read: 
§6Z01-A. 
Short title 
This chapter shall-se is known and may be cited as the Maiae 
~esiaeB~s-PFe~eF~y-~aH Homestead Tax Cap Program. 
Sec. nll-3. 36 MRSA §6207, as amended by PL 1999, c. 494, §1, 
is further amended to read: 
§6Z07. 
Calculation of benefits for nonelderly households 
A claimant representing a nonelderly household qualifies for 
the 
following 
benefits 
s~B~ee~---~--~~--~e~~ew~£~---iBeeffie 
liffii~a~ieBs. 
1. 
Benefit 
calculation. 
For 
claimants 
representing 
a 
nonelderly household, the benefit is calculated as follows: 
A-I. 
Fifty percent of that portion of the benefit base that 
exceeds 4% but does not exceed 8'1-0 of income plus 100'1-0 of 
that portion of the benefit base that exceeds 8% of income 
to a maximum payment of $lTGGG $3,000. 
~T---~--eli~i9ili~yT---~~~--~bd&--wi~a 
ae~seae~a-~~~--~-eHeess-e~-~,7~-aa4-he~seaelas-~~~-~-et 
ffieFe-ffieffiseF6-w~~h-~~~~~-~~~~~-$4@r@@@-aFe-aeE 
eli~iBle-~eF-a-BeBeti~T 
3. 
Subsidized housinq; special needs payment. 
A claim may 
not be granted under this section to claimants: 
A. 
Whose housing costs for the. year for which relief is 
requested were subsidized by government programs that limit 
housing costs to a percentage of household income, except 
that the exclusion provided by this paragraph does not apply 
to 
persons 
receiving 
social 
security 
disability 
or 
supplemental security income disability benefits. 
4. Minimum benefit. 
granted. 
A claim of less than $10 may not be 
Sec. 1111-4. 36 MRSA §6209, sub-§l, as amended by PL 1989, c. 
508, §25, is further amended to read: 
§6209. 
Annual adjustment 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
"i .. 
to COMMITTEE 
AMENDMENT 
" A" 
to H.P. l420, 
1. 
Household 
income 
adjustment; 
elderly 
households. 
Beginning March I, 1989, and annually thereafter, the State Tax 
Assessor 
shall 
determine 
the 
household 
income 
eligihili ty 
adjustment factor. That factor sliall--ee is multiplied by the 
income limitations in section 6206, applicable for the year prior 
to that for which relief is requested. The result slial-l--ae is 
rounded to the nearest $100 and sliall-apply applies to the year 
for which relief is requested corresponding to the year on which 
the annualized cost of living adjustments were based. 
ge~~aa~B~ 
Mal' eli - J. 7 - -l.g.g-l ... - -t.-he- -s-ame- -pr~-e--sha-J:..J:.. -be- -elll"1~J:.G.yed -1;G--as t ~s 1: - t:ae 
iBee~e-l~~~t:at:~eB-iB-seet:ieB-96Q+T-s~Bseet:ieB-6T 
Sec. llI-S. 36 MRSA §6210, as amended by PL 1997, c. 557, Pt. 
A, §4 and affected by Pt. G, §l, is further amended to read: 
§6210. 
Administration 
The State Tax Assessor shall make available suitable forms 
with instructions for claimants. The claim sliall must be in the 
form the State Tax Assessor 
~ay-~-e5€*,iBe prescribes and saall 
must be signed by the claimant. 
The State Tax Assessor shall include a checkoff to request 
an application for the MaiBe-ResiaeBt:s-PFepeFt:y-~a* Homestead Tax 
~ Program on the individual income tax form. 
The assessor 
shall also provide for the option of filing an application for 
the MaiBe-~~~~~~r~-~a* Homestead Tax Cap Program using 
the telefile system established by the assessor. 
Sec. llI·6. 36 MRSA §6218, as enacted by PL 1989, c. 534, Pt. 
A, §10, is amended to read: 
§6218. 
Readability; application; instructions 
The application form and instructions used by applicants for 
assistance under the 
MaiBe-~-e-s-i-den-t.5--P-FGpe-rt-y--~a* Homestead Tax 
Cap 
Program 
and 
its 
successor, 
if 
any, 
sliall 
must 
have 
a 
readabili ty score, as determined by a recognized instrument for 
measuring adult literacy levels, equivalent to no higher than a 
6th grade reading level. 
Sec. nIl-7. 36 MRSA §6219, as amended by PL 1997, c. 526, 
§14, is further amended to read: 
§6219. 
Outreach plan required 
The Bureau of Revenue Services shall develop and implement a 
plan of outreach to ensure that all eligible households are made 
aware of assistance available under the MaiBe-ResiaeBt:s-P£epeFt:y 
~aH Homestead Tax Cap Program and its successor, if any. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "'f " 
L.D. 1919 
to COMMITTEE 
AMENDMENT 
"A" to H. P . 
1420, 
Sec. 1111·8. 36 MRSA §6220. as amended to PL 1997, c. 668, 
§40, is further amended to read: 
§6220. 
Coordination required 
The bureau shall seek the advice and cooperation of the 
Bureau 
of 
Elder 
and 
Adult 
Services; 
the 
Bureau 
of 
Family 
Independence; the Bureau of Child and Family Services; advocates 
for elderly and low-income individuals; 
and other interested 
agencies and organizations in developing the application form and 
instruction 
booklet 
for 
the 
MaiBe---R-e6-i~-6---P-~r-t-?---*a* 
Homestead Tax Cap 
Program and the outreach plan required by 
section 6219. 
Sec. 
1111·9. 
Revision 
of 
account. 
The 
Department 
of 
Administrative 
and 
Financial Services is directed 
to 
change 
references to accounts named Maine Residents Property Tax Program 
to Homestead Tax Cap Program. 
Sec. nil· to. Application. 
This Part applies to applications 
for benefits on or after August 1, 2004. 
Sec. Im·U. Appropriations and allocations. 
appropriations and allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, 
DEPAR"l'MENT OF 
Homestead Tax Cap Program 
(0648) 
The 
following 
Initiative: 
Property Tax 
Provides 
funds 
to 
expand 
the 
Maine 
Residents 
Program to create the Homestead Property Tax Cap 
Program. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$41,370,326 
'40 
General Fund Total 
$0 
$41,370,326 
Maine Revenue Services 
(0002) 
Initiative: 
Provides funds for one Tax Examiner position and 
other administrative costs associated with the establishment of 
the Homestead Property Tax Cap Program. 
General Fund 
Positions - Legislative Count 
Personal Services 
2003-04 
(0.000) 
$0 
2004-05 
(1.000) 
$53,037 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "y.. to COMMITTEE 
AMENDMENT 
"A" to H. P . 
L.D. 1919 
All Other 
o 
1420, 
100,654 
General Fund Total 
$0 
$153,691 
ADMINISTRATIVE AND FINANCIAL SERVICES, 
DEPARTMENT OF 
DEPARTMENT "l'OTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 
$41,524,011 
DEPARTMENT TOTAL -
ALL FUNDS 
$0 
$41,524,011 
PART JJJJ 
Sec. JJJJ-l. 30-A MRSA §5681, sub-§5, "A and B, as amended by 
PL 2003, c. 20, Pt. W, §1, are further amended to read: 
A. For months beginning before July 1, aQQe 2QQi, 5.1%; and 
B. For months beginning on or after July 1, &QQar-9TJ% 2004, 
5. 4 Q&. 
PARTKKKK 
Sec. KKKK-l. 36 MRSA §683, sub-§l, as repealed and replaced 
by PL 2003, c. 20, Pt. BB, §l and affected by §3, is repealed. 
Sec. KKKK-2. 36 MRSA §683, sub-§l-A, as enacted by PL 2003, 
c. 20, Pt. BB, §2 and affected by §3, is repealed. 
Sec. KKKK-3. 36 MRSA §683, sub-§l-B is enacted to read: 
1-B. 
Exemption amount. 
The estate up to the just value of 
$7,000 of the homestead of a permanent resident of this State who 
has owned a homestead in this State for the preceding 12 months 
is 
exempt 
from 
taxation except 
for 
assessments 
for 
special 
benefits. 
In 
determining 
the 
local 
assessed 
value 
of 
the 
exemption, 
the 
assessor 
shall 
multiply 
the 
amount 
of 
the 
exemption by the ratio of current just value upon which the 
assessment is based as furnished in the assessor's annual return 
pursuant to section 383. 
If the title to a homestead is held by 
the applicant jointly or in common with others, the exemption may 
not exceed $7,000 of the just value of the homestead but may be 
apportioned among the owners who reside on the property to the 
extent of their respective i~terests. 
A municipality responsible 
for administering the homestead exemption has no obligation to 
create separate accounts for each partial interest in a homestead 
owned jointly or in common. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
.. y.. to COMMITTEE 
AMENDMENT 
"A" to H. P . 
L.D. 1919 
l420, 
Sec. KKKK·4. Application. 
This Part applies to property tax 
valuations based on the status of property on or after April 1, 
2004. 
Sec. KKKK·5. Appropriations and allocations. 
appropriations and allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, 
The 
following 
DEPARTMENT OF 
Homestead Property Tax Exemption Reimbursement 
(0886) 
Initiative: 
Provides funds to restore the homestead exemption to 
$7,000. 
General Fund 
All Other 
General Fund Total 
2003-04 
$0 
$0 
2004-05 
$5,131,486 
$5,131,486 
Homestead Property Tax Exemption -
Mandate Reimbursement 
(0887) 
Initiative: 
Provides funds to reimburse municipalities for the 
local cost associated with changes to the homestead exemption. 
General Fund 
All Other 
General Fund Total 
2003-04 
$0 
$0 
2004-05 
$33,500 
$33,500 
ADMINISTRATIVE AND FINANCIAL SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 
$5,164,986 
DEPARTMENT TOTAL -
ALL FUNDS 
$0 
$5,164,986 
PARTLLLL 
Sec. LLLL·l. 20·A MRSA §15671, sub·§7, ,8, as enacted by PL 
2003, c. 504, Pt. A, §5, is amended to read: 
B. The annual targets for the state share percentage are as 
follows. 
(1) For fiscal year 2005-06, the target is 49% 52.6%. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT ",(" to COMMITTEE 
AMENDMENT 
"A" 
L.D. 1919 
to H.P. 1420, 
(2) 
For 
fiscal 
year 
2006-07, 
the 
target is 
49T6§% 
52.6'l-0. 
( 3 ) For fiscal year 2007-08, the target is 49T§g% 53'l-0. 
(4) For fiscal year 2008-09, the target is 49T1§% 54
Q". 
( 5) For fiscal year 2009-10 and succeeding years, the 
target is §9% 55°",. 
Sec. LLLL·2. 
Appropriations and allocations. 
appropriations and allocations are made. 
The 
following 
EDUCATION, DEPARTMENT OF 
General Purpose Aid for Local Schools 
(0308) 
Initiative: 
Provides additional funds for the General Purpose 
Aid for Local Schools program. 
General Fund 
All Other 
General Fund Total 
PARTMMMM 
2003-04 
$0 
$0 
2004-05 
$26,858,031 
$26,858,031 
Sec. MMMM·1. 36 MRSA §5122, sub-§l, tv, as enacted by PL 
2003, c. 451, Pt. II, §2, is amended to read: 
V. 
For tax years beginning on or after January 1, 2003 and 
before January 1, 6999 2004, the amount claimed as a federal 
income adjustment for student loan interesb under the Code, 
Section 62 
(a) (17), but only for interest paid after 60 
months from the start of.the loan ~epayment period. 
Sec. MMMM·2. 36 MRSA §5218, sub·§l, as amended by PL 2003, 
c. 20, Pt. FF, §1, is further amended to read: 
1. 
Resident taxpayer. 
A resident individual is allowed a 
credit against the tax otherwise due 
under this Part in the 
amount of 25°", of the federal tax credit allowable for child and 
dependent care expenses in the same tax year, except that for tax 
years beginning in 2003T-6gg4-aBa-~99§T the applicable percentage 
is 21.5% instead of 25%. 
Sec. MMMM·3. 36 MRSA §5218. sub·§2. as amended by PL 2003, 
c. 391, §10, is further amended to read: 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
.. y .. 
to COMMITTEE 
AMENDMENT "A" to H.P. 
1420, 
2. 
Nonresident 
or 
part-year 
resident 
taxpayer. 
A 
nonresident 
individual 
is 
allowed 
a 
credit against 
the 
tax 
otherwise due under this Part in the amount of 25% of the federal 
tax 
credit allowable 
for 
child 
and 
dependent 
care 
expenses 
multiplied by the ratio of the individual's Maine adjusted gross 
income, as defined in section 5102, subsection l-C, paragraph B, 
to the individual's entire federal 
adjusted gross 
income, 
as 
modified by section 5122, except that for tax years beginning in 
2003T--2~-an4-~QQ9T the applicable percentage is 21.5'l-0 instead 
of 25'l-0. 
Sec. MMMM-4. 36 MRSA §5219-S, as amended by PL 2003, c. 
20, Pt. GG, §1, is further amended to read: 
§52l9-S. 
Earned income credit 
A taxpayer is allowed a credit against the taxes otherwise 
due under this Part equal to 
5'l-0 
of the federal earned income 
credit for the same taxable year, 
except that for tax years 
beginning in 
2003T--2.().04.--a.ad--~QQ§T the applicable percentage is 
4.92% instead of 5%. 
The credit may not reduce the state income 
tax to less than zero. 
PARTNNNN 
Sec. NNNN-I. Appropriations and allocations. 
appropriations and allocations are made. 
BEHAVIORAL AND DEVELOPMENTAL 
SERVICES, DEPARTMENT OF 
Mental Health Services -
Community 
0121 
The 
following 
Initiative: 
Appropriates funds for peer support services. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$200,000 
General Fund Total 
$0 
$200,000 
Mental Health Services -
Community 
0121 
Ini tiati ve: 
Appropr iates funds to maintain funding for social 
clubs at the fiscal year 2003-04 level. 
General Fund 
All Other 
HOUSE 
2003-04 
$0 
2004-05 
$200,000 
AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
" '(" to COMMITTEE 
AMENDMENT "A" to H. P. 1420, 
General Fund Total 
$0 
$200,000 
Mental Health Services -
Community 
0121 
Initiative: 
Appropriates funds for housing assistance to persons 
with mental illness. 
General Fund 
All Other 
General Fund Total 
Mental Health Services -
Children 0136 
2003-04 
$0 
$0 
2004-05 
$1,600,000 
$1,600,000 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part A of this Act. 
General Fund 
All Other 
General Fund Total 
BEHAVIORAL AND DEVELOPMENTAL 
SERVICES, DEPAR7MENT OF 
DEPAR'TMEltT 'l'OTALS 
GENERAL FUND 
DEPARTMENT ".lUTAL -
ALL FUlIDS 
BAXTER COMPENSATION AUTHORITY 
Baxter Compensation Authority 
0111 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
2004-05 
$1,000,000 
$1, 000, 000 
2004-05 
$3,000,000 
$3,000,000 
Initiative: 
Provides 
additional 
funds 
to disburse 
to 
those 
former students who are found to have suffered physical or sexual 
abuse while they were students at and under the care of the 
Governor Baxter School for the Deaf or the Maine School for the 
Deaf. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$3,000,000 
General Fund Total 
$0 
$3,000,000 
BAXTER COMPENSATION AUTHORITY 
DEPARTMENT 'l'OTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 
$3,000,000 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "i" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
L.D. 1919 
1420, 
DEPARTMENT 1UTAL -
ALL FUNDS 
$0 
$3,000,000 
FINANCE AUTHORITY OF MAINE 
Student Financial Assistance Programs 
0653 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part UUU of this Act related to the use of TANF funding. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$183,250 
General Fund Total 
$0 
$183,250 
FINANCE AUTHORITY OF MAINE 
DEPAR"l'MENT 'l'OTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 
$183,250 
DEPARTMENT 1UTAL -
ALL FUNDS 
$0 
$183,250 
IIUMAN SERVICES, DEPARTMENT OF 
Long-te~ Care -
Human Services 0420 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part A of this Act. 
General Fund 
All Other 
General Fund Total 
Congregate Housing 0211 
2003-04 
$0 
$0 
2004-05 
$2,053,000 
$2,053,000 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part A of this Act. 
'40 
General Fund 
All Other 
General Fund Total 
2003-04 
$0 
$0 
2004-05 
$800,000 
$800,000 
Child Welfare Services 0139 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part A of this Act. 
General Fund 
All Other 
HOUSE 
2003-04 
$0 
2004-05 
$1,500,000 
AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
L.D. 1919 
1420, 
General Fund Total 
$0 
$1, 500,000 
Temporary Assistance for Needy Families 0138 
Initiative: 
Appropriates funds to restore a deappropriation made 
in Part A of this Act. 
General Fund 
All Other 
General Fund Total 
Medical Care -
Payments to Providers 
0147 
2003-04 
$0 
$0 
2004-05 
$2,245,000 
$2,245,000 
Initiative: Appropriates and allocates funds for the Consumer 
Directed Personal Assistance Services Medicaid program. 
General Fund 
All Other 
General Fund-Total 
Federal Expenditures Fund 
All Other 
Federal Expenditures Fund Total 
Medical Care -
Payments to Providers 
0147 
Initiative: 
Appropriates 
and 
allocates 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
funds 
MaineCare Basic deappropriations 
psychological services. 
for chiropractic 
General Fund 
2003-04 
All Other 
$0 
General Fund Total 
$0 
Federal Expenditures Fund 
2003-04 
All Other 
$0 
Federal Expenditures Fund Total 
$0 
Nursing Facilities 
2004-05 
$1,400,000 
$1, 400,000 
2004-05 
$3,367,959 
$3,367,959 
to 
restore 
services and 
2004-05 
$206,613 
$206,613 
2004-05 
$386,591 
$386,591 
Initiative: 
Appropriates 
and allocates funds 
to restore the 
reduction in supplemental reimbursement to nursing homes funded 
by the nursing home tax initiative. 
HOUSE A'MENDMENT 
HOUSE AMENDMENT" y" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
L.D. 1919 
1420, 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$1,100,000 
General Fund Total 
$0 
$1,100,000 
Federal Expenditures Fund 
2003-04 
2004-05 
All Other 
$0 
$2,058,197 
Federal Expenditures Fund Total 
$0 
$2,058,197 
HUMAN SERVICES, DEPARTMENT OF 
DEPAR"DIENT TOTALS 
2003-04 
2004-05 
GENERAL FUND 
$0 
$9,304,613 
FEDERAL EXPENDITURES FUND 
5,812,747 
DEPAR"DIENT TOTAL -
ALL FUNDS 
$0 
$15,117,360 
LABOR, DEPARTMENT OF 
Rehabilitation Services -
Home Based Care 
0996 
Initiative: 
Provides funds for the state-funded home-based care 
program in fiscal year 2004-05. 
General Fund 
All Other 
General Fund Total 
LABOR, DEPARTMENT OF 
2 
DEPARTMENT TOTALS 
4 
GENERAL FUND 
6 
DEPARTMENT TOTAL -
ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
SECTION TOTAL -
ALL FUNDS 
PART 0000 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
2004-05 
$400,000 
$400,000 
2004-05 
$400,000 
$400,000 
2004-05 
$15,887,863 
5,812,747 
$21,700,610 
Sec. 0000-1. 24-A MRSA §2736-C, sub-§l, ,B, as enacted by PL 
1993, c. 477, Pt. C, §1 and affected by Pt. F, §1, is amended to 
read: 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE 
AMENDMENT 
"A It 
L.D. 1919 
to H.P. 
1420, 
B. 
Community rate means the rate charged to all eligible 
individuals 
for 
individual 
health 
plans 
prlor 
to 
any 
adjustments pursuant to subsection 2, 
paFa~Faphs paragraph C 
aRe-I>. 
Sec. 0000-2. 24-A MRSA §2808-B, sub-§l, ~B, as enacted by PL 
1991, c. 861, §2, is amended to read: 
B. 
Community rate means the rate to be charged to all 
eligible groups for small group health plans prior to any 
adjustments pursuant to subsection 2, 
paFa~Faphs paragraph C 
aRe-I>. 
Sec. 0000-3. 24-A MRSA §6951, first 1}, as enacted by PL 2003, 
c. 469, Pt. A, §8, is amended to read: 
The Maine Quality Forum, referred to in this subchapter as 
the forum, is established within Dirigo Health. 
The forum is 
governed by the board with advice from the Maine Quality Forum 
Advisory Council pursuant to section 6952. 
~he--f-G-r-uffi--.fIlU&t--Be 
EaBeeeT-~--Jea£~--b&-pa~~?--~h~~h-~~-&a¥1B~&-~~~--paYffieRGS 
ffiaee-~l'-s-1:la-B~--t-o--£e€~-it>i'l--991~T Except as provided in section 
6907, subsection 2, information obtained by the forum is a public 
record as provided by Ti tIe 1, chapter 13, subchapter 1. 
The 
forum shall perform the following duties. ' 
Further amend the amendment 
any 
nonconsecutive 
Part 
letter 
consecutively. 
by relettering or renumbering 
or 
section 
number 
to 
read 
SUMMARY 
This amendment does the following. 
It amends the estate tax to conform to recent increases in 
the threshold for application of the tax while maintaining the 
federal calculation of the state share of the tax that existed as 
of December 31, 2002. 
It repeals language that would have imposed a limitation on 
transfers to the circuit breaker reserve. 
Part FFFF expands the Dirigo Health Insurance program to all 
residents of this State and requires that coverage of eligible 
MaineCare enrollees and eligible state employees and retirees be 
provided through Dirigo Health Insurance starting January 1, 
2005. 
The 
amendment requires that the Board of Directors of 
Dirigo Health develop a benefit package compatible with federally 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT 
L.D. 1919 
.. i .. to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
authorized health savings accounts and provide the opportunity 
for health savings accounts for all eligible individuals. 
The 
amendment 
also 
limits 
the 
out-of-pocket 
maximums, 
including 
deductibles, copayments and coinsurance, under the Dirigo Health 
Insurance program to 
10'1-0 of an eligible individual's adjusted 
gross income. 
Dirigo Health may establish an Enrollee Hardship 
Fund to provide financial assistance to eligible individuals to 
meet any required out-Of-pocket maximums under the Dirigo Health 
Insurance program. 
Financing for coverage under the Dirigo Health Insurance 
program is provided through an 
individual health assessment. 
Beginning 
January 
1, 
2005, 
all 
resident 
individuals 
and 
nonresident individuals subject to income tax liability must pay 
an individual health assessment of 5% for the first $150,000 of 
that individual's adjusted gross income and an additional 1'1-0 of 
any portion of that adjusted gross income that exceeds $150,000. 
The amendment repeals the provision in current law relating to 
savings 
offset 
payments 
by 
health 
insurers 
and 
3rd-party 
administrators. 
Part FFFF also requires the State to establish a health 
savings account for eligible state employees and retirees. 
The 
amendment 
also requires that the State contribute $1,000 in 
one-time funds to seed a health savings account for all eligible 
retirees. 
The 
amount 
of 
any 
state contributions 
to health 
savings accounts of eligible employees may be determined under 
negotiated collective bargaining agreements. 
Funding for 
the 
contributions to retiree health savings accounts will come from 
the federal fiscal relief funds that allowed for the transfer of 
General Fund money to the Dirigo Health Fund. 
Part GGGG repeals the community rating law in the individual 
and small group health insurance markets. 
It also repeals the 
statutory 
provisions 
governing 
rate. review 
of 
small 
group 
insurance policies and the certification of large group rates. 
Part HHHH repeals existing state-mandated benefits, mandated 
health 
insurance 
coverage 
and 
mandated 
offerings 
of 
health 
benefi ts. 
It also corrects cross-references necessitated by the 
repeal of the various provisions of law. 
Part 
1111 
transforms 
the 
Maine 
Residents 
Property 
Tax 
Program into a true homestead property tax cap program that will 
provide a benefit to all Maine residents whose property taxes 
exceed 4°", of their income. 
Income eligibility requirements are 
eliminated. 
The effect of these changes is to establish a cap on 
property taxes exceeding 
6% 
of 
income 
for 
nearly all Maine 
residents. 
The maximum rebate is $3,000. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "Y" to COMMITTEE AMENDMENT 
"A" to H. P . 
L.D. 1919 
1420, 
Part JJJJ increases the portion of sales and income tax 
revenue set aside for state-municipal revenue sharing from 5. P'o 
to 5.4'lo beginning July 2004. 
That increase will be transferred 
to the Disproportionate Tax Burden Fund, also known as "Revenue 
Sharing II." 
Part KKKK restores the homestead property tax exemption to 
the original $7,000 for all homesteads. 
Part LLLL appropriates an additional $27 million for general 
purpose 
aid for 
local 
schools 
in 
fiscal 
year 
2004-05 
and 
increases the state share of the cost of public kindergarten to 
grade 12 public education funding to 55'\, of the cost of essential 
programs and services by fiscal year 2009-10. 
Part 
MMMM 
restores conformity with the federal Internal 
Revenue Code with regard to the deduction for certain student 
loan interest, the child and dependent care credit and the earned 
income tax credit. 
Part NNNN restores certain funding that was eliminated in 
Committee Amendment "A." 
Among the restored areas of funding 
are: peer support services, social clubs and housing assistance 
in the Department of Behavioral and Developmental Services; the 
Baxter 
Compensation 
Authority; 
student 
financial 
assistance 
through 
the 
Finance 
Authority 
of 
Maine; 
several 
areas 
in 
long-term care, congregate housing, child welfare services, TANF, 
Consumer Directed Personal Assistance Services 
Medicaid program, 
MaineCare 
Basic 
chiropractic 
and 
psychological 
services 
and 
nursing facilities in the Department of 
Human Services; 
and 
state-funded home-based care through the Department of Labor. 
Part 0000 corrects cross-references necessitated by changes 
in this amendment. 
U~-bkPCh;{ 
SPONSORED BY: 
(Representative O'NEIL) 
TOWN: 
Saco 
FISCAL 1\OT£ R£QlIl{£O 
(See attached) 
HOUSE AMENDMENT 
Net 'Cost (Savings) 
General Fund 
Appropriations! Allocations 
General Fund 
Other Special Revenue Funds 
Federal Expenditures Fund 
Revenue 
General Fund 
Other Special Revenue Funds 
Transfersl Adjustments to Balance 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Approved: 04115/04 :;'tipac:.. 
Office of Fiscal and Program Review 
LD 1919 
An Act to Make Supplemental Appropriations and Allocations for the 
Expenditures of State Government and to Change Certain Provisions of 
the Law Necessary to the Proper Operations of State Government for the 
Fiscal Years Ending June 30, 2004 and June 30,2005 
LR2833(05) 
Fiscal Note for House Amendment" " to Committee Amendment" A" 
Sponsor: Rep. O'Neil 
Fiscal Note Required: Yes 
Fiscal Note 
2003-04 
2004-05 
$1,043,460 
($169,645,710) 
$0 
($254,618,520) 
$0 
$308,419,001 
$0 
$5,812,747 
$0 
($46,472,809) 
$0 
$521,000,000 
($1,043,460) 
($38,500,000) 
$0 
$0 
This amendment will increase the General Fund cost ofthe bill by $1,043,460 in fiscal year 2003-04 and decrease the 
General Fund cost of the bill by $169,645,710 in fiscal year 2004-05. Based on the estimated year-end balances, this 
amendment maintains a balanced budget for the 2004-2005 biennium. 
LR2833(5) - Fiscal Note - Page 1 of 1