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_C_H574 (House)

HOUSE 
AMENDMENT 
,,~, 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 "§6913," in subsection 2 in the 11th line (page 23, 
line 34 in amendment) by inserting after the following: 
"exceed" 
the following: 
'75% of the' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913," in subsection 3 in the 8th line (page 
24, 
line 
in amendment) 
by inserting after the 
following: 
"exceed" the following: 
'75% of the' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913," in subsection 7 in the first line (page 
25, 
line 17 in amendment) 
by inserting after the following: 
"recovex:y of" the following: 
'cost savings and' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913," in subsection 7 in the 6th line (page 
25, 
line 
in amendment) 
by inserting after the following: 
"recovered" the following: 
'all of the cost' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913," in subsection 7 in the 6th and 7th lines 
(page 25, lines 22 
and 23 in amendment) by striking out the 
following: 
"offset payments made" and inserting in its place the 
following: 
'determined by the board' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913," in subsection 7 in the 7th line (page 
HOUSE AMENDMENT 
"' .... 
HOUSE 
AMENDMENT 'V to COMMITTEE 
AMENDMENT 
"A" to H.P. 1187, 
L.D. 1611 
25, line 23 in amendment) by striking out the following: 
"this 
section" and inserting in its place the following: 
'subsection 
I. including savings offset payments. ' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913." in subsection 7 in paragraph A in the 
3rd line (page 25, line 32 in amendment) by inserting after the 
following: 
"M" the following: 
'cost savings and' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913." in subsection 7 in paragraph A in the 
3rd line (page 25, line 32 in amendment) by inserting after the 
following: 
"~" the following: 
'cost savings and' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913." in subsection 8 in paragraph C in the 
5th line (page 27, line 8 in amendment) by inserting after the 
following: 
"recover" the following: 
'cost savings determined by 
the board pursuant to subsection I. including any' 
Further amend the amendment in Part A in section 8 in that 
part designated "§6913." in subsection 10 in the 4th line (page 
27, 
line 35 in amendment) 
by inserting after the following: 
"standards," the following: 
'cost savings and' 
SUMMARY 
This amendment limits the amount of savings offset payments 
to 750.0 of the savings resulting from decreasing rates of growth 
in the State's health care spending and bad debt and charity care 
costs. 
This amendment also requires health insurance carriers 
and providers to use best efforts to ensure that health insurance 
premiums reflect the recovery of all the cost savings offset 
payments. 
~ 
./ 
SPONSORED BY: 6*~ 
(Representative KAELIN) 
-
~ 
TOWN: 
Winterport 
HOUSE 
FISCAL :\OTE REQURED 
(See attached) 
AMENDMENT 
.ppropriationsl Allocations 
Other Special Revenue Funds 
Revenue 
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 Mfordable Health Insurance to Small Businesses and 
Individuals and To Control Health Care Costs 
LR2137(09) 
Fiscal Note for House Amendment" "to Committee Amendment" " 
Sponsor: Rep. Kaelin 
Fiscal Note Required: Yes 
Fiscal Note 
2003-04 
$0 
$0 
2004-05 
Projections 
2005-06 
Projections 
2006-07 
$0 
($16,806,900) 
($16,789,673) 
$0 
($16,806,900) 
($16,789,673) 
This amendment could result in a reduction in revenue estimated to be generated from "savings offset payments" in 
fiscal years 2005-06 and 2006-07, and therefore, would also require an equal (or potentially greater) reduction in 
program spending unless another financing source is identified. 
LR2137(9) - Fiscal Note - Page 1 ,of 1