An Act To Control County Jail Health Care Expenses Amend the amendment by inserting after the title the following: Amend the bill by striking out the title and substituting the following: An Act To Control County Jail and Correctional Facility Health Care Expenses Incurred outside the Facilities' , Further amend the amendment by striking out all of the first and 2nd paragraphs after the title (page 1, lines 22 to 31 in amendment) Further amend the amendment in section I in subsection 4 in the 2nd line (page 1, line 40 in amendment) by inserting after the following: county may" the following: choose to Further amend the amendment in section 1 in subsection 4 in the 6th line (page 1, line 44 in amendment) by inserting after the following: 22." the following: If the county chooses to pay an amount not greater than that reimbursement rater the provider of the medical service may not reguire the county to pay an additional amount. Further amend the amendment by inserting after section 1 the following: Sec. 2. 34·A MRSA §3074 is enacted to read: Page l-LR0915(7) SENATE AMENDMENT
Maine Legislature, Session 121, LD 0808
Committee Amendment CA_A-SA_B_S242 (Senate)

SENATE 
AMENDMENT "0,, to COMMITTEE 
AMENDMENT 
"A" to H.P. 
585, L.D. 808, Bill, "An Act To Control County Jail Health Care 
Expenses" 
Amend 
the 
amendment 
by 
inserting after 
the 
title 
the 
following: 
'Amend the bill by striking out the title and substituting 
the following: 
'An Act To Control County Jail and Correctional Facility Health 
Care Expenses Incurred outside the Facilities' , 
Further amend the amendment by striking out all of the first 
and 2nd paragraphs after the title (page 1, lines 22 to 31 in 
amendment) 
Further amend the amendment in section I in subsection 4 in 
the 2nd line (page 1, line 40 in amendment) by inserting after 
the following: 
"county may" the following: 
'choose to' 
Further amend the amendment in section 1 in subsection 4 in 
the 6th line (page 1, line 44 in amendment) by inserting after 
the following: 
"22." the following: 
'If the county chooses to 
pay an amount not greater than that reimbursement rater 
the 
provider of the medical service may not reguire the county to pay 
an additional amount.' 
Further amend the amendment by inserting after section 1 the 
following: 
'Sec. 2. 34·A MRSA §3074 is enacted to read: 
Page l-LR0915(7) 
SENATE AMENDMENT 
~.,. 
SENATE 
AMENDMENT "f3" to COMMITTEE 
AMENDMENT 
"A" to H.P. 
585, 
L.D. 808 
§3074. 
Limitation on reimbursement rate to medical service 
providers for services outside correctional or detention 
facility 
The department may pay to a provider of a medical service 
for a person residing in a correctional or detention facility 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 person 
outside the facility. 
This section takes effect July 1, 2004.' 
SUMMARY 
This amendment removes the mandate preamble and makes it 
optional for a county to link its payment for medical services 
provided to a prisoner of that county to the reimbursement rate 
established by rule of the Department of Human Services for the 
MaineCare program. 
A medical service provider may not require 
the county to pay an amount greater than that reimbursement rate. 
This amendment also adds, effective July 1, 
2004, 
state 
correctional and detention facilities to the applicable medical 
services and medications reimbursement rate and clarifies that 
this reimbursement rate applies only to services and medications 
provided 
to 
prisoners 
outside 
corrections 
and 
detention 
facilities. 
This reimbursement rate does not apply to contracts 
for medical services provided wi thin correctional and detention 
facilities. 
FISCAL NOTE REQUIRED 
(See attached) 
----------c-==--------~ 
~~ 
SPONSORED BY: = = 
(Senator STRIMLING) 
COUNTY: 
Cumberland 
SENATE AMENDMENT 
Fiscal Detail and Notes 
Revised: 05/27/03 frac::-
12lst Maine Legislature 
Office of Fiscal and Program Review 
LD808 
An Act To Control County Jail and Correctional Facility Health Care 
Expenses Incurred Outside the Facilities 
LR0915W7) 
Fiscal Note for Senate Amendment 'fj' to Committee Amendment "A" 
Sponsor: Sen. Strimling 
Fiscal Note Required: Yes 
Fiscal Note 
No longer a state mandate 
This amendment makes the county requirements optional instead of mandatory, eliminating the state mandate. 
LR0915(7) - Fiscal Note - Page 1 of 1