An Act To Establish a Proqram for the Purchase of Prescription Druqs from out of the Country for the Elderly and Disabled Further amend the bill in section 1 in that part designated S254-C." by striking out all of the first 2 lines (page 1, lines and 6 in L.D.) and inserting in their place the following: S254-C. prescription drug program for out-of-count~ prescription drugs Further amend the bill in section 1 in that part designated S254-C." by striking out all of the first indented paragraph (page 1, lines 8 to 11 in L.D.) and inserting in its place the following: The department shall establish a prescription drug program, when permitted by federal law or by the granting of a waiver by the United States Secretary of Health and Human Services, to provide access to prescription drugs from out of the country to residents of the State who are 62 years of age or older or have disabilities. The program must operate within the limits of federal law and regulation and state law and rule. Page l-LR0703(2) COMMITTEE AMENDMENT
Maine Legislature, Session 122, LD 0494
Committee Amendment CA_A_H327 (House)

COMMITTEE AMENDMENT "A" to H.P. 369, L.D. 494, Bill, "An 
Act To Establish a Program for the Purchase of Prescription Drugs 
from out of the State and out of the Country for the Elderly and 
Disabled" 
Amend the bill by striking out the title and substituting 
the following: 
'An Act To Establish a Proqram for the Purchase of Prescription 
Druqs from out of the Country for the Elderly and Disabled' 
Further amend the bill in section 1 in that part designated 
"S254-C." by striking out all of the first 2 lines (page 1, lines 
and 6 in L.D.) and inserting in their place the following: 
'S254-C. 
prescription drug program for out-of-count~ 
prescription drugs' 
Further amend the bill in section 1 in that part designated 
"S254-C." by striking out all of the first indented paragraph 
(page 1, lines 8 to 11 in L.D.) and inserting in its place the 
following: 
'The department shall establish a prescription drug program, 
when permitted by federal law or by the granting of a waiver by 
the United States Secretary of Health and Human Services, 
to 
provide access to prescription drugs from out of the country to 
residents of the State who are 62 years of age or older or have 
disabilities. 
The program must operate within the limits of 
federal law and regulation and state law and rule.' 
Page l-LR0703(2) 
COMMITTEE AMENDMENT 
~'O. 
~. 
COMMITTEE AMENDMENT "A" to H.P. 369, L.D. 494 
Further amend the bill in section 1 in that part designated 
"§254 C." in subsection 3 in paragraph C in the 2nd and 3rd lines 
(page 1, lines 40 and 41 in L.D.) by striking out the following: 
"located outside of 
the State 
and outside of 
the 
country, 
including Canada" 
and inserting in its place the 
following: 
'located outside the country, provided that the department has 
specifically approved the use of any pharmacies located outside 
the country' 
SUMMARY 
This amendment requires the prescription drug program to 
operate within the limits of federal law and regulation and state 
law and rule and authorizes it to operate when permitted by 
federal law or under a federal waiver. 
The amendment requires 
the Department of Health and 
Human Services to specifically 
approve the use of any pharmacy outside the country that is used 
by the program. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/28/05 ;:t;v'ae 
LD494 
LR0703(02) 
An Act To Establish a Program for the Purchase of Prescription Drugs from out of the State and out 
of the Country for the Elderly and Disabled 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment "A" 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Department of Health and Human Services in implementing this bill can be absorbed by 
the department utilizing existing resources. The State already has such an initiative in progress. 
LR0703(2) - Fiscal Note - Page 1 of 1