An Act To Improve the Affordability of Health Insurance -4')
Maine Legislature, Session 122, LD 0767
Committee Amendment CA_A_H211 (House)
Amends: 24-A MRSA §2752

COMMITTEE 
AMENDMENT 
.. 11 " to H. P. 544, L.D. 767, Bill, 
Act To Improve the Affordability of Health Insurance" 
"An 
Amend the bill by striking out everything after the enacting 
clause and before the summary and inserting in its place the 
following: 
'Sec. 1. 24-A MRSA §2752, sub-§3,~, as amended by PL 2001, 
c. 258, Pt. I, §l, is further amended to read: 
B. 
The financial impact of mandating the benefit, including: 
(1) 
The 
extent 
to 
which 
the 
proposed 
insurance 
coverage would increase or decrease the cost of the 
treatment or service over the next 5 years; 
(2) 
The extent to which the proposed coverage might 
increase the appropriate or inappropriate use of the 
treatment or service over the next 5 years; 
(3) 
The extent to which the mandated treatment or 
service 
might 
serve 
as 
an 
alternative 
for 
more 
expensive or ·less expensive treatment or service; 
(4) 
The methods that will be instituted to manage the 
utilization and costs of the proposed mandate; 
(5) 
The extent to which the insurance coverage may 
affect 
the 
number 
and 
types 
of 
providers 
of 
the 
mandated treatment or service over the next 5 years; 
Page l-LR1318(2) 
COMMITTEE AMENDMENT 
.,~ 
~ 
COMMITTEE AMENDMENT ,f}.. to H. P. 544, L. D • 767 
(6) 
The extent to which insurance coverage of the 
health care 
service or provider 
may 
be 
reasonably 
expected to increase or decrease the insurance premium 
and administrative expenses of policyholders; 
(7) 
The impact of indirect costs, which are 
other than premiums and administrative costs, 
question of the costs and benefits of coverage; 
costs 
on the 
(8) 
The impact of this coverage on the total cost of 
health care, including potential benefits and savings 
to insurers and employers because the proposed mandated 
treatment or service prevents disease or illness or 
leads to the early detection and treatment of disease 
or 
illness that is less costly than treatment or 
service for later stages of a disease or illness; 
(9) 
The effects of mandating the benefit on the cost 
of 
health 
care, 
particularly 
the 
premium 
and 
administrative 
expenses 
and 
indirect 
costs, 
to 
employers and employees, including the financial impact 
on small employers, medium-sized employers and large 
employers; and 
(10) 
The 
effect 
of 
the 
proposed 
mandate 
on 
cost-shifting between private 
and public 
payors 
of 
heal th care coverage and on the overall cost of the 
health care delivery system in this Statef~ 
In order to enable the committee to assess the financial 
impact of the benefit. the report must include a comparison 
of the rate of increase in the Consumer Price Index for 
medical 
care 
services 
to 
the rate of 
increase in the 
Consumer Price Index for the previous year and the current 
year as reported by the United States Department of Labor, 
Bureau of Labor Statistics:' 
SUMMARY 
This amendment replaces the bill. 
The amendment requires 
that the Department of Administrative and Financial Services, 
Bureau of Insurance include a comparison of the rate of increase 
in the Consumer Price Index for medical services to the rate of 
increase in the Consumer Price Index for the previous year and 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT .. 11 .. to H.P. 544, L.D. 767 
current year in any review and evaluation prepared on a mandated 
health benefit proposal. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/22105 ~ac 
LD767 
LR 1318(02) 
An Act To Improve the Affordability of Health Insurance 
-
"4') " 
Fiscal Note for Bill as Amended by Committee Amendment ''1'"/ 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - ,Other Special Revenue Funds 
Fiscal Detail and Notes 
Any additional costs to the Bureau of Insurance in the Department of Professional and Financial Regulation in 
implementing this bill can be absorbed utilizing existing resources. 
LR1318(2) - Fiscal Note - Page 1 of 1