An Act To Protect Health Insurance Consumers
Maine Legislature, Session 122, LD 1935
Committee Amendment CA_A-HA_B_H1091 (House)
Amends: 24-A MRSA §6912

HOUSE AMENDMENT "g" to COMMITTEE AMENDMENT "A" to S.P. 736, 
L.D. 1935, Bill, "An Act To Protect Health Insurance Consumers" 
Amend the amendment in Part A by inserting after section 3 
the following: 
'Sec. A-4. 24-A MRSA §6912, first~, as amended by PL 2005, c. 
400, Pt. A, §7, is further amended to read: 
Dirigo Health may establish sliding-scale subsidies for the 
purchase of Dirigo Health Program 
coverage paid by eligible 
individuals 
or 
employees 
wRese--~~--~-~--~~~-e~--ERe 
~eElei'aJ,--~-t.-:t---le",el 
in 
accordance 
with 
the 
eligibil i ty 
reg;uirements in subsection 2. 
Dirigo Health may also establish 
sliding-scale subsidies for the purchase of employer-sponsored 
health coverage paid by employees of businesses with more than 50 
employeesT-~-~~~-i6-~~-~-et--~-~~~--pe",ei'ty 
;l,e",e;l, 
in 
accordance 
with 
the 
eligibility 
reg;uirements 
in 
subsection 2. 
Sec. A-5. 24-A MRSA §6912, sub-§2, ~~A and B, as amended by PL 
2005, c. 400, Pt. A, §8, are further amended to read: 
A. 
Be enrolled in the Dirigo Health Program, have an income 
under 3000,,0 of the federal poverty level and assets t.hat do 
not exceed 
times the limits established for MaineCare 
eligibility and be a resident of the State; or 
HOUSE AMENDMENT 
HOUSE AMENDMENT "/l,, to COMMITTEE AMENDMENT "A" to S. P. 736 r 
L. D. 
1935 
J) 
B. 
Be enrolled in a health plan of an employer with more 
than 50 employees aaa.L have an income under 
300'l-o of the 
federal poverty level and have assets that do not exceed 3 
times the limits established for MaineCare eligibility. 
The 
health plan must meet any criteria established by Dirigo 
Health. 
The individual must meet other eligibility criteria 
established by Dirigo Health. 
Sec. A-6. 24-A MRSA §6912, sub-§4, as enacted by PL 2003, c. 
469, Pt. A, §8, is amended to read: 
4. 
Limitation on amount subsidized. 
Dirigo Health may 
limit the amount subsidized of the payment made by individual 
plan enrollees under section' 6910, subsection 4, paragraph C to 
40% of the payment to more closely parallel the subsidy received 
by employees. 
In no case may the subsidy granted to eligible 
individuals in accordance with subsection 2, paragraph A exceed 
the 
maximum 
subsidy 
level 
available 
to 
other 
eligible 
individuals. 
Dirigo 
Health 
shall 
limit 
the 
subsidy 
to 
the 
premium cost for Dirigo Health Program coverage and may not apply 
a 
subsidy 
or 
discount 
to 
deductibles, 
copayments 
or 
other 
financial 
contributions 
required for eligible individuals 
and 
employees. ' 
Further amend 
any 
nonconsecutive 
consecutively. 
the amendment 
Part 
letter 
by 
or 
relettering or renumbering 
section 
number 
to 
read 
SUMMARY 
This amendment requires that Dirigo Health apply an asset 
limit that is 
times 
the 
limits 
applied 
by 
MaineCare 
to 
determine 
eligibility 
for 
subsidies 
in 
addition 
to 
the 
requirement that an individual's income be at 300'l-o or below the 
federal poverty level. The amendment requires that the subsidies 
be applied only to the premium cost for Dirigo Health Program 
coverage. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED BY: 
(Representative' ; 
V 
TOWN: 
Frankfort 
HOUSE AMENDMENT 
Approved: 05/18/06 ;tvac:... 
LD 1935 
LR 2809(14) 
An Act To Protect Health Insurance Consumers 
Fiscal Note for House Amendment "0" to Committee Amendment '(h' 
Sponsor: Rep. Lindell 
Fiscal Note Required: Yes 
Fiscal Note 
Undetermined current biennium savings - Other Funds 
Fiscal Detail and Notes 
Requiring that Dirigo Health apply an asset limit that is three times the limit applied by MaineCare to determine 
eligibility for subsidy payments would modify and possibly reduce the number of individuals eligible for subsidy 
payments. Dirigo Health would still have broad authority to determine the subsidy amount and applicability at income 
and asset levels. Any specific reduction in expenditures and resulting impact on the Savings Offset Payment cannot be 
determined at this time. 
LR2809(14) - Fiscal Note - Page 1 of 1