An Act To Modify the Calculation and Implementation Date of Savings Offset Payments under the Dirigo Health Act
Maine Legislature, Session 122, LD 1577
Committee Amendment CA_A-HA_C_H688 (House)

HOUSE AMENDMENT "C" to COMMITTEE AMENDMENT "A" to S.P. 555, 
L.D. 
1577, 
Bill, 
"An 
Act 
To 
Modify 
the 
Calculation 
and 
Implementation Date of Savings Offset Payments under the Dirigo 
Health Act" 
Amend the amendment in Part A in section 10 by striking out 
all of subsection 1 
(page 5, lines 2 to 10 in amendment) and 
inserting in its place the following: 
'1. 
Determination of cost savinqs. 
After an opportunity 
for 
a 
an adjudicatory hearing conducted pursuant to Title 5, 
chapter 
375, 
subchapter 
4, 
the 
aea!:=a 
superintendent 
shall 
determine annually not later than AfI!:=il February the aggregate 
measurable cost savings in this State, including any reduction or 
avoidance of bad debt and charity care costs to health care 
providers iB--t-hi-s--St:at:e as a result of the operation of Dirigo 
Heal th and any net sayings from increased MaineCare enrollment 
due to an expansion in MaineCare eligibility occurring after June 
30, 2004.' 
Further amend the amendment in Part A in section 11 in 
subsection 2 in paragraph C in the last line (page 5, line 36 in 
amendment) by striking out the following: "board" and inserting 
in its place the following: 'superintendent' 
Further 
amend the 
amendment 
by adding after Part C the 
following: 
'PARTD 
Sec. 
D·l. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
The 
PROFESSIONAL AND FINANCIAL REGULATION, DEPARTMENT OF 
Page l-LR1479(12) 
following 
HOUSE AMENDMENT 
"' 
>~ 
'~~;V 
HOUSE AMENDMENT "t, to COMMITTEE AMENDMENT "A" to S.P. 555, L.D. 
1577 
Bureau of Insurance 0092 
Initiative: 
Allocates 
funds 
for the costs of measuring the 
aggregate cost savings from the operation of Dirigo Health and 
related MaineCare expansions, including the costs of acquiring 
the necessary actuarial, econometric and modeling expertise. 
OI'BER SPECIAL REVENUE FONDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2005-06 
$250,000 
$250,000 
2006-07 
$100,000 
$100,000' 
Further amend 
any 
nonconsecutive 
consecutively. 
the amendment by 
Part 
letter 
or 
relettering or renumbering 
section 
number 
to 
read 
SUMMARY 
This amendment shifts responsibility for the determination 
of cost savings from the Board of Directors of Dirigo Health to 
the Superintendent of Insurance. 
The 
amendment also adds 
an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED BY, ~9 ~ 
(Representative GLYNN) 
TOWN: 
South Portland 
HOUSE AMENDMENT 
Approved: 06/13/05 frae 
LD 1577 
LR 1479(12) 
An Act To Modify the Calculation and Implementation Date of Savings Offset Payments under the 
Dirigo Health Act 
Fiscal Note for House Amendment 'L':' to Committee Amendment 'A" 
Sponsor: Rep. Glynn 
Appropriations/Allocations 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
$250,000 
2006-07 
$100,000 
Projections 
2007-08 
$100,000 
Projections 
2008-09 
$100,000 
Assumes the Bureau ofInsurance in the Department of Professional and Financial Regulation will require an 
additional Other Special Revenue Funds allocation for the additional requirements imposed in the determination of the 
cost savings of Dirigo Health and related MaineCare expansions. 
LRI479(12) - Fiscal Note - Page 1 of 1