An Act To Protect Health Insurance Consumers
Maine Legislature, Session 122, LD 1935
Committee Amendment CA_A-HA_E_H1094 (House)

HOUSE AMENDMENT "b 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 in section 4 by inserting at 
the end the following: 
'Notwithstanding Title 24-A, section 6913 
or any other law to the contrary, no later than June 30, 2007, 
the State Controller, in consultation with the Executive Director 
of Dirigo Health, shall transfer funds collected by Dirigo Health 
pursuant to this section to 
a 
special dedicated, 
nonlapsing 
revenue account administered by the agency of State Government 
that administers MaineCare, for the purpose of providing a state 
match 
for 
federal Medicaid 
dollars 
for 
the costs of paying 
hospitals 
in full for services 
provided under 
the 
MaineCare 
program as determined pursuant to Public Law 2005, chapter 519, 
Part EEE. ' 
Further amend the amendment in Part A by inserting after 
section 6 the following: 
'Sec. A·7. 
Appropriations and 
allocations. 
appropriations and allocations are made. 
DIRlGO HEALTH 
Dirigo Health Fund 0988 
The 
following 
Ini tiati ve: 
Deallocates funds to be achieved by a $1, 900, 000 
reduction 
in 
Dirigo 
Health 
administrative 
expenses 
and 
an 
$11, 000, 000 
reduction 
in 
contracted 
Dir igo 
Health 
Program 
experience modification payments. 
DIRIGO HEALTH ENTERPRISE FUND 
Unallocated 
Page l-LR2809(11) 
2005-06 
$0 
2006-01 
($12,900,000) 
HOUSE AMENDMENT 
/' 
HOUSE AMENDMENT "t" to COMMITTEE AMENDMENT "A" to S.P. 736, L.D. 
1935 
DIRIGO HEALTH ENTERPRISE FUND TOTAL 
DIRIGO REALm 
DEPARTMENT '.I.'OTALS 
DIRIGO HEALm ENTERPRISE FUND 
DEPARTMENT '.I.'OTAL -
ALL FUNDS 
LEGI SLATURE 
Study Commissions - Funding 
0444 
$0 
($12,900,000) 
2005-06 
2006-07 
$0 
($12,900,000) 
$0 
($12,900,000) 
Initiative: 
Provides funds for the per diem and expenses of the 
Blue Ribbon Commission on the Long-term Funding of the Dirigo 
Heal th Program. 
GENERAL FUND 
Personal Services 
All Other 
GENERAL FUND TOTAL 
Study Commissions - Funding 
0444 
2005-06 
$0 
$0 
2006-07 
$880 
$5,250 
$6,130 
Initiative: 
Provides a base allocation of $500 in fiscal year 
2006-07 in the event that outside funding is received to support 
the work of the Blue Ribbon Commission on the Long-term Funding 
of the Dirigo Health Program. 
OTHER SPECIAL REVENUE FUNDS 
2005-06 
2006-07 
All Other 
$0 
$500 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$500 
LEGISLATURE 
DEPARTMENT 'l'OTALS 
2005-06 
2006-07 
GENERAL FUND 
$0 
$6,130 
OTHER SPECIAL REVENUE FUNDS 
$0 
$500 
DEPARTMENT 'l'OTAL -
ALL FUNDS 
$0 
$6,630 
HEALTH AND HUMAN SERVICES, DEPAR'1'MENT OF 
Medical Care - Payments to Providers 0147 
Initiative: 
Allocates funds for additional MaineCare payments to 
hospi tals. 
HOUSE AMENDMENT 
HOUSE AMENDMENT "{,, to COMMITTEE AMENDMENT "A" to S.P. 736, L.D. 
1935 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES 
DEPARTMENT "l.'O'I'ALS 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPAR'l"MENT "l.'O'I'AL -
ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DIRIGO HEALTH ENTERPRISE FUND 
SECTION TOTAL -
ALL FUNDS 
SUMMARY 
2005-06 
2006-07 
$0 
$39,466,051 
$0 
$39,466,051 
2005-06 
2006-07 
$0 
$23,000,000 
$0 
$23,000,000 
2005-06 
2006-07 
$0 
$39,466,051 
$0 
$23,000,000 
$0 
$62,466,051 
2005-06 
2006-07 
$0 
$6,130 
$0 
$39,466,051 
$0 
$23,000,500 
$0 
($12,900,000) 
$0 
$49,572,681 , 
This amendment requires savings offset payment, as reduced 
by Committee Amendment "A" to a maximum of $23,000,000, to be 
transferred to an account administered by the state agency that 
administers 
MaineCare 
and used to provide 
a 
state match for 
federal Medicaid dollars for the costs of paying hospitals in 
full for 
services provided under the MaineCare program. 
The 
amendment also adds an appropriations and allocations section. 
SPONSORED BY: 
(Representative 
TOWN: 
Frankfort 
FISCAL NOTE REQUIRED 
(See attach d) 
HOUSE AMENDMENT 
Approved: 05/18/06 frac:. 
LD 1935 
LR 2809(11) 
An Act To Protect Health Insurance Consumers 
Fiscal Note for House Amendment ·6 to Committee Amendment ·11 .. 
Appropriations/Allocations 
Other Special Revenue Funds 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Transfer 
Other Special Revenue Funds 
Other Funds 
Fiscal Detail and Notes 
Sponsor: Rep. Lindell 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
2006-07 
$0 
$0 
$0 
$23,000,000 
$39,466,051 
$39,466,051 
$0 
$23,000,000 
$0 
($23,000,000) 
Projections 
2007-08 
$0 
$0 
$0 
$0 
$0 
Projections 
2008-09 
$0 
$ 
$0 
$0 
$0 
This fiscal note reflects the incremental difference between the amendment and the majority report. It assumes up to 
$23 million in Savings Offset Payments (SOPs) will be transferred to the MaineCare program to fund increased 
MaineCare payments to hospitals and provides a $23 million fiscal year 2006-07 Other Special Revenue Funds 
allocation for this purpose. It is further assumed that, with this amendment's additional reduction in resources 
available to the Dirigo Health program and given that the deallocations already included in the bill do not fully offset 
the reduction in revenue already included in the bill, Dirigo Health would need to exercise existing authority to keep 
program spending within available resources. The precise impact on the Dirigo Health program cannot be determined 
at this time. 
LR2809(11) - Fiscal Note - Page 1 of 1