Resolve, To Reestablish the Health Care System and Health Security Board
Maine Legislature, Session 122, LD 0032
Committee Amendment CA_A_H513 (House)

COMMITTEE AMENDMENT .. A, to H. P. 35, L.D. 32, "Resolve, To 
Reestablish the Health Care System and Health Security Board" 
Amend the resolve by striking out everything after the title 
and before the summary and inserting in its place the following: 
'Emergency preamble. 
Whereas, acts 
and 
Legislature 
do 
not 
become 
effective 
until 
adjournment unless enacted as emergencies; and 
resolves 
of 
the 
days 
after 
Whereas, the Health Care System and Health Security Board, 
established in Public 
Law 
2001, 
chapter 
439, 
has 
completed 
substantial work to determine the feasibility of a single-payor 
health care plan and has determined that additional work is 
needed before making a final recommendation on a 
single-payor 
health care plan; and 
Whereas, it is important to achieve health care coverage 
for all Maine citizens as soon as possible; and 
Whereas, 
the 
board 
has 
adequate 
funds 
to 
support 
its 
activities; and 
Whereas, the board must be reestablished before the 90-day 
period expires in order that the study may be completed and a 
report submitted in time for submission to the next legislative 
session; and 
Page l-LR0139(2) 
COMMITTEE AMENDMENT 
" 
~ 
COMMITTEE AMENDMENT ,A" to H.P. 35, L.D. 32 
Whereas, in the judgment of the Legislature, these facts 
create an emergency within the meaning of the Constitution of 
Maine 
and 
require 
the 
following 
legislation 
as 
immediately 
necessary for the preservation of the public peace, health and 
safety; now, therefore, be it 
Sec. 1. Board reestablished; duties. Resolved: That the Health 
Care System and Health Security Board, established by Public Law 
2001, chapter 439, Part ZZZ, 
and amended by Public Law 2003, 
chapter 492, and referred to in this resolve as "the board," is 
reestablished and those members serving on the board on November 
1, 2004 continue to serve as members, except that new legislative 
members must be appointed in accordance with Public Law 200l, 
chapter 439, Part ZZZ, section 1. The board is reestablished for 
the sole purpose of finalizing its recommendations regarding the 
feasibility of a single-payor health plan to provide health care 
coverage to all citizens of this State and may not conduct any 
other activities; and be it further 
Sec. 2. Report; extension prohibited. Resolved: 
That, no later 
than January 4, 2006, the board shall submit a report, including 
any suggested legislation, for presentation to the Joint Standing 
Committee on Insurance and Financial Services and the Legislative 
Council. 
Following receipt and review of the report, the Joint 
Standing Committee on Insurance and Financial Services may report 
out a bill related to the report to the Second Regular Session of 
the l22nd Legislature. The board is not authorized to introduce 
legislation. The board may not apply to the Legislative Council 
for 
an extension and may not take 
any further action after 
January 4, 2006, unless further action is authorized by law; and 
be it further 
Sec. 3. Funding; limitation. Resolved: That any unexpended funds 
allocated to the board as of November 1, 2004 must be carried 
forward for use by the board and may not lapse. Except for these 
unexpended funds, 
no additional funds 
may be appropriated or 
allocated from any source to support the board. The board may not 
seek any outside funding. The board may not incur expenses that 
exceed available funds; and be it further 
Sec. 4. 
Appropriations and allocations. 
Resolved: 
following appropriations and allocations are made. 
LEGISLATURE 
Miscellaneous Studies 
0444 
That 
the 
Initiative: 
Allocates funds to support the meeting costs of the 
Health Care System and Health Security Board. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ,A" to H.P. 35, L.D. 32 
OTHER SPECIAL REVENUE FUBDS 
Personal Services 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2005-06 
$1, 100 
$4,305 
$5,405 
2006-07 
$0 
$0 
$0 
Emergency clause. 
In view of the emergency cited in the 
preamble, this resolve takes effect when approved.' 
SUMMARY 
This 
amendment replaces the resolve and is the majority 
report. The amendment retains the provision of the resolve that 
reestablishes the Health Care System and Health Care Security 
Board. 
The amendment limits the scope, funding and timeline of 
the 
reestablished 
board 
relative 
to 
the 
prov~s~ons of 
the 
resolve. The amendment limits the work of the reestablished board 
to finalizing recommendations 
regarding the feasibility of 
a 
single-payor heal th plan and limits funding to the unexpended 
funds 
allocated to the board as 
of November 
1, 
2004. 
The 
amendment also sets the report deadline as January 4, 
2006, 
compared with November 1, 
2006 in the resolve. 
Finally, 
the 
amendment prohibits the board from seeking an extension from the 
Legislative Council beyond January 4, 
2006 and from taking any 
further action after that date unless authorized by law. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/16/05 ~ae 
LD32 
LR 0139(02) 
Resolve, To Reestablish the Health Care System and Health Security Board 
Fiscal Note for Bill as Amended by Committee Amendment ,A 
Committee: Insurance and Financial Services 
Appropriations! Allocations 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Current Costs - Legislative Study 
2005-06 
$5,405 
2006-07 
$0 
Projections 
2007-08 
$0 
Projections 
2008-09 
The projected general operating costs of the Health Care System and Health Security Board are $5,405 in fiscal year 
2005-06. An allocation of Other Special Revenue funds is included in fiscal year 2005-06 to support the expenses of the 
board. If the board elects to contract for staffmg and technical assistance from a health policy organization, additional 
costs will be incurred. There is currently an unexpended balance of Other Special Revenue funds in the amount of 
$5,427.95. This unexpended balance appears to be sufficient to fund four meetings and the board is not authorized to 
seek outside funding or to incur expenses that exceed their available funds. 
LR0139(2) - Fiscal Note - Page 1 of 1