An Act To Protect Health Insurance Consumers
Maine Legislature, Session 122, LD 1935
Committee Amendment CA_A-HA_J_H1109 (House)

MAINE STATE LEGISLATURE 
The following document is provided by the 
LAW AND LEGISLATIVE DIGITAL LIBRARY 
at the Maine State Law and Legislative Reference Library 
http://legislature.maine.gov/lawlib 
Reproduced from scanned originals with text recognition applied 
(searchable text may contain some errors and/or omissions) 
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~ 
L.D. 1935 
(Filing No. H-//Lfl) 
Reproduced and distributed under the direction of the Clerk of 
the Houseo 
- HOUSE OF REPRESENTATIVES 
l22ND LEGISLATURE 
HOUSE AMENDMENT ~ 
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 striking out all of section 
(page 3, lines 1 to 34 in amendment) and inserting in its place 
the following: 
. Sec. A~4. Fixed savings offset payment for plan years beginning 
January 1, 2006 to December 31, 2006. Notwithstanding the 
Maine 
Revised Statutes, Title 24-A, section 6913, subsections 1 to 3, 
the savings offset payment for plan years beginning January L 
2006 to December 31, 2006 must equal a total of $23,000,000 for 
all health 
insurance 
carriers, 
3rd-party administrators 
and 
employee 
benefit 
excess 
insurance 
carriers. 
For 
plan 
years 
beginning January 1, 
2006 
to December 
31, 
2006 
the Board of 
Directors of Dirigo Health sha11 disregard the savings offset 
amount 
calculation 
set 
forth 
in 
Title 
24-A, 
section 
6913, 
subsection 2. 
The savings offset payment established pursuant to 
this 
section 
must 
he 
paid 
in 
accordance 
with 
the 
schedule 
established in Title 24-A, section 6913, subsection 3, paragraph 
F. 
No later than 90 days after the effective date of this Act, 
health insurance carriers shall file amended rate filings 
with the Superintendent of Insurance demonstrating the effect of 
the reduced savings offset payment pursuant to this section on 
premium rates and attesting that the carrier has used its best 
efforts to ensure that rates reflect the reduced savings offset 
payment. 
The savings offset payment set forth in this section 
applies retroactively to any savings offset payment that has been 
assessed and paid pursuant to Title 24--A, section 6913 for plan 
years beginning January 1, 2006. 
No later than 30 days following 
the effective date of this Act. Dirigo Health shall issue refunds 
of, 
or credits for, 
any 
amounts 
collected in excess 
of 
the 
limitations established in this section. 
This section applies 
Page l-LR2809(22) 
HOUSE AMENDMENT 
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HOUSE AMENDMENT 
1935 
to COMMITTEE AMENDMENT "A" to S.P. 736, L.D. 
only to the savings offset payment for plan years beginning 
January 1, 2006 to December 31, 2006. 
This section may not be 
construed as repealing, 
amending or modifying in any way the 
provisions of Title 24-A, section 6913 for plan years beginning 
on or after January 1, 2007. 
This section may not be construed 
by a court of law as affirming or not affirming any actions of 
the Board of Directors of Dirigo Health or the Superintendent of 
Insurance. ' 
Further amend the amendment in Part B in section 11 in the 
first line (page 6, line 36 in amendment) by striking out the 
following: 
"November 
1, " 
and 
inserting 
in 
its 
place 
the 
following: 'November 15, , 
SUMMARY 
This amendment strikes the provisions of Committee Amendment 
"A" to L.D. 1935 that govern the savings offset payment for plan 
years beginning on or after January 1, 2006 to December 31, 2006 
and replaces them with a provision that states that the savings 
offset payment 
for 
plan years 
beginning January 
1, 
2006 
to 
December 
31, 
2006 must equal 
a 
total of $23,000,000 for all 
heal th insurance carriers, 3 rd-party administrators and employee 
benefit 
excess 
insurance 
carriers. 
It 
specifies 
that 
the 
provision may not be construed by a court of law as affirming or 
not affirming any actions of the Board of Directors of Dirigo 
Health 
or 
the 
Superintendent 
of 
Insurance. 
It 
changes 
the 
deadline for the Blue Ribbon Commission on the Long-term Funding 
of the Dirigo Health Program to report to the joint standing 
committee of the Legislature having jurisdiction over insurance 
and financial services matters and the j oint standing committee 
of the Legislature having jurisdiction over appropriations and 
financial affairs from November 1, 2006 to November 15, 2006. 
SPONSORED BY, ~~­
(Representat 'vBRA I~ 
TOWN: 
Falmouth 
HOUSE AMENDMENT