An Act To Repeal Certificate of Need as It Applies to Hospitals, Ambulatory Surgical Units and Physician Offices Amend the amendment by inserting after section the following: . Sec. 3. MaineCare report on reimbursement methods. The Department of Health and Human Services shall conduct a review of the current method of reimbursement to health care providers, including physicians, and the rates of that reimbursement and provide a comparison of the impact on the MaineCare program if alternative methods of reimbursement are implemented, including, but not limited to, reimbursement on a diagnostic-related groupings, or DRG, basis. The review must include information on the methods of reimbursement used by private health insurance carr iers and Medicare and other publicly funded programs. The department shall submit a report detailing the review required by this section to the Joint Standing Committee on Health and Human Services by January 15, 2006. The Joint Standing Committee on Heal th and Human Services may report out legislation to make changes in how MaineCare reimburses health care providers to the Second Regular Session of the 122nd Legislature. I Further amend the amendment by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively. Page l-LRl102 (4) HOUSE AMENDMENT
Maine Legislature, Session 122, LD 1487
Committee Amendment CA_A-HA_A_H670 (House)

HOUSE 
AMENDMENT "A" to COMMITTEE 
AMENDMENT 
"A" to H. P . 
1043, L.D. 1487, Bill, "An Act To Repeal Certificate of Need as 
It Applies to Hospitals, Ambulatory Surgical Units and Physician 
Offices" 
Amend 
the 
amendment 
by 
inserting after 
section 
the 
following: 
. Sec. 3. 
MaineCare report on reimbursement methods. 
The 
Department of Health and Human Services shall conduct a review of 
the current method of reimbursement to health care providers, 
including physicians, and the rates of that reimbursement and 
provide a comparison of the impact on the MaineCare program if 
alternative methods of reimbursement are implemented, including, 
but 
not 
limited 
to, 
reimbursement 
on 
a 
diagnostic-related 
groupings, or DRG, basis. 
The review must include information on 
the methods of reimbursement used by private health insurance 
carr iers and Medicare and other publicly funded programs. 
The 
department shall submit a report detailing the review required by 
this section to the Joint Standing Committee on Health and Human 
Services by January 15, 2006. 
The Joint Standing Committee on 
Heal th and Human Services may report out legislation to make 
changes in how MaineCare reimburses health care providers to the 
Further amend the amendment by relettering or renumbering 
any 
nonconsecutive 
Part 
letter 
or 
section 
number 
to 
read 
consecutively. 
Page l-LRl102 (4) 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT "A .. to COMMITTEE 
AMENDMENT "A" to H.P. 
L.D. 1487 
SUMMARY 
1043, 
This amendment restores the provision from the bill removed 
by Committee Amendment "A" that requires the Department of Health 
and Human Services to submit a report on alternative methods of 
reimbursement under the MaineCare program to the Legislature by 
January 15, 2006. 
SPONSORED BY: 
(Representative SHIELDS) 
TOWN: 
Auburn 
FISCAL :\on: REQrIRED 
(See aUached) 
HOUSE AMENDMENT 
Approved: 06/08/05 ;J!;yac:.. 
LD 1487 
LR 1102(04) 
An Act To Repeal Certificate of Need as It Applies to Hospitals, Ambulatory Surgical Units and 
Physician Offices 
Fiscal Note for House Amendment "A, to Committee Amendment ,if, 
Sponsor: Rep Shields 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
LRII02(4) - Fiscal Note - Page 1 of 1