Resolve, To Alleviate the Neqati ve Impact of Certain Taxes on Hospitals and Private Nonmedical Institutions Further amend the bill by striking out everything after the title and before the summary and inserting in its place the following: Emergency preamble. Whereas, acts Legislature do not become effective adjournment unless enacted as emergencies; and until and resolves of the days after Whereas, current law imposes a tax on hospitals in this State, regardless of the size of the hospitals or the amount of MaineCare revenue received by those hospitals; and Whereas, this tax imposes a hardship on some hospitals, which may lead to the closure of, or the reduction of services provided by, those hospitals; and Whereas, in the judgment of the Legislature, these facts create an emergency wi thin 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 Page l-LRI61l(2) COMMITTEE AMENDMENT
Maine Legislature, Session 122, LD 0839
Committee Amendment CA_A_S180 (Senate)
Committee: Health and Human Services regarding the results of the review and any recommendations reSUlting from the review

FIRS,T SPECIAL SESSION 
COMMITTEE AMENDMENT "A" to S.P. 278, L.D. 839, Bill, "An 
Act To Reduce Hardships to Small Community Hospitals Resulting 
from the Hospital Tax" 
Amend the bill by striking out the title and substituting 
the following: 
. Resolve, To Alleviate the Neqati ve Impact of Certain Taxes on 
Hospitals and Private Nonmedical Institutions' 
Further amend the bill by striking out everything after the 
title and before the 
summary and inserting in its place the 
following: 
'Emergency preamble. 
Whereas, acts 
Legislature 
do 
not 
become 
effective 
adjournment unless enacted as emergencies; 
and 
until 
and 
resolves 
of 
the 
days 
after 
Whereas, current law imposes 
a 
tax on hospitals in this 
State, regardless of the size of the hospitals or the amount of 
MaineCare revenue received by those hospitals; and 
Whereas, this tax 
imposes 
a 
hardship on 
some hospitals, 
which may lead to the closure of, or the reduction of services 
provided by, those hospitals; and 
Whereas, in the judgment of the Legislature, these facts 
create an emergency wi thin 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 
Page l-LRI61l(2) 
COMMITTEE AMENDMENT 
'~ 
~-,-
,,~ 
~ 
COMMITTEE AMENDMENT ,A" to S.P. 278, L.D. 839 
Sec. 1. Alleviating the impact of certain taxes. Resolved: 
That the 
Department of Health and Human Services and the Governor's Office 
of Health Policy and Finance shall review the impact of the 
hospital tax and the private nonmedical institution portion of 
the service provider tax on hospitals and private nonmedical 
institutions with the goal of alleviating the negative impact on 
those facilities. 
In conducting the review the department and 
the office shall consult with hospitals and private nonmedical 
institutions within the State, shall consider alternatives that 
comply 
with 
federal 
Medicaid 
law 
and 
regulation 
and 
shall 
consider submitting a state plan amendment. 
By September 1, 2005 
the department and the office shall report to the Joint Standing 
Committee on Health and Human Services regarding the results of 
the review and any recommendations reSUlting from the review. 
Emergency clause. 
In view of the emergency ci ted in the 
preamble, this resolve takes effect when approved.' 
SUMMARY 
This amendment replaces the bill with a resolve. 
It directs 
the Department of Health and Human Services and the Governor's 
Office of Health Policy and Finance to review the impact of the 
hospital tax and private nonmedical institution portion of the 
service 
provider 
tax 
on 
hospitals 
and 
private 
nonmedical 
institutions with the goal of alleviating the negative impact on 
those facilities. 
The amendment requires a report to the Joint 
Standing Committee on Health and Human Services by September 1, 
2005. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/14/05 ;::t;?ac:.. 
LD839 
LR 1611(02) 
An Act To Reduce Hardships to Small Community Hospitals Resulting from the Hospital Tax 
Fiscal Note for Bill as Amended by Committee Amendment A 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Any additional costs to the Department of Health and Human Services or the Governor's Office of Health Policy and 
Finance can be absorbed utilizing existing resources. 
LR1611(2) - Fiscal Note - Page 1 of 1