An Act To Reduce the Expense of Health Care Treatment and Protect the Health of Maine Citizens by Providing Early Screening, Detection and Prevention of Cancer
Maine Legislature, Session 123, LD 0995
Committee Amendment CA_A_S262 (Senate)
Amends: 22 MRSA §1407

COMMITTEE AMENDMENT "A" to S.P. 312, L.D. 995, Bill, "An Act To 
Reduce the Expense of Health Care Treatment and Protect the Health of Maine Citizens 
by Providing Early Screening, Detection and Prevention of Cancer" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §1407, as enacted by PL 2003, c. 215, §1, is amended to read: 
§1407. Comprehensive cancer prevention, research and treatment 
1. Program established. The Bureau of Health shall establish a cancer prevention 
and control program to provide leadership for and coordination of cancer prevention, 
research and treatment activities. The program may include, but is not limited to: 
A. 
Monitoring cancer prevalence at the state and community levels through the 
cancer-incidence registry under section 1404 and other means; 
B. 
Education and training of health professionals on the current methods of 
diagnosing and treating cancer; 
C. 
Patient and family education on how to manage the disease and the treatment of 
the disease; aBEl 
D. 
Consultation with and support of community-based cancer prevention, research 
and treatment programs-:- ; and 
E. Implementation of a comprehensive cancer screening, detection and prevention 
program. 
2. Consultation. In implementing the program established in subsection 1, the 
Bureau of Health shall consult with the Medicaid program administered by the 
department and with the Department of Education. In addition, the bureau shall seek 
advice from other organizations and private entities concerned with cancer prevention, 
research and treatment. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A .. to S.P. 312, L.D. 995 
3. 
Funding. 
The Bureau of Health may accept federal funds and grants for 
implementing the program established in subsection 1 and may contract for work with 
outside vendors or individuals. 
4. Comprehensive Cancer Screening, Detection and Prevention Fund; fundine. 
The Comprehensive Cancer Screening, Detection and Prevention Fund is established 
within the department to fund or assist in funding the comprehensive cancer screening, 
detection and prevention program should it be established pursuant to subsection 1, 
paragraph E. Any balance in the fund does not lapse but is carried forward to be 
expended for the same purposes in succeeding fiscal years. The fund must be deposited 
with and maintained and administered by the department. The fund may receive funds 
from any non-General Fund source, including grants or contributions of money from the 
public or private sector, to carry out the purposes of subsection 1, paragraph E. 
5. Rulemaking. The Bureau of Health shall adopt rules to carry out the purposes of 
this section. Rules adopted pursuant to this subsection are routine technical rules as 
defined in Title 5, chapter 375, subchapter 2-A. 
Sec. 2. Maine cancer plan implementation. The Department of Health and 
Human Services shall, contingent upon availability of funding, establish a comprehensive 
cancer screening, detection and prevention program pursuant to the Maine Revised 
Statutes, Title 22, section 1407, subsection I, paragraph E based on the implementation 
strategy developed by the Maine Cancer Consortium for The Maine Comprehensive 
Cancer Control Plan 2006-2010. 
Sec. 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DBS) 
Comprehensive Cancer Screening, Detection and Prevention Fund Z054 
Initiative: Provides a base allocation in the event that funds are received to fund the 
comprehensive cancer screening, detection and prevention program. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
SUMMARY 
2007-08 
$500 
$500 
2008-09 
$500 
$500 
This amendment replaces the bill, which provided an ongoing General Fund 
appropriation for a comprehensive cancer screening, detection and prevention program. 
The amendment provides for the implementation of the comprehensive cancer screening, 
detection and prevention program recommended by the Maine Cancer Consortium for 
The Maine Comprehensive Cancer Control Plan 2006-20 I 0 contingent upon availability 
of funding. It establishes the Comprehensive Cancer Screening, Detection and Prevention 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ')J. "to S.P. 312, L.D. 995 
Fund to fund or assist in funding the comprehensive cancer screening, detection and 
prevention program and gives the Department of Health and Human Services, Bureau of 
Health rule-making authority. The amendment also adds an appropriation and allocation 
section to the bill. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06108/07 ;!;?ac:.. 
LD995 
LR 2036(02) 
An Act To Reduce the Expense of Health Care Treatment and Protect the Health of Maine Citizens by 
Providing Early Screening, Detection and Prevention of Cancer 
Fiscal Note for Bill as Amended by Committee Amendment ',/I " 
Committee: Health and Human Services 
Appropriations! Allocations 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2007-08 
$500 
2008-09 
$500 
Projections 
2009-10 
$500 
Projections 
2010-11 
$500 
Provides a base allocation in the event that funds are received for the ongoing operational costs of the comprehensive 
cancer screening, detection, and prevention program. The additional costs to the Maine Center for Disease Control 
and Prevention in the Department of Health and Human Services to establish this program can be absorbed utilizing 
existing budget resources. 
LR2036(02) - Fiscal Note - Page I of I