An Act To Enable the Dirigo Health Program To Be Self-administered
Maine Legislature, Session 123, LD 0431
Senate Amendment SA_D_S309 (Senate)

SENATE AMENDMENT ":0 "to H.P. 347, L.D. 431, Bill, "An Act To Enable the 
Dirigo Health Program To Be Self-administered" 
Amend the bill in section 4 in §6904 in subsection 1 by striking out all of paragraph 
A (page 1, lines 31 to 33 in L.D.) and inserting the following: 
'A. The ~ 2. voting members of the board ffiHst be are appointed by the Governor, 
subject to review by the joint standing committee of the Legislature having 
jurisdiction over health insurance matters and confirmation by the Senate in 
accordance with this paragraph. 
(I) Five members qualified in accordance with subsection 2-A, paragraph A are 
appointed by the Governor. 
(2) One member qualified in accordance with subsection 2-A, paragraph A is 
appointed by the Governor and must be selected from candidates nominated by 
the President of the Senate. 
(3) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed by the Governor and must be selected from candidates nominated by 
the Speaker of the House. 
(4) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed by the Governor and must be selected from the candidates nominated 
by the Senate Minority Leader. 
(5) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed by the Governor and must be selected from candidates nominated by 
the House Minority Leader.' 
Amend the bill in section 4 in §6904 by striking out all of subsection 3 and inserting 
the following: 
'3. Terms of office. Voting members serve 3-year terms. Voting members may 
serve up to 2 consecutive terms. Of the initial appointees, one member serves an initial 
term of one year, 2 members serve initial terms of 2 years and 2 members serve initial 
SENATE AMENDMENT 
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...,. 
SENATE AMENDMENT" 1J " to H.P. 347, L.D. 431 
terms of 3 years. The Governor shall fill aH)' Any vacancy for an unexpired term must be 
filled in accordance with subsections 1 and 2- 2-A. Members reaching the end of their 
terms may serve until replacements are named.' 
Amend the bill in section 11 in subchapter 4 in §6981 in subsection 5 by striking out 
all of paragraph C (page 9, lines 7 to lOin L.D.) and inserting the following: 
'C. The superintendent shall complete a detailed review of the financial and actuarial 
aspects of the self-administered plan, including, but not limited to, the presentation 
and recommendations of the actuary and the audited financial statements of the self-
administered plan. The superintendent shall report the superintendent's findings and 
any recommendations to the board and at a public meeting of the joint standing 
committee of the Legislature having jurisdiction over insurance matters on or before 
March 1 st of each year. 
D. 
The self-administered plan may not obligate the General Fund beyond that 
amount appropriated by the Legislature.' 
Amend the bill in section 12 by striking out the last sentence (page 11, lines 27 to 29 
in L.D.) and inserting the following: 'One member must be appointed for a term of one 
year, one member for a term of 2 years and 2 members for terms of 3 years.' 
SUMMARY 
This amendment changes the appointing authority for the members of the Board of 
Trustees of Dirigo Health. The amendment requires the Governor to appoint 4 of the 9 
voting members from recommendations made by the President of the Senate, the Speaker 
of the House, the Minority Leader of the Senate and the Minority Leader of the House. 
The amendment requires the Superintendent of Insurance to complete a detailed review of 
the financial and actuarial aspects of the self-administered plan. It requires the 
superintendent to report any findings and recommendations at a public meeting of the 
joint standing committee of the Legislature having jurisdiction over insurance matters and 
to the Board of Trustees of Dirigo Health b March 1st of each year. The amendment 
also adds language des' 
to rotect the e eral Fund from any impact of this bill. 
SPONSORED B ~="S4.~~~~A~~:!L.L.--
(Senator D.u-El""-'-Jl 
COUNTY: Cumberland 
SENATE AMENDMENT