An Act To Enable the Dirigo Health Program To Be Self-administered
Maine Legislature, Session 123, LD 0431
Senate Amendment SA_C_S241 (Senate)

SENATE AMENDMENT" C" 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 
II 
A (page I, lines 31 to 33 in L.D.) and inserting the following: 
'A. The §. voting members of the board HUlst be are appointed by the Governor, 
sHbject to review by the joint staRdiRg committee of the LegislatHre haviRg 
jHrisdiction over health insl:lrance matters ana confirmation by the Senate in 
accordance with this paragraph. 
(1) Five members qualified in accordance with subsection 2-A, paragraph A 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. 
(2) One member qualified in accordance with subsection 2-A, paragraph A is 
appointed by the President of the Senate. 
(3) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed by the Speaker of the House. 
(4) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed by the Senate Minority Leader. 
(5) One member qualified in accordance with subsection 2-A, paragraph B is 
appointed 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 
terms of 3 years. The Governor shall fill aRy Any vacancy for an unexpired term must be 
SENATE AMENDMENT 
" 
... 
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SENATE AMENDMENT "C" to H.P. 347, L.D. 431 
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 II 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: 
'co 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 1st 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 II, 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 of2 years and 2 members for terms on years.' 
SUMMARY 
This amendment changes the appointing authority for the members of the Board of 
Trustees of Dirigo Health. 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 Truste 
Dirigo Health by March 1 st of each 
(Senator DA..nt.,"U'-U 
COUNTY: Cumberland 
cts the Gen al F 
d from any impact ofthis bill. 
SENATE AMENDMENT 
Approved: 06106107 MaC!. 
LD431 
LR 356(06) 
An Act To Enable the Dirigo Health Program To Be Self-administered 
Fiscal Note for Senate Amendment "e " 
Sponsor: Sen. Diamond of Cumberland 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
LR0356(06) - Fiscal Note - Page I of I