Resolve, To Evaluate MaineCare Finances
Maine Legislature, Session 123, LD 0984
Committee: Health and Human Services
Sponsors: WOODBURY, DOW, MILLETT, MILLS, RECTOR, TURNER

Legislative Document 
No. 984 
H.P.744 
House of Representatives, March 2, 2007 
Resolve, To Evaluate MaineCare Finances 
Reference to the Committee on Health and Human Services suggested and ordered printed. 
Presented by Representative WOODBURY of Yarmouth. 
Cosponsored by Senator DOW of Lincoln and 
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MILLICENT M. MacFARLAND 
Clerk 
Representatives: MILLETT of Waterford, MILLS of Farmington, RECTOR of Thomaston, 
Senator: TURNER of Cumberland. 
Printed on recycled paper 
Sec. 1. Office of Program Evaluation and Government Accountability to 
commission study. 
Resolved: 
That the Office of Program Evaluation and 
Government Accountability shall commission a study for a comprehensive analysis of 
MaineCare finances through a subcontract with an independent analyst that has no direct 
connection to State Government. The study must be completed in time to report pursuant 
to section 2 and must analyze the following issues, breaking down the analysis, when 
applicable, into per enrollee per month and per enrollee in the aggregate, comparing the 
State with the average of other states and distinguishing between services and covered 
individuals that are mandated by federal law and that are discretionary: 
1. 
The distribution of MaineCare costs by age, type of service and enrollment 
category; 
2. 
The portion of MaineCare expenses attributable to individuals required to be 
covered by the Federal Government and to individuals covered through the discretion of 
MaineCare due to Medicaid expansions; 
3. 
The portion of MaineCare expenses attributable to services required to be 
provided by federal law and to expenses provided through the discretion of MaineCare 
due to Medicaid expansions; 
4. The range and average of procedure-specific reimbursement rates among the 
states and how they compare with reimbursement rates in the State; 
5. The range in frequency of use of specific medical services and procedures and key 
service categories in the State as compared with the national average, for both federally 
mandated enrollees and all enrollees; 
6. The extent to which MaineCare has maximized its opportunities for federal funds; 
and 
7. The range among the states in premium contributions by enrollees and patient 
deductibles and copayments for covered services and how they compare with the State; 
and be it further 
Sec. 2. Report. Resolved: That, no later than January 15, 2009, the Office of 
Program Evaluation and Government Accountability shall report the results of the study 
under section 1, along with any recommended legislation, to the joint standing committee 
of the Legislature having jurisdiction over health and humaTl services matters in the First 
Regular Session of the 124th Legislature. 
The joint standing committee of the 
Legislature having jurisdiction over health and human services matters may submit 
legislation related to the report to the First Regular Session of the 124th Legislature; and 
be it further 
Sec. 3. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
PROGRAM 
EVALUATION 
AND 
GOVERNMENT 
ACCOUNTABILITY, 
OFFICE OF 
MaineCare Financial Study 
Initiative: 
Provides funds for the Office of Program Evaluation and Government 
Accountability to commission a study to analyze MaineCare's finances. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
SUMMARY 
2007-08 
$1,000,000 
$1,000,000 
2008-09 
$0 
$0 
This bill makes a one-time General Fund appropriation of $1,000,000 in fiscal year 
2007-08 to provide funds to the Office of Program Evaluation and Government 
Accountability to commission a study to analyze MaineCare's finances through a 
subcontract with an independent analyst that has no direct connection to State 
Government.