An Act To Expand Access to Oral Health Care
Maine Legislature, Session 124, LD 0234
Committee Amendment CA_A_H433 (House)

COMMITTEE AMENDMENT ,A " to H.P. 188, L.D. 234, Bill, "An Act To 
Expand Access to Oral Health Care" 
Amend the bill by inserting after section 4 the following: 
'Sec. 5. Bureau of Insurance Report. The Department of Professional and 
Financial Regulation, Bureau of Insurance shall review and evaluate the financial impact, 
social impact and medical efficacy of the mandated health insurance benefit required in 
this Act after its enactment in the same manner as required for proposed mandated health 
benefits legislation in the Maine Revised Statutes, Title 24-A, section 2752. The bureau 
shall also compare the projected cost impact of this mandated benefit prior to enactment 
and the actual cost impact of the mandated benefit based on premium information after 
enactment. As part of its assessment of the medical efficacy of the mandate, the bureau 
shall consult with health insurance and dental insurance carriers and independent practice 
dental hygienists to determine whether the mandate has increased access to dental 
services in areas of the State designated as having a shortage of dentists and whether 
granting authority to carriers to include independent practice dental hygienists in a dental 
provider network has an impact on the cost and access to dental services. The bureau 
shall contract within the bureau's existing budgeted resources for any necessary 
consulting and actuarial expertise to complete the report required by this section. The 
bureau shall submit a report, including any recommendations for legislation, to the joint 
standing committee of the Legislature having jurisdiction over insurance and financial 
services matters no later than February 1, 2013. The joint standing committee of the 
Legislature having jurisdiction over insurance and financial services matters may report 
out a bill based on the report to the First Regular Session of the 126th Legislature.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment is the majority report of the committee. The amendment requires the 
Department of Professional and Financial Regulation, Bureau of Insurance to submit a 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,A " 
to H.P. 188, L.D. 234 
report related to the experience of carriers with the mandate requiring coverage for dental 
services performed by a licensed independent practice dental hygienist. The report must 
be submitted by February 1, 2013. The joint standing committee of the Legislature 
having jurisdiction over insurance and financial services matters is authorized to report 
out a bill to the First Regular Session of the 126th Legislature. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Fiscal Detail and Notes 
Approved: OS/25/09 .wac:.. 
LD234 
LR 31(02) 
An Act To Expand Access to Oral Health Care 
Fiscal Note for Bill as Amended by Committee Amendment ,A" 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Multiple Funds 
The additional costs to the State Employee Health Benefit Plan are expected to be minor and can be absorbed utilizing 
existing budgeted resources. Additional costs to the Bureau of Insurance in the Department of Professional and 
Financial Regulation can be absorbed by the bureau utilizing existing budgeted resources. 
LR0031 (02) - Fiscal Note - Page 1 of 1