An Act To
Maine Legislature, Session 124, LD 0233
Committee Amendment CA_B_H647 (House)

COMMITTEE AMENDMENT ,B" to H.P. 187, L.D. 233, 
Include Independent Practice Dental Hygienists in MaineCare" 
Bill, "An Act To 
Amend the bill by striking out evelything after the enacting clause and before the 
summary and insel1ing the following: 
'Sec. 1. 22 MRS A §3174-PP is enacted to read: 
§3174-PP. Dental hygienist reimbursement 
1. . Reimbursement. By October 1, 2010, the depal1ment shall provide for the 
reimbursement under the MaineCare program of independent practice dental hygienists 
practicing as authorized under Title 32, section 1094-1 for all procedures pelfonned under 
Title 32, section 1094-0, subsection 1. The depal1ment shall provide for MaineCare 
reimbursement to a federally qualified health center, pursuant to section 3174-Y, when an 
independent practice dental hygienist is employed as a core provider at the center, or to 
an independent practice dental hygienist directly. 
Sec. 2. Rulemaking. By October 1, 2010, the DepaI1ment of Health and Human 
Services shall adopt routine technical rules to implement the Maine Revised Statlites, 
Title 22, section 3174-PP. The rules must include provisions that define an independent 
practice dental hygienist as a core provider when employed at a federally qualified health 
center. 
Sec. 3. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates and allocates funds for the costs of MaineCare reimbursement for 
services provided by dental hygienists practicing independently effective October 1, 
2010. 
Page I - 124LR0262(06)-1 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT..:B "to H.P. 187, L.D. 233 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
FEDERAL EXPENDITURES FUND ARRA 
All Other 
FEDERAL EXPENDITURES FUND ARRA TOTAL 
SUMMARY 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2010-11 
$52,580 
$52,580 
2010-11 
$103,818 
$103,818 
2010-11 
$5,321 
$5,321 
This amendment allows federally qualified health centers to employ independent 
practice dental hygienists as core providers under MaineCare rules and provides for the 
reimbursement of federally qualified health centers for these services. The amendment 
also adds an appropriations and allocations section. 
' 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 01122/10 
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LD233 
LR 262(06) 
An Act To Include Independent Practice Dental Hygienists in MaineCare 
Fiscal Note for Bill as Amended by Committee Amendment:.B' 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
2009-10 
2010-11 
Projections 
2011-12 
Projections 
2012-13 
Net Cost (Savings) 
General Fund 
$0 
$52,580 
$156,113 
$234,169 
( 
. 
.. ·····Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Federal Expenditures Fund ARRA 
Fiscal Detail and Notes 
$0 
$0 
$0 
$52,580 
$103,818 
$5,321 
$156,113 
$275,138 
$0 
$234,169 
$412,706 
$0 
Provides an appropriation of $52,5 80 in 20 10-11 for the state share of the costs of providing MaineCare 
reimbursement directly to dental hygienists practicing independently beginning October 1,2010. Assumes initially 
that five dental hygienists will provide services to an average of 15 MaineCare eligible children per week each at an 
estimated per visit cost of $115 and that 50% of this initial utilization would replace existing services and 50% would 
reflect an increase in MaineCare dental hygienists services provided. Further assumes an additional five dental 
hygienists each year in subsequent years. 
LR0262(06) - Fiscal Note - Page I of 1