An Act To Implement Shared Decision Making To Improve Quality of Care and Reduce Unnecessary Use of Medical Services
Maine Legislature, Session 124, LD 1358
Committee Amendment CA_A_S218 (Senate)
Committee: Health and Human Services and the Joint Standing Committee on Insurance and Financial Services

COMMITTEE AMENDMENT "A " to S.P. 493, L.D. 1358, Bill, "An Act To 
Implement Shared Decision Making To Improve Quality of Care and Reduce 
Unnecessary Use of Medical Services" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Study Implementation of Shared Decision Making To Improve Quality 
of Care and Reduce Unnecessary Use of Medical Services' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. Implementation of shared decision making. Resolved: That the 
Maine Quality Forum shall convene an advisory group of stakeholders, including, but not 
limited to, representatives of MaineCare, the Maine Health Data Organization, the state 
employee health insurance program, health insurance carriers, hospitals, physicians, 
health care providers and consumers, to develop a plan to implement a program for 
shared decision making as a strategy to improve the quality of health care in the State and 
control the unnecessary use of preference-sensitive health care services. The advisory 
group shall consider the following issues: 
I. 
The appropriate preference-sensitive health care services for use in a shared 
decision-making program and an accepted protocol for shared decision making; 
2. The availability of approved patient decision aids relating to each health care 
service and the effectiveness of patient decision aids; 
3. The payment method to be used by health insurance carriers and public programs 
to reimburse for services provided by a shared decision-making program; 
4. The appropriate incentives to encourage use of a shared decision-making program 
by providers and patients; 
5. Evidence-based studies that evaluate shared decision making; and 
6. Any barriers to implementation of a shared decision-making program; and be it 
further 
Page I - 124LR0099(02)-1 
COMMITTEE AMENDMENT 
~~~ 
COMMITTEE AMENDMENT" 4 
"to S.P. 493, L.D. 1358 
Sec. 2. Report. Resolved: 
That the Maine Quality Forum shall submit a 
preliminary report on the findings and recmnmendations of the advisory group on or 
before February 1,2010 to the Joint Standing Committee on Health and Human Services 
and the Joint Standing Committee on Insurance and Financial Services. Before February 
1, 2011, the Maine Quality Forum shall subm it a final report to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
and thejoint standing committee of the Legislature havingjurisdiction over insurance and 
financial servi'ces matters. The joint standing committee of the Legislature having 
jurisdiction over health and human services matters and the joint standing committee of 
the Legislature having jurisdiction over insurance and financial services matters may each 
repmt out a bill to the First Regular Session of the 125th Legislature based on the final 
repmt.' 
SUMMARY 
This amendment replaces the bill with a resolve and changes the title. The 
amendment requires the Maine Quality Forum to convene an advisory group of 
stakeholders to develop a plan for implementation of shared decision making as a strategy 
for improving the quality of medical care and for controlling the unnecessary use of 
preference-sensitive health care services. The amendment requires the Maine Quality 
Forum to submit a preliminary repmt on February 1, 2010 and a final repmt by February 
1, 2011 tothe joint standing committees of the Legislature having jurisdiction over health 
and human services matters and insurance and financial services matters. 
FISCAL :SOTE l<E(,.!LIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: OS/24/09 frac 
LD 1358 
LR 99(02) 
An Act To Implement Shared Decision Making To Improve Quality of Care and Reduce Unnecessary 
Use of Medical Services 
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 
Fiscal Detail and Notes 
Assumes additional costs to the Maine Quality Forum in the Dirigo Health Agency and to the other pmiicipating State 
agencies and programs can be absorbed utilizing existing budgeted resources. 
LR0099(02) - Fiscal Note - Page 1 of 1