An Act To Include Independent Practice Dental Hygienists in MaineCare
Maine Legislature, Session 124, LD 0233
Committee Amendment CA_A_H129 (House)

COMMITTEE AMENDMENT " Ii " to H.P. 187, L.D. 233, Bill, "An Act To 
Include Independent Practice Dental Hygienists in MaineCare" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRS A §3174-LL is enacted to read: 
§3174-LL. Dental hygienist reimbursement 
1. 
Reimbursement. By April 1, 2010, the department shall provide for the 
reimbursement under the MaineCare program of independent practice dental hygienists 
practicing as authorized under Title 32, section 1094-I for all procedures performed under 
Title 32, section 1094-0, subsection 1. The department shall provide for MaineCare 
reimbursement to a federally qualified health center, pursuant to section 3174-V, 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 April I, 2010, the Department of Health and Human 
Services shall adopt routine technical rules to implement the Maine Revised Statutes, 
Title 22, section 3 1 74-LL. 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 reimbursing federally 
qualified health centers for services provided by employed dental hygienists practicing 
independently. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" A 
"to H.P. 187, L.D. 233 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2009-10 
$198,378 
$198,378 
2009-10 
$365,997 
$365,997 
2010-11 
$395,175 
$395,175 
2010-11 
$733,575 
$733,575 
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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i) 
Approved: 0411 0/09 MaC!. 
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LD233 
LR262(03) 
An Act To Include Independent Practice Dental Hygienists in MaineCare 
Fiscal Note for Bill as Amended by Committee Amendment "A" 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
.. / Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2009-10 
$198,378 
$198,378 
$365,997 
2010-11 
$395,175 
$395,175 
$733,575 
Projections 
2011-12 
$592,763 
$592,763 
$1,100,362 
Projections 
2012-13 
$790,351 
$790,351 
$1,467,149 
Provides appropriations of$198,378 in 2009-10 and $395,175 in 2010-11 for the state share of the costs of providing 
MaineCare reimbursement to federally qualified health centers (FQHCs) for the services of dental hygienists 
practicing independently. Assumes initially five dental hygienists will be employed by FQHCs and provide services 
to an average of 15 adults and 30 children per week at an estimated per visit cost of $43 for the adults and $129 for the 
children, 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 that an additional five dental hygienists will be 
employed by FQHCs each year in subsequent years. 
LR0262(03) - Fiscal Note - Page 1 of 1