An Act To Alter MaineCare Benefits as Allowed by the Federal Deficit Reduction Act of2005
Maine Legislature, Session 124, LD 1055
Committee Amendment CA_A_H258 (House)
Amends: 22 MRSA §3173-C

COMMITTEE AMENDMENT" A" to H.P. 730, L.D. 1055, Bill, "An Act To Alter 
MaineCare Benefits as Allowed by the Federal Deficit Reduction Act of2005" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Alter MaineCare Copayments as Allowed by the Federal Deficit 
Reduction Act of 2005' 
Amend .the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3173-C, sub-§7, ~, as amended by PL 2003, c. 451, Pt. H, 
§ 1 and affected by §3, is further amended to read: 
R. 
Federally qualified health center services, $3 per patient day, effective July 1, 
2004;fffi€!. 
Sec. 2. 22 MRS A §3173-C, sub-§7, enS, as enacted by PL 2003, c. 20, Pt. K, §8, 
is amended to read: 
S. 
Rural health center services, $3 per patient day,.; and 
Sec. 3. 22 MRS A §3173-C, sub-§7, IljTT is enacted to read: 
T. Physician services, $10 for MaineCare members who qualify for the program 
under section 3174-G, subsection 1, paragraph E when the family income is equal to 
or above 150% of the nonfarm income official poverty line. 
Sec. 4. 22 MRS A §3173-C, sub-§8 is enacted to read: 
8. 
Mandatory copayments. 
Except as prohibited or limited by federal law, 
beginning July 1,2010, copayments for MaineCare members who qualify for the program 
under section 3174-G, subsection 1, paragraph E when the family income is equal to or 
above 150% of the nonfann income official poverty line for prescription drug services 
under subsection 2 and for physician services under subsection 7, paragraph Tare 
mandatory and a provider of services may refuse to provide services if the member does 
not pay the copayment. The department shall adopt rules to implement this subsection. 
COMMITTEE AMENDMENT 
... ~~ 
COMMITTEE AMENDMENT" PI" to H.P. 730, L.D. 1055 
Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, 
chapter 375, subchapter 2-A. 
Sec. 5. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Bureau of Medical Services 0129 
Initiative: Appropriates and allocates funds for the costs of implementing mandatory 
MaineCare copayments for physician and pharmacy services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2009-10 
$1,161 
$1,161 
2009-10 
$10,449 
$10,449 
2010-11 
$0 
$0 
2010-11 
$0 
$0 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding to reflect the reduction in spending resulting from requiring 
mandatory MaineCare copayments for physician and pharmacy services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2009-10 
$1,161 
COMMITTEE AMENDMENT 
2010-11 
($128,805) 
($128,805) 
2010-11 
($239,105) 
($239,105) 
2010-11 
($128,805) 
(,I. 
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COMMITTEE AMENDMENT" rf" to H.P. 730, L.D. 1055 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
Sec. 6. Effective date. This Act takes effect July 1, 20IO.' 
SUMMARY 
$10,449 
$11,610 
($239,105) 
($367,910) 
This amendment replaces the bill and is the minority report of the committee. 
Beginning July 1, 2010 the amendment imposes in the MaineCare program a copayment 
of $ IO for physician services and authorizes providers of physician and prescription drug 
services to deny the service to a member who does not pay who is a nonexempt adult 
eligible under the Maine Revised Statutes, Title 22, section 31 74-G, subsection 1, 
paragraph E when the family income is equal to or above 150% of the nonfarm income 
official poverty line. 
This amendment directs the Department of Health and Human 
Services to adopt routine technical rules to implement the mandatory copayments and the 
$IO copayment for physician services. 
The amendment adds an appropriations and 
allocations section. The amendment provides an effective date of July 1,2010. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/06/09 .?dac.. 
LD 1055 
LR 1566(02) 
An Act To Alter MaineCare Benefits as Allowed by the Federal Deficit Reduction Act of 2005 
Fiscal Note for Bill as Amended by Committee Amendment "~,, 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Fiscal Note Required: Yes 
Fiscal Note 
2009-10 
2010-11 
$1,161 
($128,805) 
Projections 
2011-12 
($128,805) 
Projections 
2012-13 
($128,805) 
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Appropriations/Allocations 
General Fund 
$1,161 
$10,449 
($128,805) 
($239,105) 
($128,805) 
($239,105) 
($128,80) J ./ 
Federal Expenditures Fund 
($239,105) 
Fiscal Detail and Notes 
Provides an appropriation of $1,161 in 2009-10 to the Office of MaineCare Services in the Department of Health and 
Buman Services for the costs of implementing mandatory MaineCare co-payments for physician and pharmacy 
services. Also includes a de appropriation of$128,805 in 2010-11 to reflect the direct impact of the increase in co-
payment co11ections on MaineCare costs. The fiscal impact of the increased mandatory co-payments on the utilization 
of MaineCare services is not reflected and cannot be determined at this time. 
LR1566(02) - Fiscal Note - Page I of 1 
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