An Act To Stabilize Funding and Enable DirigoChoice To Reach More Uninsured
Maine Legislature, Session 124, LD 1264
Committee Amendment CA_A-SA_B_S293 (Senate)
Committee: Insurance and Financial Services on changes that will be made to the Dirigo Health Program as directed by this section

SENATE AMENDMENT "..8 "to COMMITTEE AMENDMENT "A" to H.P. 883, 
L.D. 1264, Bill, "An Act To Stabilize Funding and Enable DirigoChoice To Reach More 
Uninsured" 
Amend the amendment on page 1 by striking out all of lines 17 to 20 and inserting 
the following: 
'Amend the bill by striking out all of section 6 and inserting the following: 
'Sec. 6. Changes to Dirigo Health. The Board of Trustees of Dirigo Health, or 
"the board," shall implement the following changes to Dirig;o Health effective for all 
annual contracts offered or renewed after June 30, 2010: 
1. Vouchers. Coverage may be subsidized only through sliding scale vouchers that 
provide eligible households access to a range of insurance products with choices from 
multiple carriers and varied plans that meet standards approved by the board; 
2. Asset test. The board may not provide subsidies to any household with a net 
worth exceeding $50,000; 
3. Eligibility. The board may enroll as new members only those who have been 
uninsured for at least 6 months before acquiring coverage subsidized by Dirigo Health; 
4. Underwriting. Carriers whose products qualifY for subsidies may offer coverage 
that imposes a 6-month waiting period for preexisting medical conditions; and 
5. Policies. The board must apply its revenue alloted to Dirigo Health to implement 
the following policies: 
A. To develop and offer more affordable products; 
B. To reduce subsidies in order to cover more households at lesser cost; 
C. To emphasize preventive care and disease management over member asset 
protection; 
D. To improve population health; 
E. To reduce health care costs throughout the State's health care market; and 
F. To maximize the use of federal initiatives available through Medicaid and 
national health reforms. 
SENATE AMENDMENT 
~
"'~ 
~ ~.'o'l!,if}~ 
i;<'" 
SENATE AMENDMENT:!; "to COMMITTEE AMENDMENT "A" to H.P. 883, L.D. 1264 
The board shall report by March 1, 2010 to the Joint Standing Committee on 
Insurance and Financial Services on changes that will be made to the Dirigo Health 
Program as directed by this section.' ' 
SUMMARY 
This amendment directs the Board of Trustees of Dirigo Health to change Dirigo 
Health effective June 30, 2010 in the following ways: 
1. Adopt sliding scale vouchers to provide households with access to a range of 
approved insurance products; 
2. Deny subsidies to households with assets exceeding $50,000; 
3. Enroll as new members only those who have been uninsured for at least 6 months; 
4. Allow carriers to impose a 6-month waiting period for preexisting conditions; and 
5. 
Adopt policies to offer more affordable products, spread subsidies over more 
households, emphasize preventive care and disease management, improve population 
health, reduce costs in the State's health care mar\<.et and maximize federal initiatives. 
SPONSORED BY: 
(~r 
"'--
(Senator MILLS, P.) 
COUNTY: Somerset 
JF[SCAL NOTE REQURED 
~S~~ attached) 
SENATE AMENDMENT 
\ 
/ 
') 
) 
,... 
'" 
·r: 
r---" 
( 
~ 
", 
,I 
Approved: 06/02/09 wac;. 
LD 1264 
LR 1932(04) 
An Act To Stabilize Funding and Enable DirigoChoice To Reach More Uninsured 
Fiscal Note for Senate Amendment ,~" to Committee Amendment "A" 
Sponsor: Sen. Mills of Somerset 
Fiscal Note Required: Yes 
Fiscal Note 
Potential current biennium savings - Dirigo Health Fund 
Fiscal Detail and Notes 
The realization of potential savings will depend on actions taken by the Dirigo Health Board affecting annual 
( 
'" 
contracts offered or renewed after June 30, 2010. 
" 
.... ;J 
LR 1932(04) - Fiscal Note - Page I of I