Resolve, To Conduct an Updated Study ofthe Feasibility of Establishing a Single-payor Health Care System in the State and the Impact of Any Federal Health Care Reform
Maine Legislature, Session 124, LD 1002
Committee Amendment CA_A_H353 (House)

COMMITTEE AMENDMENT "R "to H.P. 690, L.D. 1 002, "Res~lve, To Conduct 
an Updated Study of the Feasibility of Establishing a Single-payor Health Care System in 
the State" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Conduct an Updated Study ofthe Feasibility of Establishing a Single-
payor Health Care System in the State and the Impact of Any Federal Health Care 
'Reform' 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Update to feasibility study. Resolved: That the Legislative Council 
shall contract with a qualified consultant to update the estimated costs and impact of a 
single-payor health care system as described in the December 2002 document titled 
"Feasibility Study of a Single-payer Health Plan Model for the State of Maine" produced 
by Mathematica Policy Research, Inc. In the event that federal legislation related to 
universal health care is enacted, the updated study must include a preliminary analysis of 
the impact of federal action on state legislation to establish a single-payor health care 
system or other mechanism for universal health care and the availability of federal 
funding and guidance for implementation in this State. The Legislative Council shall seek 
outside grant funding to fully fund all costs of the updated study, which may not exceed 
$60,000. If sufficient outside funding has not been received by the Legislative Council by 
October 1, 2009 to fully fund all costs of the updated study, no expenses of any kind 
related to the study may be incurred. The updated study must be submitted no later than 
January 15, 2010 to the Second Regular Session of the 124th Legislature. The Joint 
Standing Committee on Insurance and Financial Services may submit legislation based 
on the updated feasibility study to the Second Regular Session of the 124th L~gislature; 
and be it further 
Sec. 2. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
Page I - 124LR0784(02)-1 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 690, L.D. 1002 
LEGISLATURE 
Legislature 0081 
Initiative: Allocates funds to the Legislature to contract for an update to the 2002 study of 
the feasibility of establishing a single-payor health care plan for the State. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
" OTHER SPECIAL REVENUE FUNDS TOTAL 
Legislature 0081 
2009-10 
$60,000 
$60,000 
2010-11 
$0 
$0 
Initiative: Appropriates funds to contract for professional services for grant writing and 
technical assistance. 
GENERAL FUND 
All Other 
, GENERAL FUND TOTAL 
LEGISLATURE 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2009-10 
$5,750 
$5,750 
2009-10 
$5,750 
$60,000 
$65,750 
2010-11 
$0 
$0 
2010-11 
$0 
$0 
$0 
This amendment adds a requirement that the updated study include a preliminary 
analysis of the ijnpact of any federal health care reform legislation on state legislation to 
establish a single-payor health care system or other mechanism for universal health care. 
The amendment also changes the dates contained in the resolve for securing 
commitments for outside funding from August 1, 2009 to October 1, 2009 and for 
submitting the report from December 2,2009 to January 15,2010. 
The amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 05114/09 
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LD 1002 
LR 784(02) 
Resolve, To Conduct an Updated Study ofthe Feasibility of Establishing a Single-payor Health Care 
System in the State 
Fiscal Note for Bill as Amended by Committee Amendment 'A" 
Committee: Insurance and Financial Services 
.Net Cost (Savings) 
Gerieral Fund 
Appropriations/Allocations 
General Fund 
Other Special Revenue Funds 
Legislative Cost/Study 
Fiscal Note Required: Yes 
Fiscal Note 
Legislative Cost/Study 
2009-10 
$5,750 
$5,750 
$60,000 
2010-11 
$0 
$0 
$0 
Projections 
2011-12 
$0 
$0 
$0 
Projections 
2012-13 
$0 
$0 
$0 
The bill includes a General Fund appropriation of $5,750 in fiscal year 2009-10 to contract for professional services 
for grant writing and other technical assistance. It also includes an allocation of $60,000 in fiscal year 2009-10 to 
authorize expenditures of any outside grant funding secured to fully-fund the cost of the updated feasibility study. If 
no outside funding is received by August 1,2009, no expenses of any kind related to this study may be incurred. 
LR0784(02) - Fiscal Note - Page I of I