An Act To Fund the Dirigo Health Program through a High-risk Pool
Maine Legislature, Session 124, LD 1206
Committee Amendment CA_A_H465 (House)
Amends: 24-A MRSA §423-E

COMMITTEE AMENDMENT "A "to H.P. 831, L.D. 1206, Bill, "An Act To Fund 
the Dirigo Health Program through a High-risk Pool" 
Amend the bill in Part A in section 14 in chapter 54-A in §3925 in subsection 1 in 
paragraph E in the last line (page 9, line 8 in L.D.) by striking out the following: "and" 
Amend the bill in Part A in section 14 in chapter 54-A in §3925 in subsection 1 by 
striking out all of paragraph F (page 9, lines 9 to 11 in L.D.) and inserting the following: 
'F. 
Establish a standard health questionnaire to be used to determine eligibility, 
including the form and content of the standard health questionnaire and the method of 
its application. The questionnaire must provide for an objective evaluation of an 
individual's health status by assigning a discreet measure such as a system of point 
scoring to each individual. The questionnaire must be designed so that it is 
reasonably expected to identify the 8% of persons who are the most costly to treat 
under individual health plans and must be certified by a member of the American 
Academy of Actuaries or a successor organization, who is independent of the board, 
that the standard health questionnaire meets the requirements of this paragraph; and 
G. 
Develop and implement a program to publicize the existence of the plan, the 
eligibility requirements for the plan and the procedures for enrollment in the plan and 
to maintain public awareness of the plan.' 
Amend the bill in Part A in section 14 in chapter 54-A in §3927 in subsection 2 in the 
2nd line (page 12, line 22 in L.D.) by striking out the following: "llQ" and inserting the 
following: '.$.4' 
Amend the bill in Part A in section 14 in chapter 54-A in §3927 by striking out all of 
subsection 4 (page 12, lines 36 and 37 in L.D.) 
Amend the bill in Part in section 14 in chapter 54-A in §3927 by renumbering the 
subsections to read consecutively. 
Amend the bill by striking out all of Part B. 
Amend the bill by striking out all of Part C and inserting the following: 
COMMITTEE AMENDMENT 
COMMITIEE AMENDMENT "A "to H.P. 831, L.D. 1206 
'PARTe 
Sec~ C-l. 24-A MRSA §423-E, as enacted by PL 2007, c. 629, Pt. A, §2, is 
amended to read: 
§423-E. Report to Legislat1llre 
The superintendent shall report each year by March I st to the joint standing 
committee of the Legislature having jurisdiction over insurance matters on the impact of 
any changes to the rating provisions ih section 2736-C, the status of the Maine Individual 
Reinsurance Association. established pursuant to chapter 54 and the impact on rates 
related to reimbursements paid by the Maine Individual Reinsurance Association, the 
total number of individuals enrolled in any health insurance product regulated by the 
bureau and the number of previously uninsured or underinsured individuals who have 
enrolled during that year in any health insurance product regulated by the bureau, which 
information is collected pursuant to rules adopted under this section. Along with the 
annual report, the. superintendant may submit any proposed legislation for consideration 
by the joint standing committee.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutivelY: 
SUMMARY 
This amendment, which is the minority report of the committee, does the following. 
1. The amendment requires that the high-risk pool association develop a standardized 
health questionnaire to be filled out by individuals to determine eligibility for the high-
risk pool. The amendment reduces the maximum assessment to be paid by insurers to 
support the high-risk pool to $4 and removes the requirement to transfer 50% of the 
assessment to the Dirigo Health program. 
2. The amendment removes Part B ofthe bill. 
3. This amendment corrects cross-references necessitated by changes made in Part A 
of the bill as amended by this amendment. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
') 
.. ' 
) 
.) 
\'i 
("'''''\ 
" 
" 
Approved: 05125/09 ;:!:Pac:. 
LD 1206 
LR259(02) 
An Act To Fund the Dirigo Health Program through a High-risk Pool 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment 'ff' 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Additional costs to the Bureau of Insurance in the Department of Professional and Financial Regulation can be 
absorbed by the bureau utilizing existing budgeted resources. Assumes the Comprehensive Health Insurance Risk 
Pool Association is established as a nonprofit legal entity and would therefore have no direct fiscal impact on State 
agencies or programs. 
LR0259(02) - Fiscal Note - Page 1 of 1