An Act To Include Independent Practice Dental Hygienists in MaineCare
Maine Legislature, Session 125, LD 0070
Committee Amendment CA_A-SA_A_S339 (Senate)

SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 58, 
L.D. 70, Bill, "An Act To Include Independent Practice Dental Hygienists in MaineCare" 
Amend the amendment in section 1 in §3174-QQ by striking out all of subsection 1 
(page 1, lines 15 to 21 in amendment) and inserting the following: 
'I. Reimbursement. By October 1, 2012, the department shall provide for the 
reimbursement under the MaineCare program of independent practice dental hygienists 
practicing as authorized under Title 32, section 1094-1 for the following procedures: 
A. Prophylaxis performed on a person who is 21 years of age or younger; 
B. Topical application of fluoride performed on a person who is 21 years of age or 
younger; 
C. Provision of oral hygiene instructions; 
D. The application of sealants; 
E. Temporary fillings; and 
F. X-rays. 
Reimbursement must be provided to independent practice dental hygienists directly or 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.' 
Amend the amendment by striking out all of section 2 and inserting the following: 
'Sec. 2. 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 MaineCare reimbursement for 
specific procedures provided by dental hygienists practicing independently effective 
October 1,2012. 
SENA TE AMENDMENT 
SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 58, L.D. 70 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
2012-13 
$54,320 
$54,320 
2012-13 
$93,570 
$93,570 
This amendment limits the procedures for which the Department of Health and 
Human Services, by October 1, 2012, must provide reimbursement to 6 specified 
procedures. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED BY: 
~-v-U L ~ 
(Senator ROSEN, R.) 
COUNTY: Hancock 
SENATE AMENDMENT 
Approved: 06/24/11 
frac:.. 
LD70 
LR 604(05) 
An Act To Include Independent Practice Dental Hygienists in MaineCare 
Fiscal Note for Senate Amendment ,,~, to Committee Amendment "A" 
~ -
3~<t 
Sponsor: Sen. Rosen of Hancock 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
($54,320) 
($54,320) 
($93,570) 
FY 2012-13 
($217,281) 
($217,281) 
($374,282) 
Projections 
FY 2013-14 
($355,894) 
($355,894) 
($613,053) 
Projections 
FY 2014-15 
($442,862) 
($442,862) 
($762,860) 
The fiscal impact shown above is the incremental savings from this amendment compared to Committee Amendment 
A. The amendment would reduce the costs of the bill, eliminate the need for an appropriation for 2011-12 and leave a 
reduced appropriation of $54,320 in 2012-13 for the state share of the costs of MaineCare reimbursement for six 
spl~cific procedures provided by dental hygienists practicing independently effective October 1,2012. 
LR0604(05) - Fiscal Note - Page 1 of 1