An Act To Modify Rating Practices for Individual and Small Group Health Plans and To Encourage Value-based Purchasing of Health Care Services
Maine Legislature, Session 125, LD 1333
Committee Amendment CA_A-SA_G_S92 (Senate)

SENATE AMENDMENT" e:;." to COMMITTEE AMENDMENT "A" to H.P. 979, 
L.D. 1333, Bill, "An Act To Modify Rating Practices for Individual and Small Group 
Health Plans and To Encourage Value-based Purchasing of Health Care Services" 
Amend the amendment in Part A in section 1 by striking out all of paragraph C (page 
1, lines 17 to 21 in amendment) and inserting the following: 
'C. 
A carrier may vary the premium rate due to smoking status and family 
membership. 
The superintendent may adopt rules setting forth appropriate 
methodologies regarding rate discounts based on smoking status. Rules adopted 
pursuant to this paragraph are routine technical rules as defined in Title 5, chapter 
375, subchapterII-A 2-A.' 
Amend the amendment in Part A in section 2 in paragraph D in the first and 2nd lines 
(page 1, lines 24 and 25 in amendment) by striking out the following: "age and 
geographic area" and inserting the following: 'age and, geographic area and' 
Amend the amendment in Part A in section 2 in paragraph D in subparagraph (5) in 
the 3rd line (page 2, line 31 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 2 in paragraph D in subparagraph (6) in 
the 3rd line (page 2, line 36 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 2 in paragraph D in subparagraph (7) in 
the 3rd line (page 2, line 41 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 4 in paragraph I in subparagraph (1) in 
the 3rd line (page 3, line 16 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 4 in paragraph I in subparagraph (2) in 
the 3rd line (page 3, line 21 in amendment) by inserting after the following: 1f~1f the 
following: 'and geographic area' 
Page I - 125LR1371(IO)-1 
SENA TE AMENDMENT 
~.-" 
SENATE AMENDMENT "Go" to COMMITTEE AMENDMENT "A" to H.P. 979, L.D. 1333 
Amend the amendment in Part A in section 4 in paragraph I in subparagraph (3) in 
the 3rd line (page 3, line 26 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 4 in paragraph I in subparagraph (4) in 
the 3rd line (page 3, line 31 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 4 in paragraph I in subparagraph (5) in 
the 3rd line (page 3, line 36 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 5 in paragraph C in the first and 2nd lines 
(page 4, lines 16 and 17 in amendment) by striking out the following: "geographic area," 
Amend the amendment in Part A in section 5 in paragraph C in the 5th line (page 4, 
line 20 in amendment) by striking out the following: "geographic area," 
Amend the amendment in Part A in section 6 in paragraph D in subparagraph (4) in 
the 3rd line (page 4, line 43 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 6 in paragraph D in subparagraph (5) in 
the 3rd line (page 5, line 5 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 6 in paragraph D in subparagraph (6) in 
the 3rd line (page 5, line 10 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 6 in paragraph D in subparagraph (7) in 
the 3rd line (page 5, line 15 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 6 in paragraph D in subparagraph (8) in 
the 3rd line (page 5, line 20 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 8 in paragraph H in subparagraph (1) in 
the 3rd line (page 5, line 38 in amendment) by inserting after the following: "age" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 8 in paragraph H in subparagraph (2) in 
the 3rd line (page 6, line 1 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 8 in paragraph H in subparagraph (3) in 
the 3rd line (page 6, line 6 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
Amend the amendment in Part A in section 8 in paragraph H in subparagraph (4) in 
the 3rd line (page 6, line 11 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
SENA TE AMENDMENT 
SENATE AMENDMENT "&" to COMMITTEE AMENDMENT "A" to H.P. 979, L.D. 1333 
Amend the amendment in Part A in section 8 in paragraph H in subparagraph (5) in 
the 3rd line (page 6, line 16 in amendment) by inserting after the following: "~" the 
following: 'and geographic area' 
SUMMARY 
Committee Amendment "A" changes the laws governing community rating for 
individual and small group health insurance as they relate to age, smoking status and 
geographic area. This amendment eliminates the changes relating to geographic area, 
thus including rating on the basis of geographic area inside of the rating bands for age 
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COUNTY: Cumberland 
SENATE AMENDMENT