An Act To Improve Preventive Dental Health Care and Reduce Future Avoidable Costs
Maine Legislature, Session 125, LD 1114
Committee Amendment CA_B_H818 (House)
Amends: 22 MRSA §3174-F

COMMITTEE AMENDMENT 'B" to H.P. 826, L.D. 1114, Bill, "An Act To 
Improve Preventive Dental Health Care and Reduce Future Avoidable Costs" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3174-F, sub-§l, ~F, as enacted by PL 1997, c. 159, §2, is 
repealed. 
Sec. 2. 22 MRSA §3174-F, sub-§l, ~G is enacted to read: 
G. 
To the extent consistent with federal law, other dental services, which may 
include preventive and restorative services and partial or full dentures, when the 
department determines that the other dental services are medically necessary to 
correct or ameliorate an underlying medical condition and will be cost-effective in 
comparison to the provision of other covered medical services for the treatment of 
that condition. 
(1) By October 1, 2012 and quarterly thereafter, as limited by existing resources, 
the department shall convene the MaineCare Dental Advisory Commission and 
representatives of dental clinics, private dentists, MaineCare members and others 
with expertise in medical and oral health to develop a list of underlying medical 
conditions for which MaineCare dental services will be provided under this 
paragraph. 
(2) The dental services must be available to MaineCare members without prior 
authorization, must meet the requirements of this paragraph, must be identified 
by a dentist or oral surgeon as dental services of short duration and must include 
services that will reduce the need for care in a hospital emergency department or 
reduce the need for other covered services. 
(3) When the list under subparagraph (1) has been developed, the department 
shall amend the rules of the MaineCare program to cover the listed services. 
Rules adopted pursuant to this subparagraph are routine technical rules as defined 
in Title 5, chapter 375, subchapter 2-A.' 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT·B" to H.P. 826, L.D. 1114 
SUMMARY 
This amendment, which is the minority report of the committee, replaces the bill. It 
retains the provisions of the bill that seek to provide cost-effective dental services for 
adult MaineCare members and adds a process for identifying those services and a 
requirement that the services be cost-effective. It is the same as Committee Amendment 
"A" with the addition of a clarification that any provision of dental services must be 
consistent with federal law. 
FISCAL l'IOTE RE(JURED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/15/12 Mac. 
LD 1114 
LR 1830(04) 
An Act To Improve Preventive Dental Health Care and Reduce Future Avoidable Costs 
Fiscal Note for Bill as Amended by Committee Amendment '13" ( !-l -8"1 g) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Additional costs to the Department of Health and Human Services will be absorbed within existing budgeted 
resources. 
LRI830(04) - Fiscal Note - Page 1 of 1