Resolve, Creating the Advisory Committee on Maine's Health Insurance Exchange
Maine Legislature, Session 125, LD 1582
Committee: Insurance and Financial Services pursuant to Joint Order, H

Legislative Document 
No. 1582 
H.P. 1165 
House of Representatives, June 7, 2011 
Resolve, Creating the Advisory Committee on Maine's Health 
Insurance Exchange 
(EMERGENCY) 
Reported by Representative RICHARDSON of Warren for the Joint Standing Committee 
on Insurance and Financial Services pursuant to Joint Order, H.P. 1162. 
HEATHER J.R. PRIEST 
Clerk 
Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, to be eligible for health insurance exchange funding, the Federal 
Government requires the states to make substantial progress in the following core areas: 
background research; stakeholder consultation; legislative and regulatory action; 
governance; program integration; exchange information technology systems; financial 
management; oversight and program integrity; health insurance market reforms; 
providing assistance to individuals and small businesses, coverage appeals and 
complaints; and business operation; and 
Whereas, the deadlines for applying for the next round of federal funding are 
September 30, 2011 and December 31, 2011; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it 
Sec. 1.  Advisory Committee on Maine's Health Insurance Exchange 
established.  Resolved:  That the Advisory Committee on Maine's Health Insurance 
Exchange, referred to in this resolve as "the advisory committee," is established to 
develop and provide recommendations, including suggested enabling legislation, to the 
Governor and the Legislature for a health insurance exchange that addresses the core 
areas specified by the Federal Government and consider the views of the health care 
industry and other stakeholders; and be it further 
Sec. 2.  Membership of the advisory committee.  Resolved:  That the 
advisory committee consists of no more than 9 members appointed by the Governor, after 
consultation with the chairs and lead minority members of the Joint Standing Committee 
on Insurance and Financial Services.  The Governor shall appoint members that represent 
the diverse interests of stakeholders related to the establishment of a health insurance 
exchange. The members must include representatives of key constituencies, including, 
but not limited to, health care providers, insurers, health insurance producers, consumers, 
employers with more than 50 employees, employers with 50 or fewer employees and the 
Board of Trustees of Dirigo Health.  Prior to making appointments to the advisory 
committee, the Governor shall seek nominations from statewide associations representing 
the interests of stakeholders identified in this section and other entities as appropriate; and 
be it further 
Sec. 3.  Chair.  Resolved:  That the Governor shall appoint a chair from among 
the members of the advisory committee; and be it further 
Sec. 4.  Duties of the advisory committee.  Resolved:  That the advisory 
committee shall: 
1.  Review and consider the recommendations issued by the 124th Legislature's Joint 
Select Committee on Health Care Reform with respect to a health insurance exchange;  
2.  Consider the rules issued by the Federal Government subsequent to the passage of 
the Patient Protection and Affordable Care Act and their impact on the creation and 
operations of a health insurance exchange; 
3.  In an effort to create efficiencies, review the work products of other states to 
consider what elements of their health insurance exchange activities might be used in this 
State;  
4.  Establish technical committees or seek the advice of technical experts when 
necessary to execute the duties included in this resolve; and 
5.  Seek input from and report regularly to legislative leadership, the Joint Standing 
Committee on Insurance and Financial Services and the Governor's office throughout the 
advisory committee's deliberations; and be it further 
Sec. 5.  Meetings.  Resolved:  That meetings of the advisory committee must be 
conducted in public in accordance with the Maine Revised Statutes, Title 1, chapter 13.  
The advisory committee shall provide notice of its meetings to the Joint Standing 
Committee on Insurance and Financial Services; and be it further 
Sec. 6.  Consultation with Legislature.  Resolved:  That the Joint Standing 
Committee on Insurance and Financial Services is authorized to hold 3 meetings before 
the Second Regular Session of the 125th Legislature for the purpose of consulting with 
the advisory committee; and be it further 
Sec. 7.  Staffing.  Resolved:  That Dirigo Health shall provide staffing services to 
the advisory committee. As necessary, the Department of Professional and Financial 
Regulation, Bureau of Insurance; the Department of Administrative and Financial 
Services, Office of Information Technology; the Department of Health and Human 
Services; and the State Coordinator for Health Information Technology shall also provide 
staffing assistance to the advisory committee; and be it further 
Sec. 8.  Report.  Resolved:  That the advisory committee shall submit a report, 
including its recommendations and suggested legislation, to the Governor and the Joint 
Standing Committee on Insurance and Financial Services no later than September 1, 
2011. 
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved. 
SUMMARY 
This resolve is reported out pursuant to joint order by the Joint Standing Committee 
on Insurance and Financial Services. The resolve creates the Advisory Committee on 
Maine's Health Insurance Exchange.  The charge of the advisory committee is to make 
recommendations to the Legislature and to the Governor on courses of action to ensure 
federal funding for the creation of a health insurance exchange and to provide draft 
enabling legislation for the creation of a health insurance exchange. 
FISCAL NOTE REQUIRED 
(See attached) 
Approved: 06/03/11
LD 1582
LR 2186(01)
Legislative Cost/Study
Fiscal Detail and Notes
The additional costs to the Department of Health and Human Services, the Department of Administrative and 
Financial Services, and the Bureau of Insurance in the Department of Professional and Financial Regulation can be 
absorbed utilizing existing budgeted resources.  Additional costs to the Dirigo Health Agency can be absorbed within 
existing federal grant funds from State Planning and Establishment Grants for the Affordable Care Act's Exchanges. 
Resolve, Creating the Advisory Committee on Maine's Health Insurance Exchange
Fiscal Note for Original Bill
Committee: Insurance and Financial Services
Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
Legislative Cost/Study
Minor cost increase - General Fund
Minor cost increase - Other Special Revenue Funds
Minor cost increase - Federal Expenditure Funds
The costs for the 3 interim committee meetings required in this resolve are projected to be $4,875 in fiscal year 2011-
12.  The Legislature's proposed budget includes $10,000 in fiscal year 2011-12 for legislative studies.  Whether the 
amount is sufficient to fund all studies will depend on the number of studies authorized by the Legislative Council and 
the Legislature.
LR2186(01) - Fiscal Note - Page 1 of 1