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-HA_D_H232 (House)

HOUSE AMENDMENT" D" 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 B in section 6 in subsection 3 in paragraph E in the 6th 
line (page 8, line 10 in amendment) by striking out the following: "paragraph E" and 
inserting the following: 'paragraph D' 
Amend the amendment in Part B in section 8 in §3955 in subsection 1 by striking out 
all of paragraph C (page 11, lines 6 to 12 in amendment) 
Amend the amendment in Part B in section 8 in §3955 in subsection 1 in paragraph E 
in the last line (page 11, line 15 in amendment) by striking out the following: "3959" and 
inserting the following: '3958' 
Amend the amendment in Part B in section 8 in §3955 in subsection 1 in paragraph F 
in the first line (page 11, line 16 in amendment) by striking out the following: "3958" 
and inserting the following: '3957' 
Amend the amendment in Part B in section 8 in §3955 in subsection 1 by relettering 
the paragraphs to read alphabetically. 
Amend the amendment in Part B in section 8 in §3955 in subsection 2 by striking out 
all of paragraph C (page 11, lines 24 and 25 in amendment) and inserting the following: 
'C. Sue or be sued and may take legal actions necessary or proper;' 
Amend the amendment in Part B in section 8 in §3955 in subsection 2 by striking out 
all of paragraph F (page 11, lines 33 to 35 in amendment) 
Amend the amendment in Part B in section 8 in §3955 in subsection 2 by relettering 
the paragraphs to read alphabetically. 
Amend the amendment in Part B in section 8 in §3955 in subsection 4 by striking out 
all of the last 2 sentences (page 12, lines 8 to 12 in amendment) 
Amend the amendment in Part B in section 8 by striking out all of §3957 (page 13, 
lines 10 to 42 and page 14, lines 1 to 38 in amendment) 
HOUSE AMENDMENT 
~~ 
~O 
HOUSE AMENDMENT ,,1) .. to COMMITTEE AMENDMENT "An to H.P. 979, L.D. 1333 
Amend the amendment in Part B in section 8 in §3958 in subsection 1 in paragraph A 
in the 2nd line (page 15, line 2 in amendment) by striking out the following: "3959" and 
inserting the following: '3958' 
Amend the amendment in Part B in section 8 in §3959 in subsection 1 in the last line 
(page 15, line 32 in amendment) by striking out the following: 
"paragraph P" and 
inserting the following: 'paragraph E' 
Amend the amendment in Part B in section 8 in §3961 in subsection 1 in the 4th line 
(page 16, line 5 in amendment) by striking out the following: "3958" and inserting the 
following: '3957' 
Amend the amendment in Part B in section 8 in §3961 in subsection 1 in paragraph B 
in the last line (page 16, line 16 in amendment) by striking out the following: "3959" and 
inserting the following: '3958' 
Amend the amendment in Part B in section 8 by renumbering the sections to read 
consecutively. 
SUMMARY 
Committee Amendment "A" creates the Maine Guaranteed Access Reinsurance 
Association, which is authorized to assess each insurer an amount not to exceed $4 per 
month per enrollee, and an unspecified additional amount to cover net losses. 
This 
amendment eliminates the association's authority to impose the health assessment. In 
addition, this amendment elim
o 
s. t~7\mtho~or th association to borrow funds o 
SPONSOREDBY: __ -=~~~_t~~ ________ -r~_ 
(Representative BERRY) 
TOWN: Bowdoinham 
FISCAL NOTE REQuIRED 
(See attached) 
HOUSE AMENDMENT 
Approved: 05112111 
;?;pac::.. 
LD 1333 
LR 1371(28) 
An Act To Modify Rating Practices for Individual and Small Group Health Plans and To Encourage 
Value-based Purchasing of Health Care Services 
Fiscal Note for House Amendment.p· to Committee Amendment "A" 
Sponsor: Rep. Berry of Bowdoinham 
Fiscal Note Required: Yes 
Fiscal Note 
No state fiscal impact 
Fiscal Detail and Notes 
The Maine Guaranteed Access Reinsurance Association is established as a nonprofit legal entity and would therefore 
have no direct fiscal impact on state agencies or programs. Elimination of the Association assessment on member 
insurers would have no direct fiscal impact on state agencies or programs. 
LRI371(28) - Fiscal Note - Page 1 of 1