Resolve, To Update the Study Regarding the Feasibility of Establishing a Single-payor Health Care System
Maine Legislature, Session 125, LD 0057
Committee Amendment CA_A_H47 (House)

COMMITTEE AMENDMENT "A" to H.P. 50, L.D. 57, "Resolve, To Update the 
Study Regarding the Feasibility of Establishing a Single-payor Health Care System" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Update to feasibility study. Resolved: 
That the Legislature shall 
contract with a qualified consultant to update the December 2002 document titled 
"Feasibility Study of a Single-payer Health Plan Model for the State of Maine" produced 
by Mathematica Policy Research, Inc. The updated study must include an analysis of the 
impact of the federal Patient Protection and Affordable Care Act on state legislation to 
establish a single-payor health care system or other mechanism for universal health care 
and the availability of federal funding and guidance for implementation in this State. The 
updated study must also include an analysis of the health system refonTI design proposals 
considered by the State of Vermont for a single-payor health plan and the costs and 
impact of implementing a similar single-payor health plan design in this State. 
The 
updated study must be submitted no later than March 1, 2012 to the Second Regular 
Session of the 125th Legislature. 
The Joint Standing Committee on Insurance and 
Financial Services may submit legislation based on the updated feasibility study to the 
Sec. 2. 
Appropriations and allocations. 
Resolved: 
That the follovving 
appropriations and allocations are made. 
LEGISLA TURE 
Legislature 0081 
Initiative: Allocates federal grant funds received by the Governor's Office of Health 
Policy and Finance that must be subgranted to the Legislature to contract for a qualified 
consultant to update the December 2002 feasibility study of a single-payor health plan 
model. 
Page I - 12SLROOI7(02)-1 
COMMITTEE AMENDMENT 
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". 
COMMITTEE AMENDMENT" ~"to RP. 50, L.D. 57 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2011-12 
$60,000 
$60,000 
2012-13 
$0 
$0 
This amendment is the minority report of the committee and replaces the resolve. 
The amendment requires the Legislature to hire a consultant to update "Feasibility 
Study of a Single-payer Health Plan Model for the State of Maine," originally completed 
in 2002. The amendment also requires that the updated study include an analysis of the 
impact of the federal Patient Protection and Affordable Care Act on state legislation to 
establish a single-payor health care system and of the costs and impact of using a single-
payor health plan design similar to the design proposed for the State of Vermont. 
The amendment also provides funding for the updated study through a federal grant 
awarded to the State. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/04111 frac. 
LD57 
LR 17(02) 
Resolve, To Update the Study Regarding the Feasibility of Establishing a Single-payor Health Care 
System 
Fiscal Note for Bill as Amended by Committee Amendment 11" 
Committee: Insurance and Financial Services 
Appropriations! Allocations 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
FY 2012-13 
$60,000 
$0 
Projections 
FY 2013-14 
$0 
Projections 
FY 2014-15 
$0 
This bill allocates federal grant funds received by the Governor's Office of Health Policy and Finance that must be 
subgranted to the Legislature to contract for a qualified consultant to update the December 2002 feasibility study ofa 
single-payer health plan model. This allocation assumes that the office agrees to subgrant a portion of their grant 
award and that the study can be structured to meet the qualitying purposes of the federal grant. [fnot, no funding will 
be available to update the study. 
LROO 17(02) - Fiscal Note - Page 1 of 1