An Act To Improve Timely Access to Health Care Data
Maine Legislature, Session 125, LD 1467
Committee Amendment CA_A_H655 (House)

COMMITTEE AMENDMENT "A " 
to H.P. 1076, L.D. 1467, Bill, "An Act To 
Improve Timely Access to Health Care Data" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Evaluate the All-payor Claims Database System for the State' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. Creation of working group. Resolved: That the Department of Health 
and Human Services, refen"ed to in this resolve as "the department," shall establish and 
convene a working group to evaluate options and actions available to improve the 
availability of and access to health care data and to examine the all-payor claims database 
system in the State; and be it fmiher 
Sec. 2. Membership. Resolved: That the Commissioner of Health and Human 
Services shall invite 17 persons to participate in the working group, as follows: 
1. Two representatives of health insurance carriers; 
2. Two representatives of health care providers, one member representing hospitals 
and one member representing physicians; 
3. Two representatives of employers, one member representing a statewide health 
management coalition and one member representing a statewide chamber of commerce; 
4. One representative of consumers; 
5. One expert in both state and federal privacy laws; 
6. One representative of the Maine Health Data Organization; 
7. One representative of the Maine Health Data Processing Center; 
8. One representative of Onpoint Health Data; 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT A 
"to H.P. 1076, L.D. 1467 
9. One representative of the Department of Administrative and Financial Services, 
Office of Infonnation Technology; 
10. One representative of Health Info Net; 
11. One representative of the MaineCare program within the department; 
12. One representative of the federal Medicare program; 
13; One representative of the Office of the Attorney General; and 
14. One representative of the Maine Quality Fomm; and be itfmiher 
Sec. 3. Cochairs. Resolved: That the members of the working group shall select 
of the members to serve as cochairs; and be it further 
Sec. 4. Evaluation. Resolved: That the working group shall consider changes to 
the State's all-payor claims database system to improve the availability of and access to 
. 
health care data by: 
1. Reviewing the current stmctures of and relationships among the Maine Health 
Data Organization, the Maine Health Data Processing Center and Onpoint Health Data in 
. 
order to evaluate the timeliness and effectiveness of the data received; 
2. Reviewing the current purposes and uses of the data and limitations on access to 
the data and considering additional uses for the data and changes that might be necessary 
to achieve and facilitate additional uses; 
3. Considering federal and state privacy and security laws regarding the use and 
release of protected health infonnation, including policy and technical changes needed to 
allow increased access to protected health infonnation and the feasibility of those 
changes; and 
4. Considering the availability of the data, the most appropriate sources of the data 
and the cost of providing the data; and be it further 
Sec. 5. Funding and staffing. Resolved: That the department shall provide 
staffing assistance to the working group through contracted professional services and 
shall seek outside nonstate funding to support staffing services and administrative costs 
for the working group. If adequate funding is not obtained, the working group may not 
convene or incur any expenses; and be it further 
Sec. 6. Report. Resolved: That, by January 31,2012, the department shall report 
the recommendations based on the findings and conclusions, determined by vote, of the 
working group, along with any recommended implementing legislation, to the Joint 
Standing Committee on Health and Human Services.' 
SUMMARY 
This amendment replaces the bill with a resolve that creates a working group to 
review and make recommendations on the availability of and access to health care data 
and to examine the all-payor claims database systems. The working group consists of 17 
members, all invited to participate by the Commissioner of Health and Human Services. 
The working group is required to obtain outside nonstate funding to suppOli staffing and 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 1076, L.D. 1467 
administrative costs. The Department of Health and Human Services is required to 
submit a report to the Joint Standing Committee on Health and Human Services by 
January 31, 2012. 
FISCAL );"OTE REQl.. 1 Kt.U 
(See attached) 
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COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
"evised: 06115111 
WLZC 
LD 1467 
LR 1856(02) 
An Act To Improve Timely Access to Health Care Data 
Fiscal Note for Bill as Amended by Committee Amendment A" 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Department of Health and Humans services and to the Maine Health Data Organization 
will be absorbed with existing budgeted resources or non-state funding as identified in the bill. 
LR1856(01) - Fiscal Note - Page 1 of I