An Act To Include Independent Practice Dental Hygienists in MaineCare
Maine Legislature, Session 125, LD 0070
Committee Amendment CA_A_H49 (House)
Amends: 22 MRSA §3174-Q

COMMITTEE AMENDMENT 4{ "to H.P. 58, L.D. 70, Bill, "An Act To Include 
Independent Practice Dental Hygienists in MaineCare" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3174-QQ is enacted to read: 
§3174-QQ. Dental hygienist reimbursement 
1. 
Reimbursement. 
By April I, 2012, the department shall provide for the 
reimbursement under the MaineCare program of independent practice dental hygienists 
practicing as authorized under Title 32, section 1094-1 for all procedures performed under 
Title 32, section 1094-0, subsection 1. Reimbursement must be provided to independent 
practice dental hygienists directly or to a federally qualified health center pursuant to 
section 3174-V when an independent practice dental hygienist is employed as a core 
provider at the center. 
2. Rulemaking. The department shall adopt rules to implement this section. Rules 
adopted pursuant to this subsection are routine technical rules as defined by Title 5, 
chapter 375, subchapter 2-A. 
Sec. 2. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates and allocates funds for the costs of MaineCare reimbursement for 
services provided by dental hygienists practicing independently effective April 1, 2012. 
Page I - 125LR0604(02)-1 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT 'A" to H.P. 58, L.D. 70 
If'.) Of S GENERAL FUND 
2l' 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2011-12 
$54,320 
$54,320 
2011-12 
$93,570 
$93,570 
2012-13 
$271,601 
$271,601 
2012-13 
$467,852 
$467,852 
This amendment removes the requirement that rules be adopted by April 1, 2012 and 
adds a provision to reimburse a federally qualified health center that employs an 
independent practice dental hygienist as a core provider. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/04/11 frac 
125th l\1AINE LEGISLATURE 
LD 70 
LR 604(02) 
An Act To Include Independent Practice Dental Hygienists in MaineCare 
Fiscal Note for Bill as Amended by Committee Amendment :tt" 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
$54,320 
$54,320 
$93,570 
FY 2012-13 
$271,601 
$271,601 
$467,852 
Projections 
FY 2013-14 
$488,882 
$488,882 
$842,134 
Projections 
FY 2014-15 
$651,843 
$651,843 
$1,122,845 
Provides an appropriation of $54,320 in 2011-12 and $271,601 in 2012-13 for the state share of the costs of 
MaineCare reimbursement for services provided by dental hygienists practicing independently effective April I, 2012. 
Assumes initially five dental hygienists will provide services to an average of 15 MaineCare eligible children per 
week each at an estimated annual cost of $316 per child per year, and that 50% of this utilization would replace 
existing services and 50% would retlect an increase in MaineCare dental hygienists services provided. Further 
assumes an additional five dental hygienists each year in subsequent years will provide services to MaineCare 
children. 
LR0604(02) - Fiscal Note - Page 1 of I