An Act To Establish the Commission on Health Care Cost and Quality
Maine Legislature, Session 126, LD 0230
Committee Amendment CA_A_H76 (House)

COMMITTEE AMENDMENT "A" to H.P. 191, L.D. 230, Bill, "An Act To 
Establish the Commission on Health Care Cost and Quality" 
Amend the bill in section 1 in §251 by striking out all of subsection 1 (page 1, lines 6 
to 35 and page 2, lines 1 to 5 in L.D.) and inserting the following: 
'1. Appointment; composition. The Commission on Health Care Cost and Quality, 
established in Title 5, section 12004-G, subsection 14-1 and referred to in this chapter as 
"the commission," consists of 13 members appointed pursuant to this subsection. 
A. The President of the Senate shall appoint 5 members: 
(1) One individual to represent hospitals; 
(2) One individual with expertise inlong-tenn care; 
(3) One individual with expertise in mental health; 
(4) One individual with expertise in public health care financing; and 
(5) One individual with expertise in health care delivery. 
B. The Speaker of the House of Representatives shall appoint 4 members: 
0) One representative of consumers of health care; 
(2) One individual with expertise in the health insurance industry; 
(3) One individual with expertise in business; and 
(4) One individual with expertise in health disparities, representing the State's 
racial and ethnic minority communities. 
C. Four members of the commission must be members of the Legislature who serve 
on the joint standing committee of the Legislature having jurisdiction over health and 
human services matters or the joint standing committee of the Legislature having 
jurisdiction over insurance and financial services matters: 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 191, L.D. 230 
0) Two mcmbers of the Senatc appointed by the President of the Senate, 
including one member recommended by the Senate Minority Leader; and 
(2) Two members of the House of Representatives appointed by the Speaker of 
the House, including one member recommended by the House Minority Leader. 
Prior to making appointments to thc commission, the President of the Senate and the 
Speaker of the House shall seek nominations from the public, from statewide associations 
representing hospitals, physicians and health care consumers and from individuals and 
organizations with expertise in health care delivery systems, health care financing, health 
care quality and public health.' 
Amend the bill in section 1 in §251 in subsection 7 in the first line (page 2, line 21 in 
L.D.) by inserting before the following: "The commission" the following: 'The 
commission shall work in cooperation with the Department of Health and Human 
Services and the Department of Health and Human Services, Maine Center for Disease 
Control and Prevention to implement the federal Centers for Medicare and Medicaid 
Services state innovation model grant.' 
Amend the bill in section 1 in §251 in subsection 10 in the 2nd line from the end 
(page 4, line 21 in L.D.) by inserting after the following: "funds." the following: 
'Additional funding may be provided by the federal Centers for Medicare and Medicaid 
Services state innovation model grant for coordination withthe Department of Health and 
Human Services on health care innovation and reform.' 
Amend the bill by striking out all of section 6 and inserting the following: 
'Sec. 6. Staggered terms. Notwithstanding the Maine Revised Statutes, Title 3, 
section 251, subsection 2, the initial appointments of members of the Commission on 
Health Care Cost and Quality who are not Legislators must include 3 members appointed 
by the President of the Senate to 3-year terms, 2 members appointed by the Speaker of 
the House of Representatives to 4-year terms, 2 members appointed by the President of 
the Senate to 5-year terms and 2 members appointed by the Speaker of the House of 
Representatives to 5-year terms. The Executive Director of the Legislative Council shall 
call the first meeting of the commission as soon as all appointments are made. 
Sec. 7. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
LEGISLATURE 
Legislature 0081 
Initiative: Provides funds for the legislative per diem and expenses of members of the 
Commission on Health Care Cost and Quality and other miscellaneous commission 
expenses. 
GENERAL FUND 
Personal Services 
All Other 
2013-14 
$4,290 
$5,960 
COMMITTEE AMENDMENT 
2014-15 
$4,290 
$5,960 
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COMMITTEE AMENDMENT·A" to H.P. 191, L.D. 230 
GENERAL FUND TOTAL 
$10,250 
$10,250 
Legislature 0081 
Initiative: Provides funding for contracted staffing and clerical support for the 
Commission on Health Care Cost and Quality. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Legislature 0081 
2013-14 
$34,878 
$34,878 
2014-15 
$35,572 
$35,572 
Initiative: Provides a base allocation to authorize expenditures of any outside funding 
received to fund the activities of the Commission on Health Care Cost and Quality. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
LEGISLATURE 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2013-14 
$500 
$500 
2013-14 
$45,128 
$500 
$45,628 
2014-15 
$500 
$500 
2014-15 
$45,822 
$500 
$46,322 
SUMMARY 
This amendment is the majority report of the committee. This amendment reduces 
the membership on the Commission on Health Care Cost and Quality from 20 to 13 
members and corrects the schedule for staggered appointments. This amendment adds to 
the duties of the commission the duty to work in cooperation with the Department of 
Health and Human Services and the Department of Health and Human Services, Maine 
Center for Disease Control and Prevention to implement the federal Centers for Medicare 
and Medicaid Services, state innovation model grant. This amendment allows funding to 
be provided by the state innovation model grant for the commission to coordinate with 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,R" to H.P. 191, L.D. 230 
the department on health care innovation and refoml. The amendment also adds an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/29/13 P/ac. 
LD230 
LR 332(02) 
An Act To Establish the Commission on Health Care Cost and Quality 
Fiscal Note for Bill as Amended by Committee AmendmentA" { H 
... 7(0) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2013-14 
$45,128 
$45,128 
$500 
FY 2014-15 
$45,822 
$45,822 
$500 
Projections 
FY 2015-16 
$43,322 
$43,322 
$500 
Projections 
FY 2016-17 
$42,572 
$42,572 
$500 
This bill includes General Fund appropriations of $10,250 annually in fiscal years 2013-14 and 2014-15 to the 
Legislature for the per diem and expenses of members of the Commission on Health Care Cost and Quality and 
miscellaneous expenses of the commission. It also includes General Fund appropriations of$34,878 in fiscal year 
2013-14 and $35,572 in fiscal year 2014-15 for contracted staffing and clerical support to the commission. 
If outside funding is made available for commission activities, then the General Fund cost of the commission may be 
reduced. Other Special Revenue Funds allocations of $500 annually in fiscal years 2013-14 and 2014-15 are included 
to authorize expenditures of any dedicated funds received for this purpose. 
Any additional costs to the Department of Health and Humans Services for cooperation and coordination with the 
commission are assumed to be minor and can be absorbed within existing budgeted resources. The amount of 
additional funding that would be available and provided from the federal State Innovation Model grant for 
coordination with the department cannot be determined at this time. 
LR0332(02) - Fiscal Note - Page 1 of 1