An Act To Establish Hospital Administrative District No.5, a Regional Hospital Administrative District in Lincoln County
Maine Legislature, Session 126, LD 1127
Committee Amendment CA_A_H391 (House)

COMMITTEE AMENDMENT "It" to H.P. 799, L.D. 1127, Bill, "An Act To 
Establish Hospital Administrative District No.5, a Regional Hospital Administrative 
District in Lincoln County" 
Amend the bill in section 1 in the last paragraph in the first line (page 2, line 16 in 
L.D.) by striking out the following: "shall" and inserting the following: 'may' 
Amend the bill in section :2 by striking out all of the first 11 lines (page 2, lines 21 to 
in L.D.) and inserting the following: 
'Sec. 2. Directors; powers and duties; limitations. The district is governed by 
a board of directors composed of up to 11 members who represent the towns that have 
voted to join the district. The representation of each town, if the town votes to join the 
district, must be as follows: 4 members from the Town of Boothbay, 3 members from the 
Town of Boothbay Harbor and 2 members each from the Town of Edgecomb and the 
Town of Southport. The members must be elected by popular vote at the annual meeting 
in each town. Except as provided in this section, a member's term of office is 3 years. In 
the first year of organization, the election in each town may be held at the annual or 
special meeting at which the town elects to join the district or the municipal officers of 
the town may appoint the members from the town until the next annual or special town 
meeting, at which the members must be elected by popular vote. At the first meeting of 
the board of directors, up to 3 directors must be assigned to one-year terms, up to 3 
directors must be assigned to 2-year terms and up to 5 directors must be assigned to 3-
year terms. The terms must be decided by the drawing of lots by the board members, and 
the clerk of each town must be advised as to the result.' 
Amend the bill in section 2 in the 2nd paragraph in the 9th line (page 2, line 40 in 
L.D.) by striking out the following: "directos" and inserting the following: 'directors' 
Amend the bill in section 5 in the first paragraph in the 16th and 17th lines (page 5, 
lines 2 and 3 in L.D.) by striking out the following: "district's voting list" and inserting 
the following: 'voting lists obtained pursuant to section 6' 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A .. to H.P. 799, L.D. 1121 
Amend the bill in section 5 in the last paragraph in the last line (page 5, line 29 in 
L.D.) by striking out the following: 
"district voting list" and inserting the following: 
'voting lists obtained pursuant to section 6' 
Amend the bill by striking out all of section 6 and inserting the following: 
'Sec. 6. Voting lists. The board of directors shall appoint a resident of the district 
to obtain a voting list from each town within the district on paper or electronically. This 
person is known as the registration clerk. The registration clerk's request to obtain a 
voting list must be made at least 5 business days in advance of an election, and the town 
clerk must supply the voting list to the registration clerk no later than the day prior to the 
election at no charge.' 
Amend the bill by striking out all of section 13 and inserting the following: 
'Sec. 13. Other towns may join; towns may withdraw. A town that does not 
belong to the district may be included in the district if the town votes by a majority vote 
at a meeting legally called and held to join the district and the voters of the district by 
majority vote at a district meeting called and held for that purpose vote to authorize the 
addition of the requesting town. The provisions of section 11, as appropriate, apply to 
any such district meeting. 
The town shall assume a proportionate share of any 
outstanding indebtedness of the district then existing. A town that belongs to the district 
may withdraw from the district by vote of a majority of the voters present and voting at a 
town meeting called and held for that purpose. A town that withdraws from the district 
shall assume a proportionate share of any outstanding indebtedness of the district existing 
on the date of the vote to withdraw.' 
Amend the bill in section 14 in the first paragraph in the 6th to 9th lines (page 9, lines 
to 12 in L.D.) by striking out the following: ", except that the registrars of voters are 
not required to prepare, nor the clerks to post, new lists of voters and for the purpose of 
registration of voters the registrars of voters must be in session on the secular day next 
preceding the regular or special meetings" 
Amend the bill in section 14 in the 3rd paragraph in the last 2 lines (page 9, lines 25 
and 26 in L.D.) by striking out the following: "towns, and due certification must be filed 
by the town clerks with the Secretary of State" and inserting the following: 'towns and 
filed in town records. 
The town clerks must report the result of the vote to the 
registration clerk, and the registration clerk must compile and declare the results' 
SUMMARY 
This amendment is the minority report of the committee and makes the following 
changes to the bill, which establishes Hospital Administrative District No.5, a regional 
hospital administrative district in Lincoln County. 
1. 
The amendment removes the requirement that the district initially operate a 
hospital and provide health care services from the existing St. Andrews Hospital and 
Healthcare Center campus and instead provides authorization to operate a hospital and 
provide health care services. 
2. 
The amendment provides an option for a town to have its municipal officers 
appoint the town's initial members on the board of directors of the district. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "R" to H.P. 799, L.D. 1127 
3. The amendment increases the number of members on the board of directors of the 
district from 7 to up to 11 depending on which towns join and adjusts the staggered 
membership in the first year accordingly. 
4. The amendment allows a town to vote to withdraw from the district but requires 
such a town to assume responsibility for a proportionate share of the indebtedness of the 
district. 
5. 
The amendment clanfies that voting lists must be obtained by the district's 
registration clerk from each town in the district on paper or electronically instead of 
requiring the registration clerk to compile a district voting list from the towns' lists. The 
amendment provides that the towns must supply the lists at no charge. 
6. The amendment removes language that is not needed because elections to form the 
district are conducted by towns using the towns' voting lists, which can be printed the day 
before the elections and include up-to-date information, and are conducted in accordance 
with the municipal election process. 
7. The amendment requires the result of the election to form the district to be filed in 
town records. 
8. The amendment requires town clerks to report the results of the elections to the 
registration clerk, who must compile and declare the results, instead of requiring the town 
clerks to file certification with the Secretary of State. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05127/13 ;tvac:. 
LD 1127 
LR 87(02) 
An Act To Establish Hospital Administrative District No.5, a Regional Hospital Administrative 
State Mandates 
Required Activity 
District in Lincoln County 
1'\ 
Fiscal Note for Bill as Amended by Committee Amendment 'h (H' 39j) 
Committee: State and Local Government 
Fiscal Note Required: Yes 
Fiscal Note 
.~:." . 
State Mandate - Exempted 
Potential future biennium cost increase - General Fund 
Unit Affected 
Local Cost 
Municipalities required to call meetings and to hold regular or special elections. 
Municipality 
Moderate 
limited scope 
Pursuant to the Mandate Preamble, the two-thirds vote of all members elected to each House exempts the state from 
the constitutional requirement to fund 90% of the additional costs. 
Fiscal Detail and Notes 
The potential fiscal impact on the MaineCare program and the State Employee Health Plan cannot be determined at 
this time. 
LR0087(02) - Fiscal Note - Page 1 of 1