An Act To Reduce the Use of Hospital Emergency Departments for Preventable Oral Health ConditJiOns
Maine Legislature, Session 126, LD 1486
Committee Amendment CA_A-HA_A_H562 (House)
Amends: 22 MRSA §3174-F

HOUSE AMENDMENT" ,if" to COMMITTEE AMENDMENT "A" to H.P. 1068, 
L.D. 1486, Bill, "An Act To Reduce the Use of Hospital Emergency Departments for 
Preventable Oral Health ConditJiOns" 
Amend the amendment by inserting after the title and before the first paragraph the 
foHowing: 
'Amend the bill by striking out the title and substituting the foHowing: 
'An Act To Maximize Funds Available To Provide Oral Health Care Services to 
Persons with Developmental, Behavioral or Other Severely Disabling Conditions 
Requiring Specialized and Time-intensive Oral Health Care' , 
Amend the amendment in the first paragraph after the title in the first line (page 1, 
line 12 in amendment) by striking out the following: 
"adding after section 2 the 
foHowing:" and inserting the foHowing: 'striking out all of sections 1 and 2 and inserting 
the following:' 
Amend the amendment by ~,triking out all of section 3 and inserting the foHowing: 
'Sec. 1. 22 MRSA §3174-F, sub-§l, ~D, as amended by PL 1997, c. 159, §1, is 
further amended to read: 
D. 
Treatment necessary to relieve pain, eliminate infection or prevent imminent 
tooth loss; aOO 
Sec. 2. 22 MRSA §3174-F, sub-§l, ~F, as enacted by PL 1997, c. 159, §2, is 
further amended to read: 
F. Other dental services, including full and partial dentures, medically necessary to 
correct or ameliorate an underlying medical condition, if the department determines 
that provision of those services will be cost-effective in comparison to the provision 
of other covered medical services for the treatment of that condition7; and 
Sec. 3. 22 MRS A §3174-F, sub-§l, ~G is enacted to read: 
G. Medically necessary preventive and restorative dental services as determined by 
the department for persons with developmental, behavioral or other severely 
disabling conditions requiring specialized and time-intensive oral health care. 
HOU~SE AMENDMENT 
". 
~~. 
HOUSE AMENDMENT" ~"to COMMITTEE AMENDMENT "A" to H.P. 1068, L.D. 1486 
Sec. 4. 
Submit state plan amendment; contingent effective date. 
By 
October 1,2013, the Department of Health and Human Services shall submit a state plan 
amendment to the to the federal Department of Health and Human Services, Centers for 
Medicare and Medicaid Services to provide preventive and restorative dental services for 
persons with developmental, behavioral or other severely disabling conditions requiring 
specialized and time-intensive oral health care. The Commissioner of Health and Human 
Services shall notify the Revisor of Statutes when the amendment to the state plan is 
approved, and the Maine Revised Statutes, Title 22, section 3174-F, subsection 1, 
paragraph G takes effect on the date ofthat notification. 
If the state plan amendment submitted pursuant to this section is not approved, Title 
22, section 3174-F, subsection 1, paragraph G does not take effect. 
Sec. 5. Transfer of funds for MaineCare payments. Notwithstanding any 
other provision of law, upon approval of the state plan amendment as required under this 
Act, the Department of Health and Human Services shall transfer available funds in the 
All Other line categories in the Mental Health Services - Community and the 
Developmental Services - Community accounts in the Department of Health and Human 
Services appropriated for contracted services for dental care previously provided by the 
Portland Dental Clinic to the appropriate MaineCare account to provide the State's share 
of the MaineCare costs resulting from the state plan amendment approved under this Act. 
These transfers must be made by financial order upon the recommendation of the State 
Budget Officer and approval of the Governor. 
These transfers are not considered 
adjustments to appropriations.' 
SUMMARY 
This amendment requires the Department of Health and Human Services to seek a 
Medicaid state plan amendment to provide preventive and restorative dental services for 
adults with developmental, behavioral or other severely disabling conditions who require 
specialized and time-intensive care and services. 
The department is authorized to 
implement such coverage with approval from the Centers for Medicare and Medicaid 
Services and transfer funds currently used for services provided at the Portland Dental 
Clinic. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED By:l.'\ .. · _/~/ 
(Representative GATTINE) 
TOWN: Westbrook 
HOUSE AMENDMENT 
• 
Approved: 06118/13 ;tvae 
LD 148(~ 
LR 1782(03) 
An Act To Reduce the Use of Hospital Emergency Departments for Preventable Oral Health 
Conditions 
Fiscal Note for House Amendment ,t. to Committee Amendment "A" 
Sponsor: Rep. Gattine of Westbrook 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fis4!al Note Required: Yes 
Fiscal Note 
Current biennium cost increase - General Fund 
FY 2013-14 
FY 2014-15 
($1,935,957) 
($2,220,397) 
($1,935,957) 
($3,132,657) 
($2,220,397) 
($3,554,368) 
Projections 
FY 2015-16 
($668,778) 
($668,778) 
($1,102,581 ) 
Projections 
FY 2016-17 
($688,778) 
($688,778) 
($1,102,581) 
This amendment eliminates the costs in the committee amendment. It adds a new cost for the Department of Health 
and Humans Services to provide MaineCare coverage for preventative and restorative dental services to a subset of the 
adult population conditioned on the approval of a State plan amendment by the federal Centers for Medicare and 
Medicaid Services. The costs and timing of this expanded coverage cannot be determined. The availability and 
adequacy of existing appropriated funds to fund the State share of the costs of this coverage also cannot be 
determined. 
LR1782(03) - Fiscal Note - Page 1 of 1