An Act To Give Retroactive Effect to the State! Employee Health Commission's Reconsideration of Hospital Ratings
Maine Legislature, Session 126, LD 0129
Committee Amendment CA_A_S144 (Senate)

COMMITTEE AMENDMENT "tt" to S.P. 50, L.D. 129, Bill, "An Act To Give 
Retroactive Effect to the State! Employee Health Commission's Reconsideration of 
Hospital Ratings" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 
State employee health plan reimbursement to members; 
calculation and transfer of funds. Notwithstanding the Maine Revised Statutes, Title 
5, section 285 or any other provision of law, not later than December 31, 2013, the 
Executive Director of Health Insurance shall calculate the amounts of and reimburse 
those members enrolled in the group health plan established pursuant to Title 5, section 
for the applicable differences in copayments and deductibles paid by those members 
for health services received at one or more of 6 hospitals not included on the State 
Employee Health Commission's list of preferred hospitals from July 1, 2012, when the 
initial list was published, to October 1, 2012, when those hospitals were added to the list. 
Sec. 2. Appropriations and allocations. The following appropriations and 
allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
Accident - Sickness - Health Insurance 0455 
Initiative: Provides funding for the one-time costs of reimbursing state employee health 
plan members for the difference in copayments and deductibles paid by those members 
for services provided at hospital:; not on the preferred provider list from July 1,2012 to 
October 1,2012. 
GENERAL FUND 
All Other 
2013-14 
$68,000 
COMM/7-TEE AMENDMENT 
2014-15 
$0 
~o~c:, 
COMMITTEE AMENDMENT "A' to S.P. 50, L.D. 129 
GENERAL FUND TOTAL 
ACCIDENT, SICKNESS AND HEALTH 
INSURANCE INTERNAL SERVICE FUND 
All Other 
ACCIDENT, SICKNESS AND HEALTH 
INSURANCE INTERNAL SERVICE FUND TOTAL 
SUMMARY 
$68,000 
$0 
2013-14 
2014-15 
$102,000 
$0 
$102,000 
$0 
This amendment is the minority report of the committee and replaces the bill, which 
is a concept draft pursuant to Joint Rule 208. The amendment requires the Executive 
Director of Health Insurance to calculate the amounts of and reimburse those members 
enrolled in the state employee health plan for the applicable differences in copayments 
and deductibles for services received at one or more of 6 hospitals not included on the 
State Employee Health Commission's list of preferred hospitals from July 1, 2012, when 
the initial list was published, to October 1, 2012, when those hospitals were added to the 
list. The amendment also provides funds for the reimbursement in an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: OS/23/13 ;tvae 
LD 129 
LR 115(02) 
An Act To Give Retroactive Effect to the State Employee Health Commission's Reconsideration of 
Hospital Ratings 
Fiscal Note for Bill as Amended by Committee Amendmentf!t'{s-14Lf '\ 
Committee: Insurance and Financial Services 
~ 
Fiscal Note Required: Yes 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Accident, Sickness and Health Insurance Internal 
Service Fund 
Fiscal Detail and Notes 
Fiscal Note 
FY 2013-14 
$68,000 
$68,000 
$102,000 
FY 2014-15 
$0 
$0 
$0 
Projections 
FY 2015-16 
$0 
$0 
$0 
Projections 
FY 2016-17 
$0 
$0 
$0 
The one-time costs of reimbursing State Employ{:e Health Plan members for the difference in copayments and 
deductibles paid by those members for services provided at hospitals not on the preferred provider list from July 1, 
2012 through October 1,2012 is estimated to be $170,000 in 2013-14. Of this total, an appropriation of$68,000 in 
2013-14 is included for General Fund costs with the balance to be paid out of the Accident, Sickness and Health 
Insurance Internal Services Fund. 
LROI15(02) - Fiscal Note - Page 1 of 1