An Act To Establish a Single-payor Health Care System To Be Effective in 2017
Maine Legislature, Session 126, LD 1345
Committee Amendment CA_A_H771 (House)

COMMITTEE AMENDMENT "A" to H.P. 962, L.D. 1345, Bill, "An Act To 
Establish a Single-payor Health Care System To Be Effective in 2017" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Study the Design and Implementation of Options for a Universal 
Health Care Plan in the State That Is in Compliance with the Federal Patient 
Protection and Affordable Care Act' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. Purpose. Resolved: That it is the intent of the Legislature to ensure that 
all Maine residents have access to and coverage for affordable, quality health care. While 
the Legislature supports a national universal system of health care, until such federal 
legislation is enacted, it is the intent of the Legislature to study the design and 
implementation of a universal health care plan that complies with the requirements for 
innovation waivers available to states pursuant to the federal Patient Protection and 
Affordable Care Act, Public Law 111-148, as amended by the federal Health Care and 
Education Reconciliation Act of 2010, Public Law 111-152, referred to in this resolve as 
"the Affordable Care Act"; and be it further 
Sec. 2. Consultant; proposal. Resolved: That the joint standing committee of 
the Legislature having jurisdiction over insurance and financial services matters, referred 
to in this resolve as "the committee," shall solicit the services of one or more outside 
consultants to work with the committee to propose by December 2, 2015 to the 
Legislature at least 3 design options, including implementation plans, for creating a 
universal system of health care that ensures all Maine residents have access to and 
coverage for affordable, quality health care services that meet the principles and goals 
outlined in this resolve. By October 15,2015, the consultant shall release a draft of the 
design options to the public, including the data used by the consultant to develop the 
design options, and provide 30 days for public review and the submission of comments 
on the design options. The consultant shall review and consider the public comments and 
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COMMITTEE AMENDMENT 'A "to H.P. 962, L.D. 1345 
revise the draft design options as necessary prior to the final submission to the committee; 
and be it further 
Sec. 3. Design options. Resolved: That the consultant's proposal under section 
must contain the analysis and recommendations as provided for in this section. 
1. The proposal must include the following design options: 
A. 
A design for a government-administered and publicly financed single-payor 
health benefits system that is decoupled from employment, that prohibits insurance 
coverage for the health services provided by the system and that allows for private 
insurance coverage of only supplemental health services; 
B. A design for a universal health benefits system with integrated delivery of health 
care and integrated payment systems for all individuals that is centrally administered 
by State Government or an entity under contract with State Government; and 
C. A design for a public health benefit option administered by State Government or 
an entity under contract with State Government that allows individuals to choose 
between the public option and private insurance coverage and allows for fair and 
robust competition among public and private plans. 
Additional options may be designed by the consultant, in consultation with the 
committee, taking into consideration the parameters described in this section. 
Each design option must include sufficient detail to allow the Legislature to consider the 
adoption of one design and to detennine an implementation plan for that design during 
the Second Regular Session of the 127th Legislature and to initiate implementation of the 
new system through a phased process beginning no later than January 1, 2018, including 
the submission of any necessary waivers pursuant to federal law. 
2. In creating the design options under subsection 1, the consultant shall review and 
consider the following fundamental elements: 
A. The findings and reports from previous studies of health care refonn in the State, 
including the December 2002 document titled "Feasibility of a Single-Payer Health 
Care Model for the State of Maine" produced by Mathematica Policy Research, Inc., 
and studies and reports provided to the Legislature; 
B. The State's current health care refonn efforts; 
C. The health care reform efforts in other states, including any efforts in other states 
to develop state innovation waivers for universal health coverage plans as an 
alternative to the Affordable Care Act; and 
D. The Affordable Care Act; the federal Employee Retirement Income Security Act 
of 1974, as amended; and the Medicare program, the Medicaid program and the State 
Children's Health Insurance Program under Titles XVIII, XIX and XXI, respectively, 
of the federal Social Security Act. 
3. The design options under subsection 1 must maximize federal funds to support the 
system and be composed of the following components as described in this subsection: 
A. A payment system for health services that includes one or more packages of 
health services providing for the integration of physical and mental health services; 
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COMMITTEE AMENDMENT "A" to H.P. 962, L.D. 1345 
budgets, payment methods and a process for determining payment amounts; and cost-
reduction and cost-containment mechanisms; 
B. Coordinated regional delivery systems; 
C. Health system planning, regulation and public health; 
D. Financing and estimated costs, including federal financing; and 
E. A method to address compliance of the proposed design option or options with 
federal law. Unless specifically authorized by federal law, the proposed design 
options must provide coverage supplemental to coverage available under the 
Medicare program of the federal Social Security Act, Title XVIII and the federal 
TRICARE program, 10 United States Code, Chapter 55. 
4. The design options under subsection 1 must include the following components: 
A. A payment system for health services that is aligned with the State's innovation 
model project to advance delivery system and payment reform initiatives already in 
place throughout the State and that is consistent with the terms and conditions of any 
federal grant awarded to the State's innovation model project; 
B. A benefit package or packages of health services that meet the requirements of the 
Affordable Care Act and provide for the integration of physical and mental health, 
including access to and coverage for primary care, preventive care, chronic care, 
acute episodic care, palliative care, hospice care, hospital services, prescription drugs 
and mental health and substance abuse services; 
C. 
A method for administering payment for health services, which may include 
administration by a government agency, under an open bidding process soliciting 
bids from insurance carriers or 3rd-party administrators, through a private nonprofit 
insurer or 3rd-party administrator, through private insurers or from a combination 
thereof; 
D. Enrollment processes; 
E. 
Integration of pharmacy best practices and cost control programs and other 
mechanisms to promote evidence-based prescribing, clinical efficacy and cost 
containment, such as a single statewide preferred drug list, prescriber education or 
utilization reviews; 
F. 
Appeals processes for decisions made by entities or agencies administering 
coverage for health services; 
G. 
A recommendation for budgets and payment methods and a process for 
determining payment amounts. Payment methods for mental health services must be 
consistent with mental health parity. The design options must consider: 
(1) Recommending a global health care budget when it is appropriate to ensure 
cost containment by a health care facility, a health care provider, a group of 
health care professionals or a combination thereof. Any recommendation must 
include a process for developing a global health care budget, including 
circumstances under which an entity may seek an amendment of its budget; 
(2) Payment methods to be used for each health care sector that are aligned with 
the goals of this section and provide for cost containment, provision of high-
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COMMITTEE AMENDMENT "An to H.P. 962, L.D. 1345 
quality, evidence-based health services in a coordinated setting, patient self-
management and healthy lifestyles; and 
(3) What process or processes are appropriate for determining payment amounts 
with the intent to ensure reasonable payments to health care professionals and 
providers and to eliminate the shift of costs between the payors of health services 
by ensuring that the amount paid to health care professionals and providers is 
sufficient. Payment amounts must be sufficient to provide reasonable access to 
health services, provide sufficient uniform payments to health care professionals 
and assist in creating financial stability for health care professionals. Payment 
amounts for mental health services must be consistent with mental health parity; 
H. Cost-reduction and cost-containment mechanisms; 
1. A regional health system that ensures that the delivery of health services to the 
citizens of the State is coordinated in order to improve health outcomes, improve the 
efficiency of the health system and improve patients' experiences of health services; 
and 
J. Health system planning and regulation and public health. 
5. 
The design options under subsection 1 must consider financing and estimated 
costs, including federal financing. The design options must provide: 
A. An estimate of the total costs of the design options, including any additional costs 
for providing access to and coverage for health services to the uninsured and 
underinsured, any estimated costs necessary to build a new system and any estimated 
savings from implementing a single system; 
B. Financing proposals for sustainable revenue, including by maximizing federal 
revenues, or reductions from existing health care programs, services, state agencies or 
other sources necessary for funding the cost of the new system; 
C. A proposal to the federal Centers for Medicare and Medicaid Services to waive 
provisions of Titles XVIII, XIX and XXI of the federal Social Security Act, if 
necessary, to align the federal programs with the proposals contained within the 
design option in order to maximize federal funds or to promote the simplification of 
administration, cost containment or promotion of health care reform initiatives; and 
D. A proposal to the federal Centers for Medicare and Medicaid Services to waive 
provisions of the Affordable Care Act, if necessary, to implement the proposals 
contained within the design options in order to maximize federal funds. 
6. The proposal must include a method to address compliance of the proposed design 
options under subsection 1 with federal law if necessary, including the Affordable Care 
Act; the Employee Retirement Income Security Act of 1974, referred to in this subsection 
as "ERISA"; and Titles XVIII, XIX and XXI of the federal Social Security Act. In the 
case of ERISA, the consultant may propose a strategy to seek an ERISA exemption from 
the United States Congress if necessary for the design options. 
7. The proposal mu~t include an analysis of: 
A. 
The impact of the design options on the State's current private and public 
insurance system; 
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COMMITTEE AMENDMENT ,A" to H.P. 962, L.D. 1345 
B. The expected net fiscal impact; 
C. The impact of the design options on the State's economy; 
D. The benefits and drawbacks of alternative timing for the implementation of the 
designs, including the sequence and rationale for the phasing in of the major 
components; and 
E. The benefits and drawbacks of the design options and of not changing the current 
system; and be it further 
Sec. 4. 
Additional staff assistance. 
Resolved: 
That, upon request, the 
Department of Health and Human Services and the Department of Professional and 
Financial Regulation, Bureau of Insurance shall provide any additional staffing assistance 
to the committee to ensure the committee and its consultant or consultants have the 
information necessary to create the design options required by this resolve; and be it 
further 
Sec. 5. Report. Resolved: That, no later than December 2, 2015, the consultant 
shall submit a report that includes its findings and recommendations, including suggested 
legislation, to the committee. The committee may report out a bill to the Second Regular 
Session of the 127th Legislature based on the consultant's report that adopts one of the 
design options under section 3 and establishes an implementation plan; and be it further 
Sec. 6. Funding; sources. Resolved: That the committee may accept from the 
Department of Professional and Financial Regulation, Bureau of Insurance and the 
Department of Health and Human Services any grant funding made available to the State 
pursuant to the Affordable Care Act that is received by those state agencies. The 
committee may also apply for and receive funds, grants or contracts from public and 
private sources to support its activities. Contributions to support the work of the 
committee may not be accepted from any party having a pecuniary or other vested 
interest in the outcome of the matters being studied. Any person, other than a state 
agency, desiring to make a financial or in-kind contribution shall certify to the Legislative 
Council that it has no pecuniary or other vested interest in the outcome of the committee's 
activities. Such a certification must be made in the manner prescribed by the Legislative 
Council. All contributions are subject to approval by the Legislative Council. All funds 
accepted must be forwarded to the Executive Director of the Legislative Council along 
with an accounting record that includes the amount of the funds, the date the funds were 
received, from whom the funds were received and the purpose of and any limitation on 
the use of those funds. The Executive Director of the Legislative Council shall administer 
any funds received by the committee; and be it further 
Sec. 7. Transfer. Resolved: That, notwithstanding any other provisions of law, 
on or before June 30, 2015, the State Controller shall transfer $100,000 from the State 
Innovation Model Grant, Federal Expenditures Fund account in the Department of Health 
and Human Services to the Miscellaneous Studies-Funding, Other Special Revenue 
Funds account of the Legislature. If before December 1, 2015 the Legislature receives 
funds that exceed $100,000 from other public and private sources as authorized in section 
6, the State Controller shall transfer $100,000 from the Legislature to the State Innovation 
Model Grant, Federal Expenditures Fund account in the Department of Health and 
Human Services before December 31, 2015; and be it further 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 962, L.D. 1345 
Sec. 8. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
LEGISLATURE 
Study Commissions - Funding 0444 
Initiative: Allocates funding for the consulting costs of a study to propose design options 
to create a universal system of health care in the State. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
SUMMARY 
2013-14 
$0 
$0 
2014-15 
$100,000 
$100,000 
The amendment, which is the majority report, replaces the bill and changes it into a 
resolve. The amendment expresses the Legislature's intent that all Maine residents have 
access to and coverage for affordable, quality health care. The amendment requires the 
joint standing committee of the Legislature having jurisdiction over insurance and 
financial services matters to solicit the services of one or more consultants to propose 
design options for creating a universal system of health care in the State. The resolve 
requires the consultant or consultants to submit a proposal by December 2, 2015 
containing at least 3 design options that comply with the federal Patient Protection and 
Affordable Care Act. 
The amendment includes a provision requiring the State Controller to transfer 
$100,000 from the State Innovation Model grant received by the Department of Health 
and Human Services pursuant to the federal Patient Protection and Affordable Care Act 
before June 30, 2015 to fund the study required by the resolve. If funds exceeding 
$100,000 are received from other public and private sources before December 1, 2015, 
the amendment requires that the money be transferred back to the Department of Health 
and Human Services. 
FISCAL .\OTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 03/28/14 
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LD 1345 
LR 117(02) 
An Act To Establish a Single-payor Health Care System To Be Effective in 2017 
Fiscal Note for Bill as Amended by Committee Amendment ''A' 
Committee: Insurance and Financial Services 
Ctt-11 ~ 
Appropriations/Allocations 
Other Special Revenue Funds 
Transfers 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2013-14 
$0 
$0 
$0 
FY 2014-15 
$100,000 
($100,000) 
$100,000 
Projections 
FY 2015-16 
$0 
$0 
$0 
Projections 
FY 2016-17 
$0 
$0 
$0 
This bill includes an Other Special Revenue Funds allocation of $1 00,000 in fiscal year 2014-15 to the Study 
Commissions - Funding program in the Legislature to authorize the expenditure for the consulting costs of a study to 
propose design options to create a universal system of health care in the State. 
This bill requires a one-time transfer of$100,000 from the Department of Health and Human Services' State 
Innovation Model Grant, Federal Expenditures account to the Legislature's Study Commissions - Funding, Other 
Special Revenue Funds account in fiscal year 2014-15 to provide resources for the study. It also provides a 
mechanism to transfer funds back to the State Innovation Model Grant account if the Legislature receives funds from 
other sources that exceed $100,000. 
LRO 117(02) - Fiscal Note - Page 1 of 1