Resolve, To Establish the Study Group To Examine the Issue of Medicaid Expansion
Maine Legislature, Session 126, LD 1556
Committee: Health and Human Services
Sponsors: FREDETTE, PARRY, TYLER, WILLETTE

Legislative Document 
No. 1556 
H.P. 1124 
House of Representatives, May 31, 2013 
Resolve, To Establish the Study Group To Examine the Issue of 
Medicaid Expansion 
(AFTER DEADLINE) 
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 
205. 
Reference to the Committee on Health and Human Services suggested and ordered printed. 
MILLICENT M. MacFARLAND 
Clerk 
Presented by Representative FREDETTE of Newport. 
Cosponsored by Representatives: PARRY of Arundel, TYLER of Windham, WILLETTE of 
Mapleton. 
Sec. 1.  Study group established.  Resolved:    That the Study Group To 
Examine the Issue of Medicaid Expansion, referred to in this resolve as "the study 
group," is established. 
1.  Membership.  The study group consists of 13 members appointed as follows: 
A.  Five members of the Senate appointed by the President of the Senate, including at 
least 2 members from the party holding the 2nd largest number of seats in the 
Legislature; 
B.  Five members of the House of Representatives appointed by the Speaker of the 
House, including at least 2 members from the party holding the 2nd largest number of 
seats in the Legislature; 
C. One member representing the health care industry, appointed by the President of 
the Senate;  
D. One member appointed by the Governor; and 
E. The Commissioner of Health and Human Services or the commissioner's designee. 
2.  Chairs.  The first-named Senate member is the Senate chair and the first-named 
House of Representatives member is the House chair of the study group. 
3.  Appointments; convening of study group.  All appointments must be made no 
later than 30 days following the effective date of this resolve.  The appointing authorities 
shall notify the Executive Director of the Legislative Council once all appointments have 
been completed.  When the appointment of all members has been completed, the chairs 
shall call and convene the first meeting of the study group.  If 30 days or more after the 
effective date of this resolve a majority of but not all appointments have been made, the 
chairs may request authority and the Legislative Council may grant authority for the 
study group to meet and conduct its business. 
4.  Duties.  The study group shall review the issues associated with expanding 
Medicaid eligibility pursuant to the federal Patient Protection and Affordable Care Act.  
In conducting its review, the study group shall specifically examine: 
A. The projected costs to the State associated with an expansion of Medicaid 
eligibility during the 10 years immediately following such an expansion;  
B. The potential costs to the State associated with an expansion of Medicaid 
eligibility after the time period described in paragraph A; 
C. Limitations on the growth of MaineCare that may be implemented to ensure that 
the State’s other budget priorities receive adequate funding; 
D. The results of the expansion of Medicaid eligibility that occurred in the State in 
2002 and whether and how those results might inform the current question of 
expanding Medicaid eligibility; 
E. The existence of less costly alternatives to expanding Medicaid eligibility that 
might result in a reduction in the number of uninsured individuals in the State, such 
as utilization of the health insurance exchange to be established under the federal 
Patient Protection and Affordable Care Act; 
F. The possibility of obtaining from the Federal Government higher Medicaid 
matching rates or other benefits to citizens of the State as a result of the expansion of 
Medicaid as proposed in Legislative Document 1066, "An Act To Increase Access to 
Health Coverage and Quality Maine for Federal Funding," of the 126th Legislature; 
and  
G. Any other issues the study group determines appropriate. 
5.  Staff assistance.  The Legislative Council shall provide necessary staffing 
services to the study group. 
6.  Report.  No later than December 4, 2013, the study group shall submit a report to 
the Legislative Council that includes its findings and recommendations, including any 
suggested legislation.  
SUMMARY 
This resolve establishes the Study Group To Examine the Issue of Medicaid 
Expansion to examine the issues associated with expanding Medicaid eligibility pursuant 
to the federal Patient Protection and Affordable Care Act.