An Act To Enact the Recommendations of the Study of the Allocations of the Fund for a Healthy Maine
Maine Legislature, Session 127, LD 1650
Amends: 22 MRSA §1511, 22 MRSA §258, 22 MRSA §1655, 22 MRSA §2681, 22 MRSA §2687, 22 MRSA §3174-T, 22 MRSA §3194

Legislative Document 
No. 1650 
H.P. 1121 
House of Representatives, March 15, 2016 
An Act To Enact the Recommendations of the Study of the 
Allocations of the Fund for a Healthy Maine 
Reported by Representative GATTINE of Westbrook for the Joint Standing Committee on 
Health and Human Services pursuant to Joint Rule 353. 
ROBERT B. HUNT 
Clerk 
Be it enacted by the People of the State of Maine as follows: 
PART A 
Sec. A-1.  22 MRSA §1511, sub-§13, as enacted by PL 2011, c. 701, §2, is 
amended to read: 
13.  Separate accounts.  A state agency that receives allocations from the fund and a 
contractor or vendor that receives funding allocated from the fund shall maintain that 
money in a separate account and shall report by September 1st of each year to the 
Commissioner of Administrative and Financial Services providing a description of how 
those funds for the prior state fiscal year were targeted to the prevention and health-
related purposes listed in subsection 6.  The Commissioner of Administrative and 
Financial Services shall by October 1st of each year compile the reports provided under 
this subsection and forward the information in a report to the Legislature. 
Sec. A-2.  22 MRSA §1511, sub-§16 is enacted to read: 
16.  Annual report by commissioner.  Beginning in 2017, the commissioner shall 
submit a report annually no later than January 1st to the joint standing committee of the 
Legislature having jurisdiction over appropriations and financial affairs and the joint 
standing committee of the Legislature having jurisdiction over health and human services 
matters.  The report must include the following information from the previous state fiscal 
year: 
A.  Detailed information regarding spending from the fund, including annual 
expenditures in all programs; 
B.  Information on progress the department is making toward health priorities 
identified by the department as improving the health status of persons in the State 
using expenditures from the fund; 
C.  A description of how funds were targeted to the prevention and health-related 
purposes listed in subsection 6; and 
D.  Information relating to any audit conducted by the department, the Department of 
Administrative and Financial Services or the Office of the State Auditor of any 
programs funded by the fund including summary information, the frequency of any 
audit, the level of detail of any audit and how often corrective action plans were 
developed and applied. 
PART B 
Sec. B-1.  22 MRSA §258, sub-§6, as enacted by PL 2001, c. 293, §5, is repealed. 
Sec. B-2.  22 MRSA §1655, as amended by PL 1993, c. 685, Pt. B, §3, is repealed. 
Sec. B-3.  22 MRSA §2681, sub-§10, as enacted by PL 1999, c. 786, Pt. A, §3, is 
repealed. 
Sec. B-4.  22 MRSA §2687, sub-§2, as enacted by PL 2011, c. 323, §1, is 
repealed. 
Sec. B-5.  22 MRSA §3174-T, sub-§8, as reallocated by RR 1997, c. 2, §46, is 
amended to read: 
8.  Annual determination of fiscal status; reports.  On a quarterly an annual basis, 
beginning January 1, 2017, the commissioner shall determine the fiscal status of the Cub 
Care program, determine whether an adjustment in maximum eligibility level is required 
under subsection 2, paragraph B and report to the joint standing committee of the 
Legislature having jurisdiction over appropriations and financial affairs and the joint 
standing committee of the Legislature having jurisdiction over health and human services 
matters on the following matters: 
A.  Enrollment approvals, denials, terminations, reenrollments, levels and projections.  
With regard to denials, the department shall gather data from a statistically significant 
sample and provide information on the income levels of children who are denied 
eligibility due to family income level; 
B.  Cub Care program expenditures, expenditure projections and fiscal status; 
C.  Proposals for increasing or decreasing enrollment consistent with subsection 2, 
paragraph B; 
D.  Proposals for enhancing the Cub Care program; 
E.  Any information the department has from the Cub Care program or from the 
Bureau of Insurance or the Department of Labor on employer health coverage and 
insurance coverage for low-income children; 
F.  The use of and experience with the purchase option under subsection 2, paragraph 
D; and 
G.  Cub Care program administrative costs. 
Sec. B-6.  22 MRSA §3194, as enacted by PL 2007, c. 539, Pt. HH, §1 and c. 590, 
§1, is repealed. 
Sec. B-7.  PL 1999, c. 16, Pt. P, §1 is repealed. 
Sec. B-8.  PL 2001, c. 1, Pt. H is repealed. 
Sec. B-9.  PL 2001, c. 358, Pt. GG, §2 is repealed. 
Sec. B-10.  PL 2001, c. 358, Pt. LL, §7 is amended to read: 
Sec. LL-7.  Maine Center for End-of-life Care.  The Department of Human 
Services, Bureau of Health may establish, through contract or otherwise, the Maine 
Center for End-of-life Care. The purpose of the center is to educate health care providers 
and the public regarding pain management and palliative and end-of-life care. The center 
must maintain a registry of health professionals trained in pain management and palliative 
and end-of-life care. The bureau shall solicit and accept outside funding through grants 
and other sources to establish and operate the center, which must be hosted by an 
educational institution, professional association or other entity interested in the care of the 
terminally ill. By January 15th each year the bureau shall report to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
regarding the operation of the center and its funding. 
Sec. B-11.  PL 2003, c. 689, Pt. A, §2 is repealed. 
Sec. B-12.  PL 2009, c. 571, Pt. QQQQ, §1 is repealed. 
SUMMARY 
This bill enacts recommendations of the study of the allocations of the Fund for a 
Healthy Maine conducted pursuant to Resolve 2015, chapter 47.  The bill requires the 
Department of Health and Human Services to submit an annual report by January 1st to 
the joint standing committee of the Legislature having jurisdiction over appropriations 
and financial affairs and the joint standing committee of the Legislature having 
jurisdiction over health and human services matters on the Fund for a Healthy Maine.  
The report must include annual expenditures in all programs, progress made toward 
improving the health status of persons in the State using the fund, a description of how 
funds were targeted to prevention and health-related purposes outlined in statute and 
information on any audits in the previous year.  The requirement for the Department of 
Administrative and Financial Services to provide an annual report regarding the 
expenditure of the Fund for a Healthy Maine on prevention and health-related purposes is 
removed from the statute. 
The bill also repeals several provisions of law requiring reports by the Department of 
Health and Human Services that are no longer necessary.