An Act To Restore Public Health Nursing Services
Maine Legislature, Session 128, LD 1108
Committee Amendment CA_A_S155 (Senate)

COMMITTEE AMENDMENT "A " to S.P. 362, L.D. 1108, Bill, "An Act To 
Restore Public Health Nursing Services" 
Amend the bill by striking out all of the emergency preamble (page 1, lines 1 to 14 in 
L.D.) 
Amend the bill in Part A in section 1 in subsection 3 by striking out the first 
paragraph (page 1, lines 19 to 22 in L.D.) and inserting the following: 
'3. Provide nursing services. To provide, at the discretion of the director, nursing 
services in communities that lack these services or in which these services are inadequate 
according to established standardst-and. The Public Health Nursing Program shall provide 
to communities within the State nursing services, including, but not limited to:' 
Amend the bill in Part A in section 1 in subsection 3 in paragraph H in the first line 
(page 2, line 4 in L.D.) by striking out the following: "to" and inserting the following: 
'for' 
Amend the bill in Part A in section 1 in subsection 3 by striking out all of paragraphs 
I and J (page 2, lines 6 to 11) and inserting the following: 
'I. Support for activities of programs within the Maine Center for Disease Control 
and Prevention, including, but not limited to, the Universal Childhood Immunization 
Program under section 1066 and environmental health and tuberculosis programs; 
J. Support for activities of programs that serve refugee and immigrant health services 
programs; and 
K. 
Support for the assessment of unmet health needs in the elderly population, 
especially in rural areas, and assisting elderly persons in finding and receiving 
medical or community-based services; and' 
Amend the bill in Part A by striking out all of section 2 and inserting the following: 
'Sec. A-2. 22 MRSA §§1964 and 1965 are enacted to read: 
COMMITTEE AMENDMENT 
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COMMITIEE AMENDMENT "A "to S.P. 362, L.D. 1108 
§1964. Required staffing 
The Public Health Nursing Program must include sufficient staffing to perform the 
responsibilities listed in section 1963. Minimum staffing must include no fewer than 50 
full-time or full-time equivalent licensed public health nurses directly providing the 
nursing services described in section 1963, subsection 3; 5 full-time or full-time 
equivalent direct supervisors; 4 consulting nurses in program development; and one 
program director as described in section 1962. At a minimum. the staff described in this 
section must be licensed nurses under Title 32. chapter 31. 
§1965. Required office space; support for staff 
The department shall provide office space and support services on a regional basis for 
the staff of the Public Health Nursing Program to the full extent of required staffing 
provided in section 1964 in order to derive the maximum benefit from the professional 
skills of public health nursing staff and to minimize unnecessary driving time.' 
Amend the bill in Part B in section 1 in the last line (page 2, line 23 in L.D.) by 
striking out the following: "December 1, 2017" and inserting the following: 'March 1, 
2018' 
Amend the bill in Part B in section 2 in the 3rd line (page 2, line 26 in L.D.) by 
striking out the following: "September 1, 2017 and October 15, 2017" and inserting the 
following: 'October 15, 2017 and January 15, 2018' 
Amend the bill in Part B by striking out all of section 3. 
Amend the bill by striking out all of Part C and inserting the following: 
'PARTC 
Sec. C-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Maine Center for Disease Control and Prevention 0143 
Initiative: Provides funding for one Public Health Nurse Consultant position, one Public 
Health Nurse Supervisor position, one Public Health Nurse I position and 6 Public Health 
Nurse II positions. 
GENERAL FUND 
2017-18 
2018-19 
POSITIONS - LEGISLATIVE COUNT 
9.000 
9.000 
Personal Services 
$560,859 
$765,812 
All Other 
$54,001 
$72,002 
GENERAL FUND TOTAL 
$614,860 
$837,814 
Amend the bill by striking out all of the emergency clause. 
COMMITTEE AMENDMENT 
COMMIITEE AMENDMENT "A "to S.P. 362, L.D. 1108 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment is the majority report of the committee. It removes the emergency 
preamble and emergency clause. It adds to the description of services provided by public 
health nurses. It clarifies that the 50 full-time nurses must be providing nursing services 
directly to communities in Maine. It provides that the staff required by the bill must be 
licensed nurses. The amendment changes the staffing level and report dates. It removes 
the historical review of the Public Health Nursing Program. The amendment also adds an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/21/17 .:tvac:.. 
LD 1108 
LR 1245(02) 
An Act To Restore Public Health Nursing Services 
Fiscal Note for Bill as Amended by Committee Amendment 'N' 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
FY 2018-19 
$614,860 
$837,814 
$614,860 
$837,814 
Projections 
FY2019-20 
$855,204 
$855,204 
Projections 
FY2020-21 
$874,133 
$874,133 
The bill includes General Fund appropriations to the Department of Health and Human Services of $614,860 in fiscal 
year 2017-18 and $837,814 in fiscal year 2018-19 for one Public Health Nurse Consultant position, one Public Health 
Nurse Supervisor position, one Public Health Nurse I position, and 6 Public Health Nurse II positions to meet the 
required staffing needs of the bill. 
LR1245(02) - Fiscal Note - Page 1 of I