An Act To Provide MaineCare Coverage for Chiropractic Treatment
Maine Legislature, Session 128, LD 0320
Committee Amendment CA_A-SA_A_S507 (Senate)
Amends: 22 MRSA §3174-A

SENATE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to S.P. 94, 
L.D. 320, Bill, "An Act To Provide MaineCare Coverage for Chiropractic Treatment" 
Amend the amendment by striking out all of sections 1 and 2 and inserting the 
following: 
'Sec. 1. 22 MRSA §3174-AAA is enacted to read: 
§3174-AAA. Chiropractic services reimbursement 
1. Reimbursement. The department shall reimburse under the MaineCare program 
for chiropractic evaluation and management examinations performed by a chiropractic 
doctor licensed under Title 32, chapter 9 that are within the scope of practice of 
chiropractic doctors. This subsection does not limit reimbursements under the MaineCare 
program that may be available for other chiropractic services or affect any limits that may 
apply to reimbursements such as limits relating to numbers of visits. 
2. Rulemaking. The department may adopt rules to implement this section. Rules 
adopted pursuant to this subsection are routine technical rules as defined by Title 5, 
chapter 375, subchapter 2-A. 
Sec. 2. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides appropriations and allocations for chiropractic evaluation and 
management examinations to be reimbursed under the MaineCare program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
SENATE AMENDMENT 
2018-19 
$67,661 
$67,661 
~·" 
SENATE AMENDMENT "Ps "to COMMITTEE AMENDMENT "A" to S.P. 94, L.D. 320 
FEDERAL EXPENDITURES FUND 
2017-18 
All Other 
$0 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
SUMMARY 
2018-19 
$122,130 
$122,130 
This amendment removes the amounts appropriated and allocated in fiscal year 2017-
and revises the amounts appropriated and allocated in fiscal year 2018-19. It also 
makes a technical change to a section number. 
FISCAL NOTE REQUIRED 
#See 
attached) 
SPONSORED BY: ~,,,...___ 
(Senator HAMP 
COUNTY: Oxford 
SENA TE AMENDMENT 
Approved: 06/19/18 feac. 
LD320 
LR 325(04) 
An Act To Provide MaineCare Coverage for Chiropractic Treatment 
Fiscal Note for Senate Amendment~' to Committee Amendment "A" 
Sponsor: Sen. Hamper of Oxford 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
($67,661) 
($67,661) 
($122,130) 
($122,130) 
FY 2018-19 
($22,578) 
($22,578) 
($40,685) 
($40,685) 
Projections 
FY 2019-20 
$0 
$0 
$0 
$0 
Projections 
FY 2020-21 
$0 
$0 
$0 
$0 
The amendment eliminates the General Fund appropriations to the Department of Health and Human Services of 
$67,661 in fiscal year 2017-18 and reduces the appropriation by $22,578 in fiscal year 2018-19 due to the delay of the 
start date for chiropractic evaluation and management examinations to be reimbursed under the MaineCare program 
until October 1, 2018. Federal Expenditures Fund allocations are also reduced for the FMAP match. 
LR0325(04) - Fiscal Note - Page 1 of 1