An Act To Ensure Access to Opiate Addiction Treatment in Maine
Maine Legislature, Session 128, LD 0952
Committee Amendment CA_A-SA_A_S331 (Senate)

SENATE AMENDMENT" A "to COMMITTEE AMENDMENT "A" to S.P. 307, 
L.D. 952, Bill, "An Act To Ensure Access to Opiate Addiction Treatment in Maine" 
Amend the amendment by inserting after the title and before the first paragraph the 
following: 
'Amend the bill in section 1 in the first line (page 1, line 2 in L.D.) by striking out the 
following: "§2211" and inserting the following: '§2212' 
Amend the bill in section 1 in §2211 in the first line (page 1, line 3 in L.D.) by 
striking out the following: "§2211" and inserting the following: '§2212'' 
Amend the amendment by striking out everything after the first indented paragraph 
(page 1, lines 12 to 28 and page 2, lines 1 to 26 in amendment) and inserting the 
following: 
'Amend the bill by striking out all of sections 4 and 5 and inserting the following: 
'Sec. 4. MaineCare reimbursement rates for outpatient opioid treatment. 
The Department of Health and Human Services may amend its rule Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services 
regarding the reimbursement rate paid to outpatient opioid treatment providers to increase 
the rate from $60 if the department determines that an increase is justified.' 
Amend the bill by inserting after section 6 the following: 
'Sec. 7. Authority to report out legislation. The Joint Standing Committee on 
Health and Human Services may report out a bill to the Second Regular Session of the 
128th Legislature directing the Department of Health and Human Services to amend its 
rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health 
0 
Services regarding the reimbursement rate paid to outpatient opioid treatment providers 
in order to increase that rate.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively.' 
SENATE AMENDMENT 
SENATE AMENDMENT 'A "to COMMITTEE AMENDMENT "A" to S.P. 307, L.D. 952 
SUMMARY 
This amendment amends Committee Amendment "A" by striking the requirement 
that the Department of Health and Human Services conduct a rate study, striking the 
provision mandating that the department increase the reimbursement rate for outpatient 
opioid treatment providers and adding language permitting the department to increase 
that rate if the department finds an increase to be justified. In addition, the amendment 
gives the Joint Standing Committee on Health and Human Services the authority to report 
out legislation to the Second Regular Session of the 128th Legislature to increase the 
reimbursement rate for outpatient opioid treatment providers. With the removal of the 2 
initiatives requiring appropriations and allocations, the amendment strikes the 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
SPONSORED BY: --1-+---'-----H-=--..-..-::::.___, _____ 
_ 
(Senator HAMPE 
COUNTY: Ox 
SENATE AMENDMENT 
Approved: 07/11/17 feac. 
LD952 
LR 1530(04) 
An Act To Ensure Access to Opiate Addiction Treatment in Maine 
Fiscal Note for Senate Amendment "A' 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 
($635,029) 
($635,029) 
($1,095,943) 
($1,095,943) 
FY 2018-19 
($572,690) 
($572,690) 
($1,033,282) 
($1,033,282) 
Projections 
FY 2019-20 
($572,690) 
($572,690) 
($1,033,282) 
($1,033,282) 
Projections 
FY 2020-21 
($572,690) 
($572,690) 
($1,033,282) 
($1,033,282) 
The amendment removes the requirement for an increase in the rate for outpatient opioid treatment, instead allowing 
the Department of Health and Human Services to change the rate if they determine it is justified. The amendment also 
removes the requirement for a 3rd party consultant to conduct a rate study. These were the two requirements in the bill 
that necessitated funding, so the appropriation and allocation section is removed from this bill. 
LR1530(04) - Fiscal Note - Page 1 of 1