An Act To Implement the Recommendations of the Task Force To Address the Opioid Crisis in the State Regarding Respectful Language
Maine Legislature, Session 128, LD 1871
Committee Amendment CA_A_S463 (Senate)
Amends: Title 10, Section 1072, 5 MRSA §957, 5 MRSA §20003, 5 MRSA §20023, 5 MRSA §20051, 8 MRSA §1001, 8 MRSA §1016, 22 MRSA §3174-V, 24 MRSA §2329, 24-A MRSA §2842, 24-A MRSA §4222-B, 25 MRSA §2002, 28-A MRSA §2519, 32 MRSA §6203-A, 32 MRSA §9410-A

COMMITTEE AMENDMENT "JJr' to S.P. 714, L.D. 1871, Bill, "An Act To 
Implement the Recommendations of the Task Force To Address the Opioid Crisis in the 
State Regarding Respectful Language" 
Amend the bill by striking out all of the emergency preamble. 
Amend the bill in Part A in section 1 in § 125 in the first paragraph in the 3rd line 
(page 1, line 26 in L.D.) by striking out the following: "alcoholism" and inserting the 
following: 'alcoholism appropriate' 
Amend the bill in Part A by striking out all of section 5 and inserting the following: 
'Sec. A-5. 
MRSA §957, sub-§1, as enacted by PL 1989, c. 857, §19, is 
amended to read: 
1. Assessment and referral. The program shall provide assessment and referral 
services to employees whose work performance has been affected by behavioral or 
medical disorders including, but not limited to, alcoholism and drug abuse substance use 
disorder, misuse of ethef drugs, emotional problems, family disorders and financial, legal, 
marital and any other stresses. 
The major elements of the program consist of the 
following: 
A. An assessment interview; 
B. Referral to appropriate treatment; 
C. Follow-up; 
D. Coordination of a benefit package; 
E. Continuous care; 
F. Maintenance of confidentiality of client records; and 
G. Education of state employees.' 
Amend the bill in Part A in section 6 by striking out all of subsection 6 (page 4, lines 
to 20 in L.D.) and inserting the following: 
Page I - 128LR2886(02)-1 
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COMMITTEE AMENDMENT" A,, to S.P. 714, L.D. 1871 
'6. Social service. "Social service" means any children's, youth, adult or elderly 
service and alooholism substance use disorder, community action, developmental 
disability, drug or substanoe abuse, home-heating assistance, juvenile, mental health, 
intellectual 
disability, 
older 
Americans, 
poverty, 
rehabilitation, 
transportation, 
weatherization or other social service that may be defined in the future and that is 
operated by the departments or the division utilizing state-administered funds, including 
related health and medical services and income supplementation programs.' 
Amend the bill in Part A by inserting after section 12 the following: 
'Sec. A-13. 5 MRSA §20003, sub-§1, as amended by PL 1991, c. 601, §3, is 
repealed.' 
Amend the bill in Part A by inserting after section 17 the following: 
'Sec. A-18. 5 MRSA §20003, sub-§12, as enacted by PL 1989, c. 934, Pt. A, §3, 
is repealed.' 
Amend the bill in Part A in section 18 by striking out all of subsection 17-A (page 6, 
lines 19 to 22 in L.D.) and inserting the following: 
'17-A. Person with substance use disorder. "Person with substance use disorder" 
means a person who, due to the use of alcohol or a drug, has a clinical and significant 
functional impairment, including a health problem or a disability or an inability to meet 
major responsibilities at work, home or school. A substance use disorder may be mild, 
moderate or severe as determined by the diagnostic criteria met by the person.' 
Amend the bill in Part A by striking out all of sections 20 to 22 and inserting the 
following: 
'Sec. A-20. 5 MRSA §20003, sub-§21, as enacted by PL 1989, c. 934, Pt. A, §3, 
is repealed. 
Sec. A-21. 5 MRSA §20003, sub-§21-A is enacted to read: 
21-A. Substance use prevention. "Substance use prevention" means all facilities, 
programs or services relating to substance use control, education, rehabilitation, research, 
training and treatment, including reinforcing health behaviors and lifestyles and reducing 
risks contributing to alcohol, tobacco and other drug misuse. "Substance use prevention" 
does not include any function defined in subsection 19 as "prevention of drug traffic." 
Sec. A-22. 5 MRSA §20003, sub-§22, as enacted by PL 1989, c. 934, Pt. A, §3, 
is amended to read: 
22. 
Treatment. 
"Treatment" means the broad range of emergency, outpatient, 
intermediate and inpatient services and care, including career counseling, diagnostic 
evaluation, employment, health, medical, psychiatric, psychological, recreational, 
rehabilitative, social service care, treatment and vocational services, that may be extended 
to an alooholio, intoxioated person, ~ drug abusef user, drug addiot, drug dependent ~ 
person with substance use disorder or a person in need of assistance due to the use of a 
dependency-related drug.' 
Amend the bill in Part A in section 23 in §20005 by striking out all of subsection 
12-A (page 10, lines 4 to 8 in L.D.) and inserting the following: 
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COMMITTEE AMENDMENT "0 "to S.P. 714, L.D. 1871 
'12-A. Training programs. Provide or assist in the provision of training programs 
for all persons in the field of treating aleoholies and drug abusers persons with substance 
use disorder, persons engaged in the prevention of aleohol and other drug abuse substance 
use disorder or any other organization or individual in need of or requesting training or 
other educational information related to aleohol or other drug abuse substance use 
disorder;' 
Amend the bill in Part A in section 29 in §20008 by striking out all of subsection 3 
(page 12, lines 7 to 10 in L.D.) and inserting the following: 
'3. Treatment. The department shall provide for adequate and appropriate treatment 
for aleoholies, drug abusers users, drug addiets persons with substance use disorder and 
drug dependent persons admitted under sections 20043 te and 20044. Treatment may not 
be provided at a correctional institution, except for inmates.' 
Amend the bill in Part A in section 32 in §20022 by striking out all of subsection 1 
(page 13, lines 15 to 17 in L.D.) and inserting the following: 
'1. Research. Conducting research on the causes and nature of drugs, drug abuse 
substance use or people who are dependent on drugs. esoeoiallv alooholios and 
intmdm1ted rn~rsons or alcohol;' 
Amend the bill in Part A in section 32 in §20022 by striking out all of subsection 4 
(page 13, lines 23 to 30 in L.D.) and inserting the following: 
'4. Treatment facilities. Maintaining an inventory of the types and quantity of drug 
abuse substance use prevention facilities, programs and services available or provided 
under public or private auspices to drug addicts, persons with substance use disorder and 
drug abusers and drug dependent persons, espeeially aleoholies and intox.ieated persons 
users. This function includes the unduplicated count, locations and characteristics of 
persons receiving treatment, as well as the frequency of admission and readmission and 
the frequency and duration of treatment of those persons. The inventory must include the 
amount, type and source of resources for drug abuse substance use disorder prevention.' 
Amend the bill in Part A by striking out all of section 33 (page 13, lines 31 to 40 and 
'Sec. A-33. 5 MRSA §20023, first 1, as amended by PL 2011, c. 657, Pt. AA, 
§32, is further amended to read: 
To the fullest extent possible, the Commissioner of Education shall coordinate all 
elementary and secondary school aleohol and drug abuse substance use disorder 
education programs administered by the Department of Education and funded under the 
federal Drug-Free Schools and Communities Act of 1986 with programs administered by 
the Department of Health and Human Services. The Commissioner of Education shall 
participate in planning, budgeting and evaluation of aleohol and other drug abuse 
substance use disorder programs, in eooperation with the Substanee Abuse Advisory 
GreHjr, and ensure that aleohol and drug abuse substance use disorder education programs 
administered by the Department of Education that involve any community participation 
are coordinated with available treatment services.' 
Amend the bill in Part A in section 35 in §20043 in the first 2 lines (page 14, lines 28 
and 29 in L.D.) by striking out the following: "alcoholics, drug users, persons with 
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substance use disorder and drug-dependent persons" and inserting the following: 
'drug users and persons with substance use disorder' 
Amend the bill in Part A in section 35 in §20043 by striking out all of the first 
paragraph (page 14, lines 30 to 33 in L.D.) and inserting the following: 
'The department shall adopt rules for acceptance of persons into a treatment program, 
considering available treatment resources and facilities, for the purpose of early and 
effective treatment of alooholies, drug abusers, drug addicts and drug dependent persons 
users and persons with substance use disorder.' 
Amend the bill in Part A in section 36 in §20044 in the first 2 lines (page 15, lines 26 
and 27 in L.D.) by striking out the following: "alcoholics, drug users, persons with 
substance use disorder and drug-dependent persons" and inserting the following: 
'drug users and persons with substance use disorder' 
Amend the bill in Part A in section 36 in §20044 by striking out all of subsection 1 
(page 15, lines 28 to 30 in L.D.) and inserting the following: 
'1. Voluntary treatment. An alooholio, drug abuser, drug addict or drug dependent 
t,ersen A drug user or person with substance use disorder may apply for voluntary 
treatment directly to an approved treatment facility.' 
Amend the bill in Part A by inserting after section 37 the following: 
'Sec. A-38. 5 MRSA §20051, sub-§1, as amended by PL 2009, c. 299, Pt. A, §1, 
is further amended to read: 
1. Laws. A county, municipality or other political subdivision may not adopt or 
enforce a local law, ordinance, regulation or rule having the force of law that includes 
drinking, being a person with alcoholism or being found in an intoxicated condition as 
one of the elements of an offense giving rise to a criminal or civil penalty or sanction.' 
Amend the bill in Part A in section 40 in subsection 3 in paragraph J by striking out 
all of subparagraph (5) (page 17, lines 23 to 25 in L.D.) and inserting the following: 
'(5) Persons affected by or recovering from alcoholism, chronic intoxication, 
drug abuse or drug dependency, evidenced by in recovery from substance use 
disorder for a minimum of 3 years of sobriety or abstention from drug abuse.' 
Amend the bill in Part A in section 41 in §20067 in subsection 2 in the last line (page 
17, line 36 in L.D.) by striking out the following: 
", including alcoholism and 
intoxication" and inserting the following: '. includin2= alcoholism and intmdcation' 
Amend the bill iu Part A in section 41 in §20067 by striking out all of subsections 3 
and 4 (page 18, lines I to 19 in L.D.) and inserting the following: 
'3. Serve as advocate; review and evaluate; inform the public. The commission 
shall serve as an advocate on alcoholism and drug abuse substance use disorder 
prevention, promoting and assisting activities designed to meet the problems of drug 
abuse and drug dependence substance use disorder at the national and state levels. With 
the support of the department, the commission shall review and evaluate on a continuing 
basis state and federal policies and programs relating to drug abuse substance use 
disorder and other activities conducted or assisted by state departments or agencies that 
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affect persons who abuse or are dependent on with substance use disorder or who use 
drugs. 
In cooperation with the department, the commission shall keep the public 
informed by collecting and disseminating information, by conducting or commissioning 
studies and publishing the results of those studies, by issuing publications and reports and 
by providing public forums, including conferences and workshops. 
4. Report to the Legislature. The commission shall report annually to the joint 
standing committee of the Legislature having jurisdiction over health and human services 
matters and the joint standing committee of the Legislature having jurisdiction over 
appropriations and financial affairs on or before the last business day of each year. The 
report must include developments and needs related to drug abuse substance use disorder 
prevention, including aleoholism and intmdeation, and significant policy matters relating 
to substance abuse use disorder.' 
Amend the bill in Part A by striking out all of sections 45 and 46 (page 19, lines 5 to 
in L.D.) and inserting the following: 
'Sec. A-45. 8 MRSA §1001, sub-§13, as enacted by PL 2003, c. 687, Pt. A, §5 
and affected by Pt. B, §11, is repealed. 
Sec. A-46. 8 MRSA §1016, sub-§2, ~' as enacted by PL 2003, c. 687, Pt. A, §5 
and affected by Pt. B, § 11, is amended to read: 
E. Is not a fugitive from justice, a drug abuser user, a drug addiet, a drug dependent 
person with substance use disorder, an illegal alien or a person who was dishonorably 
discharged from the Armed Forces of the United States;' 
Amend the bill in Part A in section 49 in paragraph C by striking out all of 
subparagraph (6) (page 22, lines 25 and 26 in L.D.) and inserting the following: 
'(6) 
The defendant's past conduct, including any history relatine to drui;r or 
aleohol abuse of substance use disorder;' 
Amend the bill in Part A by striking out all of section 75 (page 30, lines 23 to 31 in 
L.D.) and inserting the following: 
'Sec. A-75. 22 MRSA §3174-VV, last 1, as reallocated by RR 2011, c. 2, §27, is 
amended to read: 
The department shall adopt rules to implement this section. Rules adopted pursuant to 
this section are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A. 
Prior to adopting rules under this section, the department shall seek input from 
stakeholders and experts in the field of substance abuse addietion and reeovery use 
disorder, including, but not limited to, representatives of the Offiee of £ubstanee Abuse 
Department of Health and Human Services and individuals with expertise in medication-
assisted treatment.' 
Amend the bill in Part A by striking out all of sections 91 to 94 and inserting the 
following: 
'Sec. A-91. 24 MRSA §2329, as amended by PL 2011, c. 320, Pt. A, §2, is further 
amended to read: 
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COMMITTEE AMENDMENT"~" to S.P. 714, L.D. 1871 
§2329. Equitable health care for substance use disorder treatment 
1. 
Purpose. 
The Legislature recognizes that alcoholism and drug dependency 
constitute substance use disorder constitutes a major health problems problem in the State 
and in the Nation. The Legislature further recognizes that alcoholism is a disease aad that 
alcoholism and drug dependeacy substance use disorder is a disease that can be 
effectively treated. As such, alcoholism and drug dependency warrant substance use 
disorder warrants the same attention from the health care industry as other serious 
diseases and illnesses. The Legislature further recognizes that health care contracts, at 
times, fail to provide adequate benefits for the treatment of alcoholism and drug 
dependency substance use disorder, which results in more costly health care for treatment 
of complications caused by the lack of early intervention and other treatment services for 
persons suffering from these illnesses substance use disorder. This situation causes a 
higher health care, social, law enforcement and economic cost to the citizens of this State 
than is necessary, including the need for the State to provide treatment to some 
subscribers at public expense. To assist the many citizens of this State who suffer from 
these illnesses this illness in a more cost effective cost-effective way, the Legislature 
declares that certain health care coverage providing benefits for the treatment of the 
illness of alooholism and drug dependency shall substance use disorder must be included 
in all group health care contracts. 
2. Definitions. As used in this section, unless the context indicates otherwise, the 
following terms have the following meanings. 
A. "Outpatient care" means care rendered by a state-licensed, approved or certified 
detoxification, residential treatment or outpatient program, or partial hospitalization 
program on a periodic basis, including, but not limited to, patient diagnosis, 
assessment and treatment, individual, family and group counseling and educational 
and support services. 
B. "Residential treatment" means services at a facility that provides care 24 hours 
daily to one or more patients, including, but not limited to, the following services: 
Reem room and board; medical, nursing and dietary services; patient diagnosis, 
assessment and treatment; individual, family and group counseling; and educational 
and support services, including a designated unit of a licensed health care facility 
providing any and all other services specified in this paragraph to patients with the 
illnesses of alcoholism and dru2= denendencv substance use disorder. 
C. 
"Treatment plan" means a written plan initiated at the time of admission, 
approved by a Doctor of Medicine, £! Doctor of Osteopathy or a Licensed Substance 
Abuse Counselor employed by a certified or licensed substance abHSe use disorder 
program, including, but not limited to, the patient's medical, drug and alcoholism 
substance use disorder history; record of physical examination; diagnosis; assessment 
of physical capabilities; mental capacity; orders for medication, diet and special 
needs for the patient's health or safety and treatment, including medical, psychiatric, 
psychological, social services, individual, family and group counseling; and 
educational, support and referral services. 
3. Requirement. Every nonprofit hospital or medical service organization wh4eh 
that issues group health care contracts providing coverage for hospital care to residents of 
this State shall provide benefits as required in this section to any subscriber or other 
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COMMITTEE AMENDMENT'~ "to S.P. 714, L.D. 1871 
person covered under those contracts for the treatment of alcoholism and other drug 
deuendency substance use disorder pursuant to a treatment plan. 
4. Services; providers. Each group contract shall must provide, at a minimum, for 
the following coverage, pursuant to a treatment plan: 
A. Residential treatment at a hospital or free-standing residential treatment center 
whiBh that is licensed, certified or approved by the State; and 
B. 
Outpatient care rendered by state licensed, certified or approved providers who 
have contracted with the nonprofit hospital or medical service organization under 
terms and conditions whiBh that the organization deem& considers satisfactory to its 
membership. 
Treatment or confinement at any facility shall may not preclude further or additional 
treatment at any other eligible facility, provided that the benefit days used do not exceed 
the total number of benefit days provided for under the contract. 
5. 
Exceptions. This section shall does not apply to employee group insurance 
contracts issued to employers with 20 or fewer employees insured under the group 
contract or to group contracts designed primarily to supplement the Civilian Health and 
Medical Program of the Uniformed Services, as defined in the United States Code, Title 
10, Section 1072, subsection 4. 
6. Limits; coinsurance; deductibles. Any policy or contract whiBh that provides 
coverage for the services required by this section may contain provisions for maximum 
benefits and coinsurance, and reasonable limitations, deductibles and exclusions to the 
extent that these provisions are not inconsistent with the requirements of this section. 
7. Notice. At the time of delivery or renewal, the nonprofit hospital or medical 
service organization shall provide written notification to all individuals eligible for 
benefits under group policies or contracts of these alcoholism and drui;r deoendenox,• 
substance use disorder benefits. 
8. Confidentiality. Alcoholism and drug Substance use disorder treatment patient 
records are confidential. 
9. 
Reports to the Superintendent of Insurance. 
Every nonprofit hospital or 
medical service organization subject to this section shall report its experience for each 
calendar year beginning with 1984 to the superintendent not later than April 30th of the 
following year. The report shall must be in a form prescribed by the superintendent and 
shall must include the amount of claims paid in this State for the services required by this 
section and the total amount of claims paid in this State for group health care contracts, 
both separated between those paid for inpatient and outpatient services. The 
superintendent shall compile this data for all nonprofit hospital or medical service 
organizations in an annual report. 
10. Application; expiration. The requirements of this section shall apply to all 
policies and any certificates or contracts executed, delivered, issued for delivery, 
continued or renewed in this State on or after January 1, 1984. For purposes of this 
section, all contracts shall be are deemed to be renewed no later than the next yearly 
anniversary of the contract date. 
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Sec. A-92. 24-A MRSA §2842, as corrected by RR 2015, c. 2, §14, is amended to 
read: 
§2842. Equitable health care for substance use disorder treatment 
1. 
Purpose. The Legislature recognizes that alcoholism and drug dependenoy 
oonstitute substance use disorder constitutes a major health problems problem in the State 
and in the Nation. The Legislature further recognizes that alooholism is a disease and that 
alooholism and drug dependenoy substance use disorder is a disease that can be 
effectively treated. As such, alooholism and drug dependenoy warrant substance use 
disorder warrants the same attention from the health care industry as other serious 
IO 
diseases and illnesses. The Legislature further recognizes that health insurance contracts, 
at times, fail to provide adequate benefits for the treatment of alooholism and drug 
dependenoy substance use disorder, which results in more costly health care for treatment 
of complications caused by the lack of early intervention and other treatment services for 
persons suffering from these illnesses substance use disorder. This situation causes a 
higher health care, social, law enforcement and economic cost to the citizens of this State 
than is necessary, including the need for the State to provide treatment to some insureds 
at public expense. 
To assist the many citizens of this State who suffer from these 
illnesses this illness in a more oost effeotive cost-effective way, the Legislature declares 
that certain health insurance coverage providing benefits for the treatment of the illness of 
alooholism and drug dependenoy shall substance use disorder must be included in all 
group health insurance contracts. 
2. Definitions. As used in this section, unless the context indicates otherwise, the 
following terms have the following meanings. 
A. "Outpatient care" means care rendered by a state-licensed, approved or certified 
detoxification, residential treatment or outpatient program, or partial hospitalization 
program on a periodic basis, including, but not limited to, patient diagnosis, 
assessment and treatment, individual, family and group counseling and educational 
and support services. 
B. "Residential treatment" means services at a facility that provides care 24 hours 
daily to one or more patients, including, but not limited to, the following services: 
Room room and board; medical, nursing and dietary services; patient diagnosis, 
assessment and treatment; individual, family and group counseling; and educational 
and support services, including a designated unit of a licensed health care facility 
providing any and all other services specified in this paragraph to patients with tho 
illnesses ofalooholism and drug dependenoy substance use disorder. 
C. 
"Treatment plan" means a written plan initiated at the time of admission, 
approved by a Doctor of Medicine, .11 Doctor of Osteopathy or a Registered Substance 
Abuse Counselor employed by a certified or licensed substance aeHSe use disorder 
program, including, but not limited to, the patient's medical, drug and alooholism 
substance use disorder history; record of physical examination; diagnosis; assessment 
of physical capabilities; mental capacity; orders for medication, diet and special 
needs for the patient's health or safety and treatment, including medical, psychiatric, 
psychological, social services, individual, family and group counseling; and 
educational, support and referral services. 
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COMMITTEE AMENDMENT "A "to S.P. 714, L.D. 1871 
3. 
Requirement. Every insurer whleh that issues group health care contracts 
providing coverage for hospital care to residents of this State shall provide benefits as 
required in this section to any subscriber or other person covered under those contracts 
for the treatment of alcoholism and other drug dependency substance use disorder 
pursuant to a treatment plan. 
4. Services; providers. Each group contract shall must provide, at a minimum, for 
the following coverage, pursuant to a treatment plan: 
A. Residential treatment at a hospital or free-standing residential treatment center 
whleh that is licensed, certified or approved by the State; and 
B. Outpatient care rendered by state licensed, certified or approved providers. 
Treatment or confinement at any facility shall may not preclude further or additional 
treatment at any other eligible facility, provided that the benefit days used do not exceed 
the total number of benefit days provided for under the contract. 
5. 
Exceptions. This section shall does not apply to employee group insurance 
policies issued to employers with 20 or fewer employees insured under the group policy 
or to group policies designed primarily to supplement the Civilian Health and Medical 
Program of the Uniformed Services, as described in the United States Code, Title 10, 
Section 1072, subsection 4. 
6. Limits; coinsurance; deductibles. Any policy or contract whleh that provides 
coverage for the services required by this section may contain provisions for maximum 
benefits and coinsurance, and reasonable limitations, deductibles and exclusions to the 
extent that these provisions are not inconsistent with the requirements of this section. 
7. Notice. At the time of delivery or renewal, the group health insurer shall provide 
written notification to all individuals eligible for benefits under group policies or 
contracts of these alcoholism and drug dependency substance use disorder benefits. 
8. Confidentiality. Alcoholism and drug Substance use disorder treatment patient 
records are confidential. 
9. 
Reports to the Superintendent of Insurance. Every insurer subject to this 
section shall report its experience for each calendar year beginning with 1984 to the 
superintendent not later than April 30th of the following year. The report shall must be in 
a form prescribed by the superintendent and shall must include the amount of claims paid 
in this State for the services required by this section and the total amount of claims paid 
in this State for group health care contracts, both separated between those paid for 
inpatient and outpatient services. The superintendent shall compile this data for all 
insurers in an annual report. 
10. Application; expiration. The requirements of this section shall apply to all 
policies and any certificates or contracts executed, delivered, issued for delivery, 
continued or renewed in this State on or after January 1, 1984. For purposes of this 
section, all contracts shall be are deemed to be renewed no later than the next yearly 
anniversary of the contract date.' 
Amend the bill in Part A by inserting after section 95 the following: 
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COMMITTEE AMENDMENT "A "to S.P. 714, L.D. 1871 
'Sec. A-96. 24-A MRSA §4222-B, sub-§14, as amended by PL 2001, c. 258, Pt. 
G, §3, is further amended to read: 
14. 
The requirement of filing a report of experience of claims payment for 
alcoholism and drug dependency substance use disorder treatment in the format 
prescribed by section 2842, subsection 9; for chiropractic services in the format 
prescribed by section 2748, subsection 3 and section 2840-A, subsection 3; and for breast 
cancer screening services in the format prescribed by section 2745-A, subsection 4 and 
section 2837-A, subsection 4 applies to health maintenance organizations.' 
Amend the bill in Part A by inserting after section 98 the following: 
'Sec. A-99. 25 MRSA §2002, sub-§5, as amended by PL 1993, c. 524, §1, is 
repealed.' 
Amend the bill in Part A in section 99 in paragraph Din subparagraph (5) by striking 
out all of division (r) (page 40, lines 9 and 10 in L.D.) and inserting the following: 
'(r) Are you a drug abuser, drug addict or drug dependent person user or a 
person with substance use disorder?' 
Amend the bill in Part A by inserting after section 112 the following: 
'Sec. A-113. 28-A MRSA §2519, sub-§3, ~' as enacted by PL 1987, c. 45, Pt. 
A, §4, is amended to read: 
B. The course provides instruction and the development of skills in the following 
subject matters: 
(1) Identification of intoxicated individuals and minors; 
(2) Intervention to prevent excessive consumption of alcohol by such methods as 
serving food and encouraging the consumption of nonalcoholic beverages; 
(3) 
Making consumers aware of their condition and their responsibility for 
driving in an intoxicated condition and providing alternate transportation when 
available; 
(4) Knowledge of state laws relating to the sale and distribution of alcohol and 
the legal responsibilities of servers and consumers; 
(5) 
Knowledge of the effect of alcohol by volume and timing of intake in 
relation to an individual's weight; 
(6) Examination of proof of age identification and methods of detecting false or 
altered age identification documents; 
(7) Policies and practices to prevent the sale or service of alcohol to minors and 
visibly intoxicated individuals; and 
(8) The effects of alcohol on the human body, including the disease concept of 
nlnnhnlii:;m substance use disorder.' 
Amend the bill in Part A by striking out all of section 128 (page 64, lines 8 to 14 in 
L.D.) and inserting the following: 
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'Sec. A-128. 32 MRSA §6203-A, sub-§1, as enacted by PL 2007, c. 402, Pt. U, 
§2, is amended to read: 
1. Agency. "Agency" means an establishment, organization or institution, public or 
private, that is licensed by the Department of Health and Human Services and that offers, 
purports to offer, maintains or operates one or more programs for the assessment, 
diagnosis, care, treatment or rehabilitation of individuals who are suffering physically, 
emotionally or psychologically from the abuse of aleohol or other drugs substance use 
disorder.' 
Amend the bill in Part A by striking out all of section 130 (page 64, lines 25 to 29 in 
L.D.) and inserting the following: 
'Sec. A-130. 32 MRSA §6203-A, sub-§7, as enacted by PL 2007, c. 402, Pt. U, 
§2, is amended to rea.d: 
7. Consumer of alcohol and drug counseling services. "Consumer of alcohol and 
drug counseling services" means a person affected by or recovering from alcoholism or 
other drue: abuse substance use disorder.' 
Amend the bill in Part A in section 138 in paragraph F in subparagraph (5) by 
striking out all of division (h) (page 67, lines 10 and 11 in L.D.) and inserting the 
following: 
'(h) Are you a drug abuser, drug addict or drug dependent person user or a 
person with substance use disorder?' 
Amend the bill in Part A by striking out all of section 139 (page 67, lines 34 to 37 in 
L.D.) and inserting the following: 
'Sec. A-139. 32 MRSA §9410-A, sub-§1, ~' as enacted by PL 1987, c. 170, 
§ 12, is amended to read: 
H. Is not a drug abuser, drug addict or drug dependent person user or a person with 
substance use disorder;' 
Amend the bill in Part A in section 152 in paragraph Din the first line (page 70, line 
in L.D.) by striking out the following: 
"alcoholism," and inserting the following: 
'alcoholism.' 
Amend the bill in Part A by striking out all of section 158 (page 72, lines 5 to 21 in 
L.D.). 
Amend the bill in Part B by striking out all of section 1 and inserting the following: 
'Sec. B-1. Executive branch rules, forms, policies and publications. On or 
after the effective date of this section, when adopting or amending rules and developing 
or publishing forms, policies and publications, all executive branch entities shall replace 
references to "substance abuse" with references to "substance use disorder" and shall 
ensure that language referring to persons with substance use disorder is consistent with 
respectful, "person first," language.' 
Amend the bill by striking out all of the emergency clause. 
COMMITTEE AMENDMENT 
rj. S· 
~-· 
COMMITTEE AMENDMENT"~" to S.P. 714, L.D. 1871 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment removes statutory references to "alcoholic" and "alcoholism" as 
"substance use disorder" includes both alcohol and drug dependence. It also removes 
statutory references to "drug-dependent person" as this term is included in the term 
"person with a substance use disorder." 
It changes the definition of "person with 
substance use disorder" that is in the bill to a definition similar to that used in the clinical 
setting. It also removes provisions from the bill that rename the Office of Substance 
Abuse and Mental Health in the Department of Health and Human Services. 
The 
amendment requires that all executive agencies, rather than only the Department of 
Health and Human Services, replace references to "substance abuse" with "substance use 
disorder" in rules, forms, policies and publications and specifies that those changes must 
occur as agencies amend or create those documents. The amendment also removes the 
emergency preamble and emergency clause. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/06/18 fe.ac 
LD 1871 
LR 2886(02) 
An Act To Implement the Recommendations of the Task Force To Address the Opioid Crisis in the 
State Regarding Respectful Language 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment A" ( S-Yv~ 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Department of Health and Human Services, or any other agencies, to adopt the changes in 
this bill are expected to be minor and can be absorbed within existing budgeted resources. 
LR2886(02) - Fiscal Note - Page 1 of 1