An Act To Reinstitute the Maine Health Exchange Advisory Committee
Maine Legislature, Session 128, LD 0718
Committee Amendment CA_A_H127 (House)
Amends: 5 MRSA §12004

COMMITTEE AMENDMENT "fl" to H.P. 509, L.D. 718, Bill, "An Act To 
Reinstitute the Maine Health Exchange Advisory Committee" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Establish the Maine Health Care Reform Implementation Advisory 
Committee' 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec. 1. 5 MRSA §12004-1, sub-§50-B is enacted to read: 
50-B. 
Insurance: Health Maine Health Care' 
Care Reform 
Reform 
Implementation 
Advisory Committee 
Legislative Per 
Diem and Expenses 
for Legislators and 
Expenses Only for 
Other Members 
upon Demonstration 
of Financial 
Hardship 
24-AMRSA 
§4320-K 
Amend the bill in section 2 in §4320-K in the first line (page 1, line 13 in L.D.) by 
striking out the following: "Exchange" and inserting the following: 'Care Reform 
Implementation' 
Amend the bill in section 2 in §4320-K by striking out all of the first paragraph (page 
1, lines 14 to 19 in L.D.) and inserting the following: 
'The Maine Health Care Reform Implementation Advisory Committee, referred to in 
this section as "the advisory committee" and established pursuant to Title 5, section 
12004-I, subsection 50-B, is created to advise the Governor and the Legislature with 
respect to any federal health care legislation.' 
COMMITTEE AMENDMENT 
A. CJi s. 
COMM.ITIEE AJvIBND"MENT "ff:'to H.P. 509, L.D. 718 
Amend the bill in section 2 in §4320-K in subsection 1 by striking out all of 
paragraph J (page 2, lines 15 to 30 in L.D.) and inserting the following: 
1J. Four members representing individuals and small businesses, including: 
(1) One person, appointed by the President of the Senate, who can reasonably be 
expected to represent the interests of individuals purchasing individual coverage; 
(2) One person, appointed by the Speaker of the House of Representatives, who 
can reasonably be expected to represent the interests of employers that purchase 
small group coverage; 
(3) One person, appointed by the President of the Senate, who represents an 
organization advocating for consumers of health care; and 
(4) One person, appointed by the Speaker of the House of Representatives, who 
is employed by an employer that can reasonably be expected to purchase group 
coverage and who can reasonably be expected to represent the interests of such 
employees;' 
Amend the bill in section 2 in §4320-K by striking out all of subsection 4 (page 3, 
lines 4 to 39 and page 4, lines 1 to 20 in L.D.) and inserting the following: 
14. Duties. The advisory committee shall: 
A. Study any federal health care legislation enacted by the United States Congress to 
make changes to the federal Affordable Care Act as defined in section 14 or 
otherwise determine the State's opportunities for health care reform; 
B. Determine the State's role in implementation of any federal health care legislation; 
C. Determine the impact of federal health care legislation on existing state law and 
programs that provide access to health care to residents of this State; 
D. Advise the Governor and the Legislature regarding the implementation of any 
federal health care legislation and the interests of residents of this State; 
E. Serve as a liaison between the State Government and the Federal Government 
with regard to federal health care legislation; 
F. Consider any issue related to the implementation of federal health care legislation 
agreed upon by the majority of the advisory committee; and 
G. Make recommendations for any changes in policy or law to improve access to or 
affordability of health care for residents of this State.' 
Amend the bill in section 2 in §4320-K by striking out all of subsection 8 (page 4, 
lines 28 to 29 in L.D.) and inserting the following: 
18. Staffing. The Legislative Council shall provide staff support for the operation of 
the advisory committee, except that the Legislative Council staff support is not authorized 
when the Legislature is in regular or special session. In addition, the advisory committee 
may contract for administrative, professional and clerical services if funding permits. 1 
Amend the bill by adding after section 2 the following: 
COMMITTEE AMENDMENT 
A. Qt$. 
COMMITTEE AMENDMENT" t: to H.P. 509, L.D. 718 
'Sec. 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
LEGISLATURE 
Maine Health Care Reform Implementation Advisory Committee N248 
Initiative: Provides appropriations and allocations for the operating and support costs of 
the Maine Health Care Reform Implementation Advisory Committee. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
SUMMARY 
2017-18 
$12,000 
$12,000 
2017-18 
$500 
$500 
2018-19 
$12,000 
$12,000 
2018-19 
$500 
$500 
This amendment is the minority report of the committee. The amendment changes 
the title of the bill and the name of the advisory committee established in the bill. The 
amendment broadens the scope of duties of the advisory committee to reflect that there 
may be changes in federal health care law. The amendment also clarifies that the 
Legislative Council may not provide staff support to the advisory committee during the 
legislative session and authorizes the advisory committee to contract for administrative, 
professional and clerical services if funding permits. 
The amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/28/17 ~a<:!.-
LD718 
LR1552(02) 
An Act To Reinstitute the Maine Health Exchange Advisory Committee 
Fiscal Note for Bill as Amended by Committee Amendment ./1,{f/-(;;l.'V 
Committee: Insurance and Financial Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Other Special Revenue Funds 
Legislative Cost/Study 
Fiscal Note Required: Yes 
Fiscal Note 
Legislative Cost/Study 
FY2017-18 
$12,000 
$12,000 
$500 
FY2018-19 
$12,000 
$12,000 
$500 
Projections 
FY2019-20 
$12,000 
$12,000 
$500 
Projections 
FY2020-21 
$12,000 
$12,000 
$500 
Provides appropriations of $12,000 in each of fiscal years 2017-18 and 2018-19 to the Legislature for the operating 
and support costs of the Maine Health Care Reform Implementation Advisory Committee during the Legislative 
session and for the operating costs during the interim. Also provides an Other Special Revenue Funds allocation of 
$500 in the event the committee receives grants and other nongovernmental funds. As required in the bill, the funds 
provided to the committee are appropriated and allocated to a new account separate from all other funds of the 
Legislature. 
Fiscal Detail and Notes 
Any additional costs to the Department of Professional and Financial Regulation and the Department of Health and 
Human Services to implement the provisions of this bill are expected to be minor and can be absorbed within existing 
budgeted resources. 
LR1552(02) - Fiscal Note - Page 1 of 1