An Act To Reduce the Incidence of Obesity and Chronic Disease in Maine
Maine Legislature, Session 128, LD 1162
Committee Amendment CA_A_S380 (Senate)

COMMITTEE- AMENDMENT "A " to S.P. 383, L.D. 1162, Bill, "An Act To 
Reduce the Incidence of Obesity and Chronic Disease in Maine" 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec.1. 22 MR.SA §3174-AAA is enacted to read: 
§3174-AAA. Medical nutritional therapy; rules 
The department shall provide for the reimbursement under the MaineCare program 
for medical nutritional therapy services to treat obesity, unhealthy weight. hypertension. 
diabetes, prediabetes. disorders of lipid metabolism. HIV infection. unintended weight 
loss in older adults. chronic kidney disease. gastrointestinal conditions. malnutrition and 
inappropriate eating habits. Medical nutritional therapy services may be provided by 
physicians licensed pursuant to Title 32. chapter 36 or 48 or dietitians licensed pursuant 
to Title 32. chapter 104 who practice in hospitals. outpatient settings or private offices. 
As used in this section. "medical nutritional therapy" means a therapeutic approach to 
treating medical conditions and their associated symptoms by use of counseling and a 
specifically tailored diet devised and monitored by a physician licensed pursuant to Title 
32. chapter 36 or 48 or a dietitian licensed pursuant to Title 32. chapter 104. 
The department shall adopt rules to implement this section. Rules adopted pursuant 
to this paragraph are routine technical rules as defined in 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 allocations for reimbursement under the MaineCare program for 
medical nutritional therapy services provided by physicians or licensed dietitians. 
COMMITTEE AMENDMENT 
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COMMITTEE AMEND:rv.tENT "A "to S.P. 383, L.D. 1162 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
SUMMARY 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$69,061 
$69,061 
2018-19 
$38,277 
$38,277 
This amendment, which is the majority report of the committee, provides funding for . 
reimbursing medical nutritional therapy services from the Fund for a Healthy Maine .. It 
removes the requirement for MaineCare to reimburse for obesity treatment medication. It 
identifies the specific conditions for which medical nutritional therapy services are 
reimbursed and adds gastrointestinal conditions to the list. 
It removes dietitian 
nutritionists and clarifies that physicians and dietitians providing medical nutritional 
therapy services must be licensed by their professional licensing boards. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 02/16/18 :::Wac 
LD 1162 
LR 322(02) 
An Act To Reduce the Incidence of Obesity and Chronic Disease in Maine 
Fiscal Note for Bill as Amended by Committee Amendment f-1" {;; _ ~ 
Committee: Health and Human Services 
\-..:: 
J) 
Net Cost (Savings) 
Fund for a Healthy Maine 
Appropriations/Allocations 
Federal Expenditures Fund 
Fund for a Healthy Maine 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$0 
$0 
$0 
$0 
FY 2018-19 
$38,277 
$69,061 
$38,277 
$69,061 
Projections 
FY2019-20 
$38,277 
$69,061 
$38,277 
$69,061 
Projections 
FY 2020-21 
$38,277 
$69,091 
$38,277 
$69,061 
The bill includes Fund for a Healthy Maine allocations to the Department of Health and Human Services of $38,277 
beginning in fiscal year 2018-19 to provide reimbursement under the MaineCare program for medical nutritional 
therapy provided by physicians or licensed dietitians. Federal Expenditures Fund allocations are also included for the 
FMAPmatch. 
LR0322(02) - Fiscal Note - Page 1 of 1