An Act To Provide MaineCare Coverage for Chiropractic Treatment
Maine Legislature, Session 128, LD 0320
Committee Amendment CA_A_S199 (Senate)
Amends: 22 MRSA §3174-Z

COMMITTEE AMENDMENT "b "to S.P. 94, L.D. 320, Bill, "An Act To Provide 
MaineCare Coverage for Chiropractic Treatment" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3174-ZZ is enacted to read: 
§3174-ZZ. 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 (FORMERLY DHS) 
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 
2017-18 
$67,661 
COMMITTEE AMENDMENT 
2018-19 
$90,239 
COMMIITEE AMENDMENT "A "to S.P. 94, L.D. 320 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
$67,661 
2017-18 
$122,130 
$122,130 
$90,239 
2018-19 
$162,815 
$162,815 
This amendment, which is the majority report of the committee, modifies the bill to 
limit the bill's required reimbursement for chiropractic services under the MaineCare 
program to chiropractic evaluation and management examinations. The amendment also 
adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 06/02/17 ~C. 
LD320 
LR325(02) 
An Act To Provide MaineCare Coverage for Chiropractic Treatment 
Fiscal Note for Bill as Amended by Committee Amendment "p'/ (S- \ q °') 
Committee: Health and Human Services 
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 
$90,239 
$90,239 
$162,815 
$162,815 
Projections 
FY2019-20 
$90,239 
$90,239 
$162,815 
$162,815 
Projections 
FY2020-21 
$90,239 
$90,239 
$162,815 
$162,815 
The bill includes General Fund appropriations to the Department of Health and Human Services of $67,661 in fiscal 
year 2017-18 and $90 ,23 9 in fiscal year 2018-19 for chiropractic evaluation and management examinations to be 
reimbursed under the MaineCare program. Federal Expenditures Fund allocations are also included for the FMAP 
match. 
LR0325(02) - Fiscal Note - Page 1 of 1