An Act To Prevent Discrimination in Public and Private Insurance Coverage for Pregnant Women in Maine
Maine Legislature, Session 129, LD 0820
Committee Amendment CA_A_H210 (House)
Amends: 22 MRSA §3196

COMMITTEE AMENDMENT "A " 
to H.P. 594, L.D. 820, Bill, "An Act To 
Prevent Discrimination in Public and Private Insurance Coverage for Pregnant Women in 
Maine" 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec. 1. 22 MRSA §3196 is enacted to read: 
§3196. Coverage for non-Medicaid services to MaineCare members 
1. Coverage. The department shall provide coverage for abortion services to a 
MaineCare member. 
2. Funding. Abortion services that are not federally approved Medicaid services 
must be funded by state funds within existing resources. 
3. Rulemaking. The department shall adopt rules to implement this section. Rules 
adopted pursuant to this subsection are routine technical rules as defined in Title 5, 
chapter 375, subchapter 2-A.' 
Amend the bill by inserting after section 5 the following: 
'Sec. 6. Rules. The Department of Health and Human Services shall adopt the mles 
required by the Maine Revised Statutes, Title 22, section 3196 by March 1, 2020. 
Sec. 7. Emergency rules. The Department of Health and Human Services may 
adopt emergency mles under the Maine Revised Statutes, Title 5, section 8054 as 
necessary to implement Title 22, section 3196 without the necessity of demonstrating that 
immediate adoption is necessary to avoid a threat to public health, safety or general 
welfare. 
Sec. 8. Exemption from review. Notwithstanding the Maine Revised Statutes, 
Title 24-A, section 2752, that section of this Act that enacts Title 24-A, section 4320-L is 
enacted without review and evaluation by the Department of Professional and Financial 
Regulation, Bureau of Insurance.' 
COMMITTEE AMENDMENT 
COMMITTEEAMENDMENT"A "to H.P. 594,L.D. 820 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
· 
SUMMARY 
This amendment is the majority report of the committee. The amendment adds 
language exempting the provisions of the bill from the provisions of the Maine Revised 
Statutes, Title 24-A, section 2752. The amendment reallocates the section of the bill 
requiring the Department of Health and Human Services to pay for abortion services for 
MaineCare members and adds language to authorize the department to adopt rules using 
the emergency rule-making provisions of the Maine Administrative Procedure Act. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/02/19 frac 
LD820 
LR 824(02) 
An Act To Prevent Discrimination in Public and Private Insurance Coverage for Pregnant Women in 
Fiscal Detail and Notes 
Maine 
) 
Fiscal Note for Bill as Amended by Committee Amendment ,J,( #-) /O 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Current biennium cost increase - General Fund 
The bill provides coverage to MaineCare members for legal abortion services. It is estimated that the annual costs to 
the Department of Health and Human Services of covering abortions in MaineCare would be $375,000 of General 
Fund dollars with no Federal Expenditures Fund allocations, as these services are not eligible for federal match. This 
bill provides no new funding. The impact of these new unfunded costs on other programs in the DHHS cannot be 
determined at this time. 
The state employee health plan and the Department of Professional and Financial Regulation do not anticipate any 
additional costs as a result of this bill. 
LR0824(02) - Fiscal Note - Page 1 of 1