An Act To Address the Opioid Crisis through Evidence-based Public Health Policy
Maine Legislature, Session 129, LD 1689
Committee Amendment CA_A_S177 (Senate)
Amends: 22 MRSA §1341

COMMITTEE AMENDMENT " 'Pt" to S.P. 554, L.D. 1689, Bill, "An Act To 
Address the Opioid Crisis through Evidence-based Public Health Policy" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 22 MRSA §1341, sub-§1, as amended by PL 2015, c. 507, §1, is further 
amended to read: 
1. 
Certification of programs. 
The Maine Center for Disease Control and 
Prevention may certify hypodermic apparatus exchange programs that meet the 
requirements established by rule under subsection 2, paragraphs A to D. 
A. The Maine Center for Disease Control and Prevention may not limit the number 
of hypodermic apparatuses provided by the programs to participants. 
B. The Maine Center for Disease Control and Prevention may not limit the number 
of hypodermic apparatuses that participants served by the programs may legally 
possess, transport or exchange. 
Sec. 2. 22 MRSA §1341, sub-§2, ,rF, as enacted by PL 2015, c. 507, §1, is 
amended to read: 
F. 
Criteria for the award of funds to certified hypodermic apparatus exchange 
programst that: 
(1) Provide for the distribution of naloxone hydrochloride; 
(2) Perform testing for HIV, AIDS and hepatitis C; 
(3) Have a process or system to regularly seek input from persons with a history 
of drug use and incorporate the input into program planning, design, 
implementation and evaluation; and 
(4) Maintain referral agreements with or have the capacity to provide: 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT"(' "to S.P. 554,L.D. 1689 ( 
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(a) Psychosocial counseling services that are informed by the recognition of 
trauma; 
(b) Medication-assisted substance use treatment services; and 
(c) Infectious disease care; 
Sec. 3. 22 MRSA §1341, sub-§4, as enacted by PL 2015, c. 507, §2, is amended 
to read: 
4. 
Funding. 
This subsection governs the use of state funds for hypodermic 
apparatus exchange programs certified pursuant to this section. This subsection is not 
intended to limit the ability of certified programs to secure other sources of funding or to 
discourage fund-raising for the purpose of operating such programs. +ha For any funds 
appropriated for new and existing contracts for hypodermic apparatus exchange 
programs, the Maine Center for Disease Control and Prevention shall alloeate a£y funds 
appropriated for hypodermie apparatus exehange programs amon.g n.ew an.d existing 
eertified programs based on. provide for a competitive bidding process to allocate the 
funds for contracts of $50,000 or more and provide for an application process to allocate 
the funds for contracts of less than $50,000. 
Funding decisions must take into 
consideration rates of intravenous drug use and negative health outcomes related to drug 
use in the geographic area surrounding a proposed program; if applicable, the amount of 
services historically provided by the certified program; the geographic distribution of 
services; the capacity of programs to adhere to best practices identified in subsection 2, 
paragraph F; and other relevant factors. The av,rard of funds must oeem n.ot later that:1 60 
days after the eff@etive date of this subseetion. a£d annually thereafter based on. the 
availability of fun.ding. 
Sec. 4. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Maine Center for Disease Control and Prevention 0143 
Initiative: Provides funds to support hypodermic apparatus exchange programs pursuant 
to the Maine Revised Statutes, Title 22, section 1341, subsection 4. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$1,700,000 
$1,700,000 
2020-21 
$1,700,000 
$1,700,000 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the unanimous report of the committee, removes the 
sections of the bill that decriminalize the crimes of furnishing or possessing hypodermic 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" {i "to S.P. 554, L.D. 1689 
I) 7) 
apparatuses. 
It removes the changes to the requirement to distribute educational 
materials. It removes the requirement to distribute naloxone hydrochloride and other 
safer drug use supplies. Instead of requiring that a hypodermic apparatus exchange 
program have a board, the amendment requires a program to have a process or system to 
regularly seek input from persons with a hist01y of drug use. The amendment also makes 
changes to the allocation of funds appropriated for hypodermic apparatus exchange 
programs. The amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/25/19 feae 
LD 1689 
LR 1512(02) 
An Act To Address the Opioid Crisis through Evidence-based Public Health Policy 
Fiscal Note for Bill as Amended by Committee Amendment "(!' , ':o. 1-·i ·1) 
Committee: Health and Human Services 
· 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2019-20 
FY 2020-21 
$1,700,000 
$1,700,000 
$1,700,000 
$1,700,000 
Projections 
FY2021-22 
$1,700,000 
$1,700,000 
Projections 
FY 2022-23 
$1,700,000 
$1,700,000 
The bill includes General Fund appropriations to the Department of Health and Human Services of$1,700,000 
beginning in fiscal year 2019-20 to support hypodermic apparatus exchange programs pursuant to the Maine Revised 
Statutes, Title 22, section 1341, subsection 4. 
LRI512(02) - Fiscal Note - Page I of I