An Act Concerning the Department of Health and Human Services
Maine Legislature, Session 129, LD 0931
Committee Amendment CA_A_H138 (House)
Amends: 22 MRSA §3174-B

COMMITTEE AMENDMENT ,JI ,, to H.P. 686, L.D. 931, Bill, "An Act 
Concerning the Department of Health and Human Services" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Reduce Obesity by Reimbursing for Prescription Drug Therapy 
Provided by a Member of a Weight Management Team' 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 22 MRSA §3174-BBB is enacted to read: 
§3174-BBB. Prescription drug therapy for obesity; rules 
The department shall provide for reimbursement under the MaineCare program for 
prescription drug therapy services to treat obesity that are provided by a physician 
licensed pursuant to Title 32. chapter 36 or 48, physician assistant licensed pursuant to 
Title 32. chapter 36 or 48 or nurse practitioner licensed pursuant to Title 32. chapter 31 
who is part of a weight management team. Prescription drug therapy services may be 
provided in any office. facility or other setting in which the medical provider practices. 
For purposes of this section. "weight management team" means a multidisciplinary 
group of providers who provide comprehensive weight management services to a patient, 
including. but not limited to. behavioral health services: medical nutrition therapy: 
physical activity, including but not limited to physical therapy, athletic · training. or 
kinesiology: or specialized medical services. including but not limited to services related 
to endocrinology. diabetes. metabolism or bariatric surgery. A provider is not required to 
practice in the same setting as other members of the team to be considered part of a 
weight management team under this section. As used in this section, "medical nutrition 
therapy" means a therapeutic approach to treating obesity and its 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, a physician assistant licensed pursuant to 
Title 32, chapter 36 or 48. a dietitian licensed pursuant to Title 32. chapter 104 or a nurse 
practitioner licensed pursuant to Title 32, chapter 31. 
COMMITTEE AMENDMENT 
'4\.d 
COMMITTEE AMENDMENT" /J, to H.P. 686, L.D. 931 
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 appropriations and allocations for reimbursement under the 
MaineCare program for obesity treatment medication. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2019-20 
$3,949,213 
$3,949,213 
2019-20 
$9,517,922 
$9,517,922 
2019-20 
$1,882,036 
$1,882,036 
2020-21 
$2,889,105 
$2,889,105 
2020-21 
$6,509,885 
$6,509,885 
2020-21 
$5,018,761 
$5,018,761 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the majority report of the committee, strikes the bill, 
which is a concept draft, to provide for reimbursement under the MaineCare program for 
prescription drug therapy services to treat obesity. 
The amendment also adds an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/09/19 ::Wac 
LD931 
LR 1041(02) 
An Act Concerning the Department of Health and Human Services 
Fiscal Note for Bill as Amended by Committee Amendment ~· ( W· JJ~ 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
Projections 
FY2019-20 
FY2020-21 
FY2021-22 
FY2022-23 
Net Cost (Savings) 
General Fund 
$3,949,213 
$2,889,105 
$2,889,105 
$2,889,105 
Appropriations/Allocations 
General Fund 
$3,949,213 
$2,889,105 
$2,889,105 
$2,889,105 
Federal Expenditures Fund 
$9,517,922 
$6,509,885 
$6,509,885 
$6,509,885 
Other Special Revenue Funds 
$1,882,036 
$5,018,761 
$5,018,761 
$5,018,761 
Revenue 
Federal Expenditures Fund 
$9,517,922 
$6,509,885 
$6,509,885 
$6,509,885 
Other Special Revenue Funds 
$1,882,036 
$5,018,761 
$5,018,761 
$5,018,761 
Fiscal Detail and Notes 
The bill includes General Fund appropriations to the Department of Health and Human Services of $3 ,949 ,213 in 
fiscal year 2019-20 and $2,889,105 in fiscal year 2020-21 to provide reimbursement under the MaineCare program for 
reimbursement for obesity treatment medication. Federal Expenditures Fund allocations are also included for the 
FMAP match and Other Special Revenue Funds allocations for drug rebates. 
LR1041(02) - Fiscal Note - Page 1 ofl