An Act To Improve Dental Health for Maine Chilchen and Adults with Low Incomes
Maine Legislature, Session 129, LD 1453
Committee Amendment CA_A_H409 (House)

COMMITTEE AMENDMENT ",4." to H.P. 1065, L.D. 1453, Bill, "An Act To 
Improve Dental Health for Maine Chilchen and Adults with Low Incomes" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Improve Dental Health for Maine Adults with Low Incomes' 
Amend the bill by striking out all of sections 2 and 3. 
Amend the bill by inserting after section 4 the following: 
'Sec. 5. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care -Payments to Providers 0147 
Initiative: Appropriates and allocates funds for the net costs of providing MaineCare 
coverage for additional preventive oral health services for MaineCare-eligible adults 21 
years of age and older. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2019-20 
$2,077,596 
$2,077,596 
2019-20 
$5,626,588 
$5,626,588 
COMMITTEE AMENDMENT 
2020-21 
$6,458,383 
$6,458,383 
2020-21 
$17,286,794 
$17 ,286, 794 
COMMITTEE AMENDMENT "4" to H.P. 1065, L.D. 1453 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
.2 
section number to read consecutively. 
SUMMARY 
This amendment removes from the bill provisions establishing the dental incentive 
payment program and the working group that would have designed it. It retains the adult 
dental benefit under MaineCare and the rulemaking implementing it. It also adds an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/26/19 feac. 
LD 1453 
LR 1664(02) 
An Act To Improve Dental Health for Maine Children and Adults with Low Incomes 
Fiscal Note for Bill as Amended by Committee Amendment f/'(1/--- l/J1 \ 
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 2019-20 
$2,077,596 
$2,077,596 
$5,626,588 
$5,626,588 
FY 2020-21 
$6,458,383 
$6,458,383 
$17,286,794 
$17,286,794 
Projections 
FY2021-22 
$6,153,037 
$6,153,037 
$16,748,642 
$16,748,642 
Projections 
FY2022-23 
$6,153,037 
$6,153,037 
$16,748,642 
$16,748,642 
The bill includes General Fund appropriations to the Department of Health and Human Services of $2,077,596 in 
fiscal year 2019-20 and $6,458,383 in fiscal year 2020-21 for the state share of the net costs of providing access to 
comprehensive medically necessary preventive, diagnostic and restorative dental services for MaineCare eligible 
adults 21 years of age and older. This assumes 70,128 MaineCare eligible adults (37.4% of those eligible) would use 
this service annually at a cost of$436.36 per person. Offsetting against these costs are assumed savings in the 
MaineCare emergency services and the current adult dental services provided outside of the emergency room used 
annually by this population. The bill's additional spending is assumed to be fully phased in during the biennium while 
offsetting savings are assumed to phase-in over a longer period of time. Federal Expenditures Fund allocations are 
also included for the FMAP match. 
LR1664(02) - Fiscal Note - Page 1 of 1