An Act To Improve Dental Health for Maine Children and Adults with Low Incomes
Maine Legislature, Session 129, LD 1453
Committee Amendment CA_A-SA_A_S371 (Senate)

SENATE AMENDMENT " >\" to COMMITTEE AMENDMENT "A" to H.P. 
1065, L.D. 1453, Bill, "An Act To Improve Dental Health for Maine Children and Adults 
with Low Incomes" 
Amend the amendment by striking out everything after the title and before the last 
indented paragraph (page 1, lines 11 to 30 in amendment) and inserting the following: 
'Amend the bill by striking out the title and substituting the following: 
'Resolve, To Establish a Stakeholder Group To Develop an Adult Dental Benefit 
under MaineCare' 
Amend the bill by striking out everything after the title and inserting the following: 
'Sec. 1. 
Department of Health and Human Services to convene 
stakeholder group. Resolved: That the Department of Health and Human Services 
shall convene a stakeholder group, no later than October 1, 2019, to develop a plan for an 
adult preventive, comprehensive, diagnostic and restorative dental benefit under 
MaineCare. 
1. Requirements of the plan. The plan must consider and include the following: 
A. Dental procedures and services that are aligned with evidence-based care, are 
medically necessary to maintain good oral and overall health and are appropriate to 
be included in an adult dental benefit under MaineCare; 
B. Current MaineCare expenditures for emergency dental care; 
C. Projected expenditures for an adult dental benefit under MaineCare that includes 
preventive, comprehensive, diagnostic and restorative dental services; 
D. 
Anticipated cost savings resulting from reduced use of hospital emergency 
departments and prescription medication related to the relief of pain and infection as 
a result of the implementation of the benefit described in paragraph C; 
E. 
Delivery and provider reimbursement models that will best ensure adequate 
access to high-quality dental care for all MaineCare enrollees, improve provider 
participation, achieve healthy outcomes and promote fiscal and administrative 
efficiency for the long-term success of the plan; 
SENATE AMENDMENT 
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SENATE AMENDMENT "/'l "to COMMITTEE AMENDMENT "A" to H.P. 1065, L.D. 145{ j-::>l 0 
F. Service delivery methods including fee-for-service state administration and risk-
based dental managed care organization carve-out models. The stakeholder group 
shall take into account differences among dental practice settings, including any 
differences in service delivery, payment methods and reimbursement amounts 
between private practices, community dental clinics, federally qualified and similarly 
situated health centers and hospital-affiliated providers; 
G. Strategies to improve oral health education for MaineCare; and 
H. Metrics to measure outcomes, including measures of provider participation and 
use of services. 
2. Stakeholder group. The stakeholder group consists of the Commissioner of 
Health and Human Services or the commissioner's designee and 12 other members, 
appointed by the commissioner as follows: 
A. Two members of the commissioner's choosing; 
B. One member of a statewide organization representing dentists; 
C. One member of a statewide organization representing dental hygienists; 
D. One member representing federally qualified health centers; 
E. One member representing a nonprofit dental clinic; 
F. One member representing a nonprofit dental managed care organization; 
G. One member with policy expertise or experience in promoting access to dental 
care for individuals with low incomes; 
H. 
One member representing a philanthropic organization concerned with oral 
health; 
I. One member with experience in public health policy and experience in oral health; 
and 
J. 
Two MaineCare members who would benefit from access to an adult dental 
benefit. 
3. Report. The department shall submit the plan developed pursuant to subsection 2 
in a report to the Joint Standing Committee on Health and Human Services no later than 
January 2, 2020. The committee is authorized to report out a bill regarding the report in 
the Second Regular Session of the 129th Legislature.'' 
SUMMARY 
This amendment replaces the bill with a resolve. 
This amendment requires the 
Department of Health and Human Services to convene a stakeholder group to develop a 
plan for an adult dental benefit ~f ~: ~in~ The plan must be submitted to the 
Joint Standing Committ/e f~;1ea1:9'7.r1;Aervices no later than January 1, 2020. 
SPONSOREDBY:+-~...>..L~~--1--1-~~~~~-
COUNTY: Cumberland 
FISCAL NOTE ki:.'<~ 
(See attaehed) 
SENATE AMENDMENT 
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Approved: 06/19/19 fe'ac:.. 
LD 1453 
LR 1664(05) 
An Act To Improve Dental Health for Maine Adults with Low Incomes 
Fiscal Note for Senate Amendment 11~' to Committee Amendment II A 11 ( ~ 
-- '.51 ') 
Sponsor: Sen. Breen of Cumberland 
Net Cost (Savings) 
General Fund 
Jppropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
FY 2020-21 
Projections 
FY2021-22 
Projections 
FY 2022-23 
($2,077,596) 
($6,458,383) 
($6,153,037) 
($6,153,037) 
($2,077,596) 
($6,458,383) 
($6,153,037) 
($6,153,037) 
($5,626,588) 
($17,286, 794) 
($16, 748,642) 
($16, 748,642) 
($5,626,588) 
($17,286, 794) 
($16, 748,642) 
($16, 748,642) 
The amendment removes the changes to dental eligibility and replaces it with a workgroup, thus striking the 
appropriations and allocations. Any costs to the Department of Health and Human Services associated with the 
workgroup are expected to be minor and can be absorbed within existing budgeted resources. 
LR1664(05) - Fiscal Note - Page 1 of 1