An Act to Requrre Substance Use Disorder to Be Disclosed as a Cause of Death on Death Certificates
Maine Legislature, Session 131, LD 0228
Committee Amendment CA_A_H380 (House)

COMMI'ITEE AMENDMENT "A " 
to HP 149, L D 228, "An Act to Requrre 
Substance Use Disorder to Be Disclosed as a Cause of Death on Death Certificates" 
Amend the bill by strtlang out the title and substitutmg the followmg 
'Resolve, to Require That Alcohol Misuse Be Disclosed as a Contributing Factor to 
Death on Death Certificates' 
Amend the bill by strikmg out everythmg after the title and msertmg the followmg 
'Sec. 1. Death certificate to list alcohol misuse as a contributing factor. 
Resolved: That the Department of Health and Human Services shall amend the medical 
certification of the cause of death completed pursuant to the Ma.me Revised Statutes, Title 
22, section 2842 to mclude a check box to document 1f alcohol misuse contributed to the 
death of a person 
Sec. 2. Department of Health and Human Services to create an information 
campaign regarding the completion of death certificates. Resolved~ That the 
Department of Health and Human Services shall develop an mformat10n campaign and 
trammg regardmg the completion of medical certifications of the cause of death by ehg1ble 
providers and seek approval for contmumg medical education credits for such trammg 
Sec. 3. 
Appropriations and allocations. Resolved: That the followmg 
appropriat10ns and allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Data, Research and Vital Statistics Z037 
Imtiat1ve Provides one-tlllle fundmg required to create an accredited onlme trammg 
module 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$41,900 
$41,900 
COMMITTEE AMENDMENT 
2024-25 
$0 
$0 
~os 
I> 
COMMITIBEAMENDMENT'A"toHP 149,LD 228 
Amend the bill by relettermg or renumbermg any nonconsecutive Part letter or section 
number to read consecutively 
SUMMARY 
This amendment replaces the bill with a resolve It requrres the Department of Health 
and Human Services to amend the medical cert1ficat1on of the cause of death completed 
pursuant to the Mame Revised Statutes, Title 22, section 2842 to mclude a check box to 
document whether alcohol misuse contributed to the death of a person It requires the 
Department of Health and Human Services to develop an mformat10n campaign and 
trammg regardmg the completion of medical certifications of the cause of death by eligible 
providers and to seek approval for contmumg medical education credits for such trammg 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 05/31/23 ::k?ae.. 
LD228 
LR 442(02) 
An Act to Require Substance Use Disorder to Be Disclosed as a Cause of Death on Death Certificates 
Fiscal Note for Bill as Amended by Committee Amendment A { H-3 ~ '\ 
Committee: Health and Human Services 
'/ 
Net Cost (Savings) 
General Fund 
Fiscal Note Required: Yes 
I 
Fiscal Note 
FY 2023-24 
FY 2024-25 
$41,900 
$0 
Projections 
FY 2025-26 
$0 
Projections 
FY 2026-27 
$0 
- "', Appropriations/Allocations 
I 
General Fund 
$41,900 
$0 
$0 
$0 
Fiscal Detail and Notes 
The bill mcludes a one-time Genet al Fund appropt tatlon to the Department of Health and Human Services of $41,900 
m fiscal year 2023-24 to create an accredited onlme trammg module 
LR0442(02) - Fiscal Note - Page 1 of 1