An Act to Reqmre the State to Pay Medicare Premmms for 6e'rtam Ret1red State Employees
Maine Legislature, Session 131, LD 0591
Committee Amendment CA_A_S374 (Senate)

COMMITTEE AMENDMENT "A-" to SP 259, L D 591, "An Act to Reqmre the 
State to Pay Medicare Premmms for 6e'rtam Ret1red State Employees" 
Amend the bill m section 1 m subsection 14 m the last lme (page 1, lme 10 m L D ) by 
msertmg after the followmg "subsection 7" the followmg 'whose base annual state pension 
benefit on or after January 1, 2024 1s pro1ected to be less than or equal to the maxunum 
amount of the retirement benefits that are sub1ect to the cost-of-hvmg admstment under 
section 17806 bemg paid to retired state employees' 
Amend the bill by msertmg after section 1 the followmg 
'Sec. 2. Appropriations and allocations. The followmg appropnat1ons and 
allocations are made 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
Accident - Sickness - Health Insurance 0455 
Imt1at1ve Appropriates funds to pay 100% of the enrollee's share of the Medicare Part B 
premmm for certam retired state employees 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$3,068,552 
$3,068,552 
2024-25 
$6,289,879 
$6,289,879 
Amend the bill by relettermg or renumbe1 mg any nonconsecutive Part letter 01 section 
number to read consecutively 
SUMMARY 
This amendment 1s the maJonty report of the committee The amendment provides that 
the State must pay 100% of a ret1ree's share of the premmms for Medicare Part B for retirees 
not eligible for benefits under the Umted States Social Security Act whose base annual 
COMMITTEE AMENDMENT 
ROS 
COMMITIEE'AMENDMENT"~ "to SP 259,LD 591 
state pens10n benefit on or after January 1, 2024 1s projected to be less than or equal to the 
maximum amount of the retrrement benefits that are subject to the cost-of-hvmg 
adjustment The amendment also adds an appropnat10ns and allocat10ns sect10n 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 06/17 /23 fl:YaC!. 
LD591 
LR 514(02) 
An Act to Reqmre the State to Pay Medicare Premmms for Certam Retired State Employees 
Fiscal Note for BIii as Amended by Committee Amendment 'Jf'(t;, JJt:..j\ 
Committee: Labor and Housmg 
~ 
Net Cost (Savmgs) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detall and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
$3,068,552 
$6,289,879 
$3,068,552 
$6,289,879 
Pro1ect1ons 
FY 2025-26 
$6,602,875 
$6,602,875 
ProJections 
FY 2026-27 
$6,931,316 
$6,931,316 
The bill reqmres the state to pay 100% of a retiree's share of Medicare Part B premmms for retirees not ehg1ble for 
Social Secunty benefits whose base annual state pens10n benefit 1s at or below the maximum amount of retirement 
benefits subject to the cost-of-hvmg-adJustment The bill mcludes ongomg General Fund appropnat10ns to the 
Department of Ad1mmstrative and Fmancial Services of $3,068,552 m fiscal year 2023-24 and $6,289,879 m fiscal 
year 2024-25 for the state payment of the Medicare Part B pre1mum for ehg1ble retired state employees beg1nnmg 
January 1, 2024 
These estimates assume Medicare Advantage enrollment mcreases 0 63% annually for retired State employees, 
reflectmg h1stoncal expenence over 3 years The estimates are based on the current Medicare Part B premmm 
amount of $164 90 per month and assume an mcrease of 4 98% annually, reflectmg the annual average for the past 10 
years To the extent that retired state employees m the Medicare Advantage Program pay a Medicare Part B late 
enrollment penalty, the actual cost to the State will be higher 
LR0514(02) - Fiscal Note - Page 1 of 1