Resolve, to Establish the Commission Regardmg Foreign-trained Physicians Livmg m Mame
Maine Legislature, Session 131, LD 0937
Committee Amendment CA_A_H128 (House)

C01\1MITTEE AMENDivffiNT "f;s." to HP 584, L D 937, "Resolve, to Establish 
the Commission Regardmg Foreign-trained Physicians Livmg m Mame" 
Amend the resolve by str1kmg out all of section 2 and msertmg the followmg 
'Sec. 2. Commission membership. Resolved: That, notw1thstandmg Jomt Rule 
353, the commission conststs of 13 members appomted as follows 
Two members of the Senate, appomted by the President of the Senate, at least one 
of whom must be a member of the J omt Standmg Committee on Health Covet age, 
Insurance and Fmancial Services, 
Two members of the House of Representatives, appomted by the Speaker of the 
House of Representatives, at least one of whom must be a member of the J omt Standmg 
Committee on Health and Human Services, 
One member who is a member or staff member of the Board of Licensure m 
Medic me, appomted by the President of the Senate, 
One membe1 who is a representative of the Mame Hospital Association, appomted 
by the President of the Senate, 
One member who is a representative of the New Mamers Resource Center, 
appomted by the President of the Senate, 
Three members who are phys1c1ans who are refugees or 1mm1grants, 2 of whom are 
appomted by the Speaker of the House of Representatives, at least one of whom must be 
hcensed to practice in the State, and one of whom 1s appomted by the President of the 
Senate, 
One member who 1s a representative of the Mame Medical Association, appomted 
by the Speaker of the House of Representatives; 
One member who 1s a representative of the Mame Immigrants' Rights Coaht1on, 
appomted by the Speaker of the House of Representatives, and 
COMMITTEE AMENDMENT 
~ 
COMMITTEE AMENDMENT" A" to HP 584, L D 937 
One member from the staff of the Office of the Governor, appomted by the 
Governor' 
Amend the resolve m section 5 m the 2nd lme (page 2, line 15 m L D ) by msertmg 
after the followmg "physicians" the followmg ', mcludmg surgeons,' 
Amend the resolve m section 5 m the 3rd lme (page 2, lme 16 m L D ) by msertmg 
after the followmg "seekers" the followmg ', and reducmg barriers to hcensmg for foreign-
tramed physicians and physicians from other states' 
Amend the resolve m section 5 m subsection 3 m the last hne (page 2, lme 25 m L D ) 
by msertmg after the followmg "physicians" the followmg 'and physicians from other 
states' 
Amend the resolve m section 5 m subsection 6 m the first lme (page 2, hne 3 0 m L D ) 
by msertmg after the followmg "physicians" the followmg 'and physicians from other 
states' 
Amend the resolve m section 5 m the last paragraph m the 4th lme (page 2, hne 3 5 m 
L D ) by msertmg after the followmg "physicians" the followmg 'and physicians fi om 
other states' 
Amend the resolve m sect10n 5 m the last paragraph m the 5th hne (page 2, hne 36 m 
L D) by mserting after the followmg "physicians" the followmg 'and physicians from 
other states' 
Amend the resolve by stnkmg out all of section 7 and msertmg the followmg 
'Sec. 7. Stakeholder participation. Resolved: That the commiss10n may mvite 
the participation of stakeholders to participate m meetmgs or subcommittee meetmgs of 
the commission to ensure the commission has the mformat10n and expertise necessary to 
fulfill its duties, mcludmg, but not limited to, representatives of health msurance earners, 
the Umversity of New England College of Osteopathic Medicme, medical graduate 
residency programs m the State, the Mame Pubhc Health Association, the Mame 
Osteopathic Associat10n and the Mame Association of Physic tan Assistants 
Sec. 8. Report. Resolved: That, notwithstandmg Jomt Rule 3 53, no later than 
January 15, 2024, the commission shall submit a report that mcludes its findmgs and 
recommendations, mcludmg suggested legislation, to the Jomt Standmg Committee on 
Health Coverage, Insurance and Fmanc1al Services The JOtnt standmg committee may 
report out legislation to the Second Regular Session of the 131 st Legislature based on the 
report' 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively 
SUMMARY 
This amendment makes the followmg changes to the resolve, which creates the 
Commission Regardmg Foretgn-tramed Physicians Livmg m Mame to study mtegiatmg 
foreign-tramed physicians bvmg m the State mto the health cate workforce to best reflect 
their level of skills and trammg, with a focus on those who are m the State as refugees and 
asylum seekers 
COMMITTEE AMENDMENT 
__:-g 
,)!J 
s 
COMMITTEE AMENDMENT" A" to ,I;I P 584, L D 937 
The amendment reduces the size of the comm1ss1on to 13 to conform with the 
committee size requirement m Jomt Rule 353 and makes the number of appomtments made 
by the Speaker and the President equal 
The amendment adds language to authorize the commiss10n to mv1te participation of 
stakeholders m meetmgs or subcommittee meetmgs, includmg representatives of health 
msurance earners, the Umvers1ty of New England College of Osteopathic Medicme, 
medical graduate residency programs m the State, the Mame Pubhc Health Association, 
the Mame Osteopathic Association and the Mame Association of Physician Assistants 
The amendment amends the duties of the commission to mclude consideration of 
issues related to reducmg barriers to licensmg of phys1c~ans from other states 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 04/22/23 :t:Pae 
LD937 
LR 616(02) 
Resolve, to Establish the Commission Regarding Foreign-trained Physicians Living in Maine 
Fiscal Note for BIil as Amended by Committee Amendment 'A' ( l-\- \ lfb) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Reqmred: Yes 
Fiscal Note 
Legislative Cost/Study 
Legislative Cost/Study 
The general operatmg expenses of this study are projected to be $3,050 m fiscal year 2023-24 The Legislature's 
proposed budget for the 2024-2025 biennium includes $14,500 m each of fiscal years 2023-24 and 2024-25 for th1 
costs of legislative studies, as well as $2,234 m projected balances from fiscal year 2022-23 and $36,777 ofbalarn 
camed over from pnor years for this purpose Whether these amounts are sufficient to fund all studies will depend on 
the number of studies authonzed by the Leg1slat1ve Council and the Legislature The addit10nal costs ofprov1dmg 
staffing assistance to the study during the mterim can be absorbed ut1hzmg existing budgeted staff resources 
Fiscal Detail and Notes 
Additional costs to the Board of L1censure m Medicine, affiliated with the Department of Professional and Financial 
Regulation, associated with a representative of the board serving on the com1mss1on can be absorbed w1thm existing 
budgeted resources 
LR0616(02) - Fiscal Note - Page 1 of 1