An Act to Amend the
Maine Legislature, Session 132, LD 1497
Committee Amendment CA_A_H268 (House)

COMMITTEE AMENDMENT "/4. "to H.P. 981, L.D .• 1497, "An Act to Amend the 
Laws Governing Primary Care Reporting by the Maine Quality Forum and to Establish the 
Primary Care Advisory Council" 
Amend the bill in section 2 in subsection 12-A by inserting after paragraph A the 
follow~g: 
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'B .• Annual utilization of primary care services· a~ a perc.6rtta'.ge or'o~erall utilization of 
healthcareservices: 1 
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Amend the bill in section 2 in subsection 12-A b~ inserti~g ~fte~ paiagr~ph 6 tl;e 
following: 
'This s~bsection is repealed January 15, 2031.' • 
Amend the bill in section 2 in subsection _12-A by relettering the paragraphs to .. read 
alphabetically. 
Amend the bill in section 3 in subsection 14 in the first blocked paragraph in the last 
line (page 1, line 24 in L.D.) by inserting after the following: 
11intemal medicine" the 
following: 
, obstetrics and gynecology' 
Amend the bill in section 3 in subsection 14 in paragraph A in subparagraph (1) in the 
2nd line (page 1, line 29 in L.D.) by inserting after the following: ''services, 
the following: 
'utilization of services,' 
Amend the bill in section 3 in subsection 14 in paragraph B in the first line (page 2, 
line 9 in L.D.) by striking out the following: "16
and inserting the following: '.18.' 
Amend the bill in section 3 in subsection 14 in paragraph Bin subparagraph (1) in the 
first line (page 2, line 10 in L.D.) by striking out the following: "Six" and inserting the 
following: 'Seven' 
Amend the bill in section 3 in subsection 14 in paragraph B in subparagraph (1) in 
division (e) in the last 2 lines (page 2, lines 26 and 27 in L.D.) by sh·iking out the following: 
"or a statewide association of physician assistants: and" and inserting the following: '~' 
COMMITTEE AMENDMENT 
ROS .. 
CO:MMITTEEAMENDMENT"A" to H.P. 981; L.D. 1497 
Amend the bill in section 3 in subsection 14 in paragraph B in subparagraph (1) ~y 
ins,erting after division (e) the following: 
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'(f) One member must be appointed from nominations provided by a statewide 
association of physician assistants: and' 
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Amend the bill in _section 3 in ~ubsection 14 in paragr1;1.ph B in. subparagraph (1) J:?y 
relettering the divisions to read alphabetically. 
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Amend the biUin section 3 in subsection 14 in paragraph Bin subpar::i-graph (2) in.tl!e 
first line (page 2,.line 30 in L.D.) by striking out the'_follo:wing: 
11Four
an_d ~se~ti~g tM 
following: 1Five1 
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Amend the bill in section 3 in subsection 14 in paragraph B in subparagraph (2) in. 
division (a) in the first line (page 2, line 32 in L.D.) by striking out the following: 
11One 
member
and inserting the following: 'Two members'· 
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Amend the bill in section 3 in subsection 14 in paragraph Bin subparagraph (3) in the 
first line (page 3, line 1 in L.D.) by striking out the following: 
11Six
~1;1d inserting the 
following: 1Four1 
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Amend the bill in section 3 in subsection 14 in paragraph B in subparagraph (3) by 
striking out all of divisions (b) to (e) (page 3, lines 5 to 10 in L.D.) and inserting the 
following: 
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1(b) O~e member of the Senate; appointed by the President of the Senate: and 
(c) One member of the House of Representatives·, appointed b; the st,·eaker 
of the House. 
The Superintendent oflnsurance or the superintendent's designee and the executive 
director of the Permanent Commission on the Status of Racial, Indigenous and 
• Tribal Populations or the executive director's designee serve as ex officio 
members.' 
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Amend the bill in section 3 in subsection 14 in paragraph C in the first line (page 3, 
line 15 in L.D.) by inserting after the following: 
11Legislators
the following: 'and the ex 
officio members' 
Amend the bill in section 3 in subsection • 14 ·by inserting after paragraph G the 
following: 
'This subsection is repealed January 15, 2031.
Amend the bill in section 4 in the 2nd line (page 3, line 28 in L.D.) by inserting after 
the following: 
11nonlegislative
the following: 'and non-ex officio' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment makes the following changes to the bill. 
1. It adds utilization of primary care services as a key measure that may be reported on 
by the Maine Quality Forum as part of its annual report. 
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COMMITTEE AMENDMENT 
COMMITTEE A.MENDMENT«Jf-» lo H.P. 981, L.D. 1497 
2. It adds a physician specializing in obstetrics and gynecology to the definition of 
health care practitioners that are engaged in primary care as used in the work of the Primary 
Care Advisory Council. 
3. It specifies that one member must represent nurse practitioners and one member 
must represent physician assistants, adds an additional member representing health 
insurance carriers and makes technical changes to reflect the ex officio members of the 
Primary Care Advisory Council established in the bill. 
4. It repeals the reporting requirements of the Maine Quality Forum and repeals the 
laws regarding the Primary Care Advisory Council January 15, 2031. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/14/25 LRL-
LD 1497 
LR 919(02) 
An Act to Amend the Laws Governing Primary Care Reporting by the Maine Quality Forum and to 
Establish the Primary Care Advisory Council 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment rf, {H-2/r; <J) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Minor cost increase - Other Special Revenue Funds 
Any additional'costs to the Department of Health and Human Services, the Department of Professional and Financ. 
Regulation, Bureau of Insurance, Maine Health Data Organization, and the Permanent C01mnission on the Status of 
Racial, Indigenous and Tribal Populations to establish and serve on an advisoty council are expected to be minor and 
can be absorbed within existing budgeted resources. 
LR0919(02) - Fiscal Note - Page 1 of 1