Amend the bill in Part A in section 6 in paragraph G in the first line (page 1, line 21 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 6 in paragraph G in the 2nd line (page 1, line 22 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 6 in paragraph G in the last line (page 1, line 24 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 13 in paragraph A in subparagraph (11) in the first line (page 3, line 30 in L.D.) by striking out the following: " health insurance risk" and inserting the following: ' chronic care'
Amend the bill in Part A by striking out all of section 14 and inserting the following:
‘Sec. A-14. 24-A MRSA §2849-B, sub-§2, ¶A, as amended by PL 2007, c. 199, Pt. D, §4, is further amended to read:
A. That person was covered under an individual, a group or blanket contract or policy issued by a nonprofit hospital or medical service organization, insurer , or health maintenance organization or was covered under an uninsured employee benefit plan that provides payment for health services received by employees and their dependents or a governmental program, including, but not limited to, those listed in section 2848, subsection 1-B, paragraph A, subparagraphs (3) to (10) (11). For purposes of this section, the individual, group or blanket policy under which the person is seeking coverage is the "succeeding policy." The group , or blanket or individual contract or policy, uninsured employee benefit plan or governmental program that previously covered the person is the "prior contract or policy"; and’
Amend the bill in Part A in section 15 in chapter 54 in the 2nd line (page 4, line 5 in L.D.) by striking out the following: " HEALTH INSURANCE RISK" and inserting the following: ' CHRONIC CARE'
Amend the bill in Part A in section 15 in §3901 in the first paragraph in the first line (page 4, line 7 in L.D.) by striking out the following: " Health Insurance Risk" and inserting the following: ' Chronic Care'
Amend the bill in Part A in section 15 in §3902 in subsection 1 in the first line (page 4, line 12 in L.D.) by striking out the following: " Health Insurance Risk" and inserting the following: ' Chronic Care'
Amend the bill in Part A in section 15 in §3902 in subsection 11 in paragraph B in the 2nd line (page 5, line 30 in L.D.) by striking out the following: " risk" and inserting the following: ' chronic care'
Amend the bill in Part A in section 15 in §3903 in the first line (page 6, line 1 in L.D.) by striking out the following: " Health Insurance Risk" and inserting the following: ' Chronic Care'
Amend the bill in Part A in section 15 in §3903 by striking out all of subsection 1 (page 6, lines 2 to 5 in L.D.) and inserting the following:
‘ 1. Chronic care pool established. The Comprehensive Chronic Care Pool Association is established as a nonprofit legal entity. As a condition of doing business, an insurer that has sold medical insurance within the previous 12 months or is actively marketing a medical insurance policy in this State must participate in the association.’
Amend the bill in Part A in section 15 in §3908 in the first paragraph in the 2nd line (page 11, line 29 in L.D.) by striking out the following: " 2007" and inserting the following: ' 2008'
Amend the bill in Part A in section 15 in §3908 in the first paragraph in the 3rd line (page 11, line 30 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 15 in §3912 in subsection 1 in the 3rd line (page 14, line 31 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 15 in §3912 in subsection 1 in paragraph A in the 2nd line (page 14, line 35 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 15 in §3912 in subsection 1 in paragraph A in the last line (page 14, line 38 in L.D.) by striking out the following: " 2008" and inserting the following: ' 2009'
Amend the bill in Part A in section 15 in §3912 in subsection 3 in the first line (page 15, line 14 in L.D.) by striking out the following: " 2012" and inserting the following: ' 2013'
Amend the bill in Part A in section 16 in the next to the last line (page 15, line 19 in L.D.) by striking out the following: "Health Insurance Risk" and inserting the following: 'Chronic Care'
Amend the bill in Part A by striking out all section 17 and inserting the following:
‘Sec. A-17. Comprehensive Chronic Care Pool Association subsidy program. The board of directors of the Comprehensive Chronic Care Pool Association shall develop a plan to subsidize low-income individuals as authorized under the Maine Revised Statutes, Title 24-A, section 3905, subsection 2, paragraph P. The board shall submit that plan to the joint standing committee of the Legislature having jurisdiction over insurance and financial services matters no later than February 1, 2009. The joint standing committee may submit legislation to the First Regular Session of the 124th Legislature to implement the plan submitted by the association.’
Amend the bill in Part A in section 18 in the 3rd line (page 15, line 31 in L.D.) by striking out the following: "2008" and inserting the following: '2009'
Amend the bill in Part A in section 18 in the 5th line (page 15, line 33 in L.D.) by striking out the following: "2008" and inserting the following: '2009'
Amend the bill in Part A in section 18 in the last line (page 15, line 35 in L.D.) by striking out the following: "2008" and inserting the following: '2009'
Amend the bill in Part B by striking out all of section 1.
Amend the bill in Part B in section 13 in §2808-C in subsection 1 in paragraph G in the next to the last line (page 19, line 1 in L.D.) by inserting after the following: " paragraph A," the following: ' A-1,'
Amend the bill in Part B in section 13 in §2808-C in subsection 9 in the 3rd line (page 22, line 30 in L.D.) by striking out the following: " 2009" and inserting the following: ' 2010'
Amend the bill in Part B by striking out all of sections 23 and 24.
Amend the bill in Part B in section 28 in the first line (page 26, line 39 in L.D.) by striking out the following: "2009" and inserting the following: '2010'
Amend the bill in Part E in section 1 in the 3rd line from the end (page 29, line 26 in L.D.) by striking out the following: "2008" and inserting the following: '2009'
Amend the bill by inserting after Part E the following:
PART F
‘
Sec. F-1. Study of reinsurance. The Comprehensive Chronic Care Pool Association established pursuant to the Maine Revised Statutes, Title 24-A, section 3903 shall conduct a study of the possibility of offering a reinsurance pool for the small group health insurance market in order to spread the cost of high-risk individuals for the small group medical insurance market. The study must address the costs, potential funding mechanisms and effectiveness of a reinsurance pool. The study must also compare the feasibility and costs of a reinsurance pool available to all small groups of 50 or fewer members and a reinsurance pool for small groups of 10 or fewer members. The association may address any other issues regarding a reinsurance pool that it determines are relevant in the study. The association shall submit its report to the joint standing committee of the Legislature having jurisdiction over health insurance matters by March 1, 2009. The joint standing committee of the Legislature having jurisdiction over health insurance matters may submit legislation implementing the recommendations in the report to the First Regular Session of the 124th Legislature.
PART G
Sec. G-1. Appropriations and allocations. The following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Office of Licensing and Regulatory Services Z036
Initiative: Deallocates funds and eliminates 2 positions responsible for administering the certificate of need provisions. The elimination of the certificate of need provisions will also result in a reduction in Other Special Revenue Funds revenue of approximately $198,000 per year.
| OTHER SPECIAL REVENUE FUNDS |
2007-08 |
2008-09 |
|
POSITIONS - LEGISLATIVE COUNT
|
0.000 |
(2.000) |
|
Personal Services
|
$0 |
($156,909) |
|
All Other
|
$0 |
($20,000) |
|
 |
|
| OTHER SPECIAL REVENUE FUNDS TOTAL |
$0 |
($176,909) |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) |
|
|
| DEPARTMENT TOTALS |
2007-08 |
2008-09 |
|
|
|
|
OTHER SPECIAL REVENUE FUNDS
|
$0 |
($176,909) |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS |
$0 |
($176,909) |
PROFESSIONAL AND FINANCIAL REGULATION, DEPARTMENT OF
Insurance - Bureau of 0092
Initiative: Deallocates funds and eliminates one half-time Insurance Actuarial Assistant position and related costs effective July 1, 2008, which are no longer necessary as a result of repealing the certificate of need provisions.
| OTHER SPECIAL REVENUE FUNDS |
2007-08 |
2008-09 |
|
POSITIONS - LEGISLATIVE COUNT
|
0.000 |
(0.500) |
|
Personal Services
|
$0 |
($42,070) |
|
All Other
|
$0 |
($3,500) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL |
$0 |
($45,570) |
Insurance - Bureau of 0092
Initiative: Allocates funds on a one-time basis for the costs of contracting with another entity to prepare a grant application.
| OTHER SPECIAL REVENUE FUNDS |
2007-08 |
2008-09 |
|
All Other
|
$0 |
$15,000 |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL |
$0 |
$15,000 |
| PROFESSIONAL AND FINANCIAL REGULATION, DEPARTMENT OF |
|
|
| DEPARTMENT TOTALS |
2007-08 |
2008-09 |
|
|
|
|
OTHER SPECIAL REVENUE FUNDS
|
$0 |
($30,570) |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS |
$0 |
($30,570) |
| SECTION TOTALS |
2007-08 |
2008-09 |
|
|
|
|
OTHER SPECIAL REVENUE FUNDS
|
$0 |
($207,479) |
|
|
|
| SECTION TOTAL - ALL FUNDS |
$0 |
($207,479) |
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
SUMMARY
This amendment is the minority report of the committee. The amendment changes the name of the Comprehensive Health Insurance Risk Pool Association to the Comprehensive Chronic Care Pool Association. The amendment adds a requirement that the Comprehensive Chronic Care Pool Association established in the bill conduct a study of the possibility of offering a reinsurance pool for the small group health insurance market, including a comparison of the feasibility and costs of a reinsurance pool for small groups of 50 or fewer members and a reinsurance pool for small groups of 10 or fewer members. The report must be submitted to the joint standing committee of the Legislature having jurisdiction over health insurance matters by March 1, 2009, and legislation to implement the recommendations in the report may be submitted by the joint standing committee to the First Regular Session of the 124th Legislature.
The amendment also changes dates in the bill to reflect the timeline based on enactment of the bill during the second regular session.
This amendment also adds an appropriations and allocations section to the bill.
FISCAL NOTE REQUIRED
(See attached)