123rd MAINE LEGISLATURE
		LD 1890		LR 2620(11)
	An Act To Make Health Care Affordable, Accessible and Effective for All
	Fiscal Note for Senate Amendment "     " to Committee Amendment "C"
	Sponsor: Sen. Sullivan of York
	Fiscal Note Required: Yes
Fiscal Note
			2007-08	2008-09	Projections 2009-10	Projections 2010-11
Net Cost (Savings)
	General Fund		($1,036,716)	($1,513,335)	($1,499,884)	$1,488,169
Appropriations/Allocations
	General Fund		$88,000	$0	$0	$0
	Federal Expenditures Fund		$0	($2,595,710)	($2,595,710)	($2,595,710)
	Other Special Revenue Funds		$0	($1,520,444)	($1,509,702)	($1,509,702)
	Dirigo Health Fund		$35,649,622	$6,908,243	$6,952,259	$7,013,813
Revenue
	General Fund		$1,124,716	$1,513,335	$1,499,884	$1,488,169
	Other Special Revenue Funds		$60,443	$81,328	$82,272	$81,630
	Dirigo Health Fund		$35,649,622	$5,387,799	$5,442,557	$5,504,111
Transfers
	Other Special Revenue Funds		$0	($1,520,444)	($1,509,702)	($1,509,702)
	Dirigo Health Fund		$0	$1,520,444	$1,509,702	$1,509,702
Fiscal Detail and Notes
	This amendment retains the repeal of the Saving Offset Payment but replaces the 1% increase in the hospital assessment and the 1% health insurance carriers assessment with the cigarette and other tobacco products tax increase.
	The amendment would no longer require a transfer from Dirigo to the MaineCare program and the increased MaineCare allocations because the elimination of the increase in the hospital assessment would not produce the increase in MaineCare cost.
	The amendment does not include the checkoff provision and therefore does not require an Other Special Revenue Funds allocation of $16,154 in fiscal year 2008-09 for Maine Revenue Services' administrative costs associated with the Dirigo Health Enterprise
	The remaining fiscal impact of the bill as amended is as follows:
Dirigo Health Fund Summary			2007-08	2008-09	Projections 2009-10	Projections 2010-11
Revenue Changes:
	Elimination of the Savings Offset Payment		$0	($13,720,000)	($34,300,000)	($34,300,000)
	Tobacco Tax Increase		$35,649,622	$48,014,799	$48,069,557	$48,131,111
	Subtotal Revenue Changes		$35,649,622	$34,294,799	$13,769,557	$13,831,111
Transfers:			$0	$0	$0	$0
	Net Change in Dirigo Allocation		$35,649,622	$34,294,799	$13,769,557	$13,831,111