124th MAINE LEGISLATURE
LD 425 LR 962(02)
An Act To Require Private Insurance Coverage for Certain Services for Children with Disabilities
Fiscal Note for Bill as Amended by Committee Amendment "   "
Committee: Insurance and Financial Services
Fiscal Note Required: Yes
             
Fiscal Note
Potential future biennium cost increase - All Funds
Potential future biennium savings - General Fund
Potential future biennium savings - Federal Funds
Fiscal Detail and Notes
Assumes requiring individual and group health insurance policies and health maintenance organization contracts to provide coverage for early intervention services for children from birth to 3 years of age up to $3,200 per year per child up to a maximum of $9,600 by the child's 3rd birthday would result in potential costs to the State Employee Health Benefit Plan and potential savings to the MaineCare program in the Department of Health and Human Services and to the Child Development Services program in the Department of Education.  Given the bill as amended would apply to policies and contracts issued or renewed on or after January 1, 2011, any costs or savings to State programs are expected to be minor for the current biennium.   
Estimates of the potential future biennium cost to the State Employee Health Benefit Plan are consistent with the Bureau of Insurance report to the Insurance and Financial Services Committee that estimated a cost of  $0.22 per member per month, resulting in a total estimated annual cost to the plan of $84,500, with a resulting General Fund impact of approximately $31,900 per year and a Highway Fund impact of approximately $12,400 per year.
Preliminary estimates of the potential future biennium savings to the MaineCare program range from the $250,000 per year included in the Bureau of Insurance report to approximately $300,000 per year based on Department of Health and Human services estimates, with the resulting savings to the General Fund in the range of $90,500 to $108,600 per year (assuming a 63.80% federal match). 
Potential future biennium savings to the Child Development Services program in the Department of Education cannot be determined.