‘Resolve, To Study the Design and Implementation of a Single-payor Health Care Plan That Is in Compliance with the Federal Patient Protection and Affordable Care Act’
HP1026 LD 1397 |
First Regular Session - 125th Maine Legislature C "A", Filing Number H-431, Sponsored by
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LR 25 Item 2 |
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Bill Tracking, Additional Documents | Chamber Status |
Amend the bill by striking out the title and substituting the following:
‘Resolve, To Study the Design and Implementation of a Single-payor Health Care Plan That Is in Compliance with the Federal Patient Protection and Affordable Care Act’
Amend the bill by striking out everything after the title and before the summary and inserting the following:
‘Sec. 1. Maine Single-payor Health Care Plan Advisory Committee established. Resolved: That the Maine Single-payor Health Care Plan Advisory Committee, referred to in this section as "the committee," is established to advise the Legislature on the design and implementation of a single-payor health care plan in the State that is in compliance with the federal Patient Protection and Affordable Care Act; and be it further
Sec. 2. Committee membership. Resolved: That the committee consists of 13 members appointed as follows:
1. Seven members must be Legislators. Three of those members must be appointed by the President of the Senate, representing the 2 political parties having the largest number of members in the Senate, and 4 members must be appointed by the Speaker of the House of Representatives, representing the 2 political parties having the largest number of members in the House; and
2. Six members must be representatives of the public. Three of those members must be appointed by the President of the Senate, and 3 of those members must be appointed by the Speaker of the House of Representatives. The public members must represent statewide organizations from the following groups: consumers, uninsured persons, providers of maternal and child health services, Medicaid recipients, persons with disabilities, persons who are elderly, organized labor, allopathic and osteopathic physicians, nurses and allied health care professionals, organized delivery systems, hospitals, community health centers, the family planning system and the business community, including a representative of small business; and be it further
Sec. 3. Chairs. Resolved: That the first-named Senate member is the Senate chair and the first-named House of Representatives member is the House chair of the committee; and be it further
Sec. 4. Appointments; convening of committee. Resolved: That all appointments must be made no later than 30 days following the effective date of this resolve. The appointing authorities shall notify the Executive Director of the Legislative Council once all appointments have been completed. After appointment of all members, the chairs shall call and convene the first meeting. If 30 days or more after the effective date of this resolve a majority of but not all appointments have been made, the chairs may request authority and the Legislative Council may grant authority for the Committee to meet and conduct its business. The first meeting must be held within 45 days of the effective date of this resolve; and be it further
Sec. 5. Duties. Resolved: That the committee shall solicit the services of one or more outside consultants to work with the committee to propose by December 7, 2011 a design option, including an implementation plan, for creating a single system of health care that ensures all residents of the State have access to and coverage for affordable, high-quality health services through a public-private single-payor system that meets the principles and goals outlined in this section. By November 1, 2011, the consultant shall release a draft of the design option to the public and provide 15 days for public review and the submission of comments on the design options. The consultant shall review and consider the public comments and revise the draft design option as necessary prior to the final submission to the committee. The proposal must contain the analysis and recommendations as provided for in this section.
1. The proposal must include a design for a government-administered and publicly financed single-payor health benefits system that is decoupled from employment, that prohibits insurance coverage for the health services provided by the system and that allows for private insurance coverage only of supplemental health services.
2. In creating the designs, the consultant shall review and consider the following fundamental elements:
3. The design option must maximize the federal funds to support the system and be composed of the following components as described in this subsection:
4. The design option must include the following components:
5. The design option must consider financing and estimated costs, including federal financing. The design option must provide:
6. The proposal must include a method to address compliance of the proposed design option with federal law if necessary, including the federal Patient Protection and Affordable Care Act, as amended by the federal Health Care and Education Reconciliation Act of 2010; the Employee Retirement Income Security Act of 1974, referred to in this subsection as "ERISA"; and Titles XVIII, XIX and XXI of the federal Social Security Act. In the case of ERISA, the consultant may propose a strategy to seek an ERISA exemption from the United States Congress if necessary for the design option.
7. The proposal must include an analysis of:
Sec. 6. Staff assistance. Resolved: That, subject to available funding, the committee shall propose to the Legislative Council a recommendation to obtain the services of one or more outside consultants who have demonstrated experience in designing health care systems that have expanded coverage and contained costs to provide the committee the expertise necessary to perform the analysis and propose the design option required by this resolve. Upon request, the Department of Health and Human Services and the Department of Professional and Financial Regulation, Bureau of Insurance shall provide staffing assistance to the committee to ensure the committee and its consultant or consultants have the information necessary to create the design option. The Legislative Council shall also provide necessary staffing services to the committee; and be it further
Sec. 7. Report. Resolved: That, no later than December 7, 2011, the committee shall submit a report that includes its findings and recommendations, including suggested legislation, to the Joint Standing Committee on Insurance and Financial Services. The Joint Standing Committee on Insurance and Financial Services may report out a bill based on the committee's report to the Second Regular Session of the 125th Legislature; and be it further
Sec. 8. Outside funding. Resolved: That the committee shall determine the funding amount necessary and request approval from the Legislative Council to seek funding contributions to fully fund the costs of the study. All funding is subject to approval by the Legislative Council in accordance with its policies. If sufficient contributions to fund the study have not been received within 30 days after the effective date of this resolve, no meetings are authorized and no expenses of any kind may be incurred or reimbursed; and be it further
Sec. 9. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
LEGISLATURE
Study Commissions - Funding 0444
Initiative: Provides an allocation to authorize the expenditure of any outside funding received to fund the costs of an advisory committee and consultants to study the design and implementation of a single-payor health care plan.
OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
Personal Services
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$1,540 | $0 |
All Other
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$63,350 | $0 |
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OTHER SPECIAL REVENUE FUNDS TOTAL | $64,890 | $0 |
SUMMARY
This amendment is the minority report. The amendment replaces the bill and changes it into a resolve. The amendment establishes the Maine Single-payor Health Care Plan Advisory Committee to advise the Legislature on the design and implementation of a single-payor health care plan in the State that is in compliance with the federal Patient Protection and Affordable Care Act.