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Amend the bill in section 1 in §251 by striking out all of subsection 1 (page 1, lines 6 to 35 and page 2, lines 1 to 5 in L.D.) and inserting the following:
 
‘1.  Appointment; composition.     The Commission on Health Care Cost and Quality, established in Title 5, section 12004-G, subsection 14-I and referred to in this chapter as "the commission," consists of 13 members appointed pursuant to this subsection.
 
A.  The President of the Senate shall appoint 5 members:
 
(1) One individual to represent hospitals;
 
(2) One individual with expertise in long-term care;
 
(3) One individual with expertise in mental health;
 
(4) One individual with expertise in public health care financing; and
 
(5) One individual with expertise in health care delivery.
 
B.  The Speaker of the House of Representatives shall appoint 4 members:
 
(1) One representative of consumers of health care;
 
(2) One individual with expertise in the health insurance industry;
 
(3) One individual with expertise in business; and
 
(4) One individual with expertise in health disparities, representing the State's racial and ethnic minority communities.
 
C.  Four members of the commission must be members of the Legislature who serve on the joint standing committee of the Legislature having jurisdiction over health and human services matters or the joint standing committee of the Legislature having jurisdiction over insurance and financial services matters:
 
(1) Two members of the Senate appointed by the President of the Senate, including one member recommended by the Senate Minority Leader; and
 
(2) Two members of the House of Representatives appointed by the Speaker of the House, including one member recommended by the House Minority Leader.
 
Prior to making appointments to the commission, the President of the Senate and the Speaker of the House shall seek nominations from the public, from statewide associations representing hospitals, physicians and health care consumers and from individuals and organizations with expertise in health care delivery systems, health care financing, health care quality and public health.’
Amend the bill in section 1 in §251 in subsection 7 in the first line (page 2, line 21 in L.D.) by inserting before the following: "The commission" the following: 'The commission shall work in cooperation with the Department of Health and Human Services and the Department of Health and Human Services, Maine Center for Disease Control and Prevention to implement the federal Centers for Medicare and Medicaid Services state innovation model grant.'
Amend the bill in section 1 in §251 in subsection 10 in the 2nd line from the end (page 4, line 21 in L.D.) by inserting after the following: "funds." the following: 'Additional funding may be provided by the federal Centers for Medicare and Medicaid Services state innovation model grant for coordination with the Department of Health and Human Services on health care innovation and reform.'
Amend the bill by striking out all of section 6 and inserting the following:
‘Sec. 6. Staggered terms. Notwithstanding the Maine Revised Statutes, Title 3, section 251, subsection 2, the initial appointments of members of the Commission on Health Care Cost and Quality who are not Legislators must include 3 members appointed by the President of the Senate to 3-year terms, 2 members appointed by the Speaker of the House of Representatives to 4-year terms, 2 members appointed by the President of the Senate to 5-year terms and 2 members appointed by the Speaker of the House of Representatives to 5-year terms. The Executive Director of the Legislative Council shall call the first meeting of the commission as soon as all appointments are made.
Sec. 7. Appropriations and allocations. The following appropriations and allocations are made.
 
LEGISLATURE
 
Legislature 0081
 
Initiative: Provides funds for the legislative per diem and expenses of members of the Commission on Health Care Cost and Quality and other miscellaneous commission expenses.

GENERAL FUND	2013-14	2014-15	
Personal Services	$4,290	$4,290	
All Other	$5,960	$5,960	
			
GENERAL FUND TOTAL	$10,250	$10,250	

Legislature 0081
 
Initiative: Provides funding for contracted staffing and clerical support for the Commission on Health Care Cost and Quality.

GENERAL FUND	2013-14	2014-15	
All Other	$34,878	$35,572	
			
GENERAL FUND TOTAL	$34,878	$35,572	

Legislature 0081
 
Initiative: Provides a base allocation to authorize expenditures of any outside funding received to fund the activities of the Commission on Health Care Cost and Quality.

OTHER SPECIAL REVENUE FUNDS	2013-14	2014-15	
All Other	$500	$500	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$500	$500	

LEGISLATURE			
DEPARTMENT TOTALS	2013-14	2014-15	
			
GENERAL FUND	$45,128	$45,822	
OTHER SPECIAL REVENUE FUNDS	$500	$500	
			
DEPARTMENT TOTAL - ALL FUNDS	$45,628	$46,322	
 
’
 
SUMMARY
This amendment is the majority report of the committee. This amendment reduces the membership on the Commission on Health Care Cost and Quality from 20 to 13 members and corrects the schedule for staggered appointments. This amendment adds to the duties of the commission the duty to work in cooperation with the Department of Health and Human Services and the Department of Health and Human Services, Maine Center for Disease Control and Prevention to implement the federal Centers for Medicare and Medicaid Services, state innovation model grant. This amendment allows funding to be provided by the state innovation model grant for the commission to coordinate with the department on health care innovation and reform. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)