123rd MAINE LEGISLATURE
		LD 1890		LR 2620(05)
	An Act To Make Health Care Affordable, Accessible and Effective for All
	Fiscal Note for Senate Amendment "     " to Committee Amendment "A"
	Sponsor: Sen. Snowe-Mello of Androscoggin
	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
	Other Special Revenue Funds		($273,859)	($183,279)	($192,390)	($202,002)
	Dirigo Health Fund		($35,649,622)	($44,811,247)	($24,272,863)	($24,319,644)
	Maine Individual Reinsurance Program Fund		$0	($18,483,552)	($18,496,694)	($18,511,467)
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)	($77,014,799)	($77,069,557)	($77,131,111)
Transfers
	Dirigo Health Fund		$0	$18,483,552	$18,496,694	$18,511,467
	Maine Individual Reinsurance Program Fund		$0	($18,483,552)	($18,496,694)	($18,511,467)
Fiscal Detail and Notes
	The amendment retains the repeal of the Savings Offset Payment but eliminates the increase in the tobacco tax and the new hospital surcharge.  Without the increase in the tobacco tax, the amendment does not increase General Fund revenue by $1,124,716 in fiscal year 2007-08 and $1,513,335 in fiscal year 2008-09 due to an increase in sales tax resulting from the increase in the tobacco taxes, and therefore, the amendment has a net General Fund cost.
	The amendment would not create the Maine Individual Reinsurance Program within the Department of Professional and Financial Regulation.  The amendment does create the Maine Individual High-Risk Reinsurance Pool Association, but does so as a non-profit non-governmental legal entity so the  resulting costs and assessment do not have a state fiscal impact.
	The amendment would eliminate the need for additional allocations and the creation of positions in the Bureau of Insurance with any remaining costs absorbed utilizing existing resources.
	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)