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126th MAINE LEGISLATURE |
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LD 347 |
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LR 683(02) |
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An Act To Amend
Insurance Coverage for Diagnosis of Autism Spectrum Disorders |
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Fiscal Note for
Bill as Amended by Committee Amendment " " |
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Committee: Insurance and Financial Services |
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Fiscal Note Required: Yes |
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Fiscal Note |
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Potential future biennium savings - General Fund |
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FY 2013-14 |
FY 2014-15 |
Projections FY 2015-16 |
Projections FY 2016-17 |
Net Cost
(Savings) |
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General Fund |
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$0 |
$0 |
$42,897 |
$46,334 |
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Highway Fund |
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$0 |
$0 |
$16,042 |
$17,328 |
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Appropriations/Allocations |
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General Fund |
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$0 |
$0 |
$42,897 |
$46,334 |
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Highway Fund |
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$0 |
$0 |
$16,042 |
$17,328 |
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Fiscal Detail
and Notes |
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Expanding
required coverage for autism spectrum disorders to children 10 years of age
or under from the current law requirement of 5 years of age or under is
estimated to have an overall cost to the State Employee Health Insurance
Program of $101,100 in 2015-16 and $109,200 in 2016-17 based on an assumed
cost of 0.05% of total claims. Of this total, the cost to General Fund
programs is estimated to be $42,897 in 2015-16 and $46,334 in 2016-17. The impact on Highway Fund programs is
estimated to be $16,042 in 2015-16 and $17,328 in 2016-17. Because of the
bill's effective date for plan years beginning on or after January 1, 2015,
it is not assumed to have an impact in the current biennium given the State's
current July through June plan year. |
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Based on its
experience with the implementation of the required private insurance coverage
to children up to age 5 and the lack of any significant third party savings
realized, the Department of Health and Human Services does not believe the
savings to the MaineCare program from the expansion to children up to 10
years of age will be significant. |
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