An Act Eliminating the Receipt by the Maine Veterans' Homes of Any Reimbursement from the MaineCare Program for the Costs of Renovating the Existing 120-bed Maine Veterans' Homes Nursing Facility in Augusta LR 1802(02)
Maine Legislature, Session 121, LD 0373
Committee Amendment CA_A_H10 (House)

COMMITTEE AMENDMENT "/1,, to H. P. 293, L.D. 
373, Bill, "An 
Act Eliminating the Receipt by the Maine Veterans' Homes of Any 
Reimbursement 
from 
the 
MaineCare 
Program 
for 
the 
Costs 
of 
Renovating the Existing 120-bed Maine Veterans' 
Homes Nursing 
Facility in Augusta" 
Amend the bill by inserting before section 1 the following: 
'Sec. 1. 37-B MRS A §610, as amended by PL 1997, c. 395, Pt. 
P, §4, is further amended by adding a new paragraph at the end to 
read: 
The provisions of this section pertaining to the Department 
of Human Services' reimbursement of long-term care facilities for 
depreciation of assets created with federal or state grailts do 
not apply to renovations undertaken by the Maine Veterans' Homes 
120-bed Augusta nursing facility in accordance with a certificate 
of need application filed January 22, 
2002. 
The Department of 
Human Services shall amend its rules regarding reimbursement of 
long-term care facilities accordingly. 
Rules adopted pursuant to 
this section are routine technical rules as defined in Title 5, 
chapter 375, subchapter 2-A.' 
Further amend the 
nonconsecutive 
Part 
consecutively. 
bill by relettering 
letter 
or 
section 
SUMMARY 
or renumbering any 
number 
to 
read 
This amendment adds 
a section to the bill to exempt the 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "/1,, to H.P. 293, L.D. 373 
proposed 
Maine 
Veterans' 
Homes 
renovation 
project 
from 
the 
statutory prohibition against the Department of Human Services' 
modifying its principles of 
reimbursement 
for 
long-term care 
facilities to exclude reimbursement for depreciation of assets 
created with federal or state grants. 
The amendment directs the 
Department 
of 
Human 
Services 
to 
amend 
its 
rules 
regarding 
reimbursement of long-term care facilities for the purposes of 
the proposed Maine Veterans' Homes renovation. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 02111103 frac:.. 
Office of Fiscal and Program Review 
LD373 
An Act Eliminating the Receipt by the Maine Veterans' Homes of Any 
Reimbursement from the MaineCare Program for the Costs of Renovating 
the Existing 120-bed Maine Veterans' Homes Nursing Facility in Augusta 
LR 1802(02) 
Fiscal Note for Bill as Amended by Committee Amendment 
Committee: Legal and Veterans Affairs 
Fiscal Note Required: Yes 
Fiscal Note 
Potential future biennium cost increase. 
The bill notwithstands the state statutory provision that required Medicaid (MaineCare) reimbursement for this 
renovation project (Title 37-B, Sec. 610), and requires the Department of Human Services amend its long-term care 
facility reimbursement rules accordingly. There is a possibility that the federal government will not approve this 
change to the MaineCare reimbursement rules. Should the Certificate of Need be granted without an appropriation, and 
reimbursement be subsequently allowed, the bill would have a fiscal impact. 
LR1802(2) - Fiscal Note - Page 1 of 1