An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State Government and to Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2004 and June 30, 2005 LR2833(15)
Maine Legislature, Session 121, LD 1919
Committee Amendment CA_A-HA_S_H934 (House)
Amends: 22 MRSA §3174-G

HOUSE 
AMENDMENT "S" to COMMITTEE 
AMENDMENT 
"A" to H. P . 
1420, 
L.D. 
1919, 
Bill, 
"An 
Act 
To 
Make 
Supplemental 
Appropriations and Allocations for 
the Expenditures of State 
Government and To Change Certain Provisions of the Law Necessary 
to the Proper Operations of State Government for the Fiscal Years 
Ending June 30, 2004 and June 30, 2005" 
Amend the amendment by inserting at the end before the 
emergency clause the following: 
'PARTFFFF 
Sec. FFFF-l. 22 MRSA §3174-G, sub-§l, V, as enacted by PL 
2001, c. 450, Pt. A, §2, is amended to read: 
F. 
A person 20 to 64 years of age who is not otherwise 
covered under paragraphs A to E when the person's family 
income is below or equal to 100'\, of the nonfarm income 
official poverty line, provided that the commissioner shall 
adjust the maximum eligibility level in accordance with the 
requirements of the paragraph. 
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HOUSE AMENDMENT 
HOUSE AMENDMENT "S" to COMMITTEE 
AMENDMENT "A" to H.P. 
L.D. 1919 
1420, 
(I-A) 
There is created the MaineCare noncategorical 
adults waiver account to act as the sole source of 
state funding for persons enrolled in MaineCare under 
this paragraph. 
(2) 
If the maximum eligibility level is raised above 
100% of the poverty level pursuant to this paragraph 
and 
subsequently 
the 
commissioner 
reasonably 
anticipates the cost of the program to exceed the 
budget of the population described in this paragraph, 
the commissioner shall lower the maximum eligibility 
level to the extent necessary to provide coverage to as 
many persons as possible within the program budget. 
(3) 
The commissioner shall give at least 30 days' 
notice of the proposed change in maximum eligibility 
level 
to 
the 
joint 
standing 
committee 
of 
the 
Legislature having jurisdiction over appropriations and 
financial affairs and the joint standing committee of 
the Legislature having jurisdiction over health and 
human services matters. 
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(5) 
Coverage under this paragraph is limited to 20,000 
persons at any time. 
When enrollment reaches 20,000 
persons, the commissioner shall discontinue enrollment 
of eligible persons until enrollment decreases to a 
level that makes reopening enrollment feasible. 
Sec. FFFF·2. Working group of pharmacists. 
The Commissioner 
of Human Services shall convene a working group of pharmacists or 
their designees for the purpose of exploring ways to achieve 
additional 
cost 
savings 
in 
all 
pharmacy-related 
programs 
administered by the Department of Human Services. 
The working 
group consists of the following 5 members: 
a representative of 
the Maine Pharmacists Association; a representative of the Maine 
Merchants Association; a representative of the Pharmacy Group of 
New England; 
a 
representative of the National Association of 
Chain 
Drug 
Stores 
and 
one 
other 
member 
appointed 
by 
the 
Commissioner of Human Services. 
The commissioner shall report 
the findings and recommendations of the working group to the 
Joint Standing Committee on Human Services not later than October 
1, 2004. 
HOUSE AMENDMENT 
HOUSE 
AMENDMENT '0" to COMMITIEE 
AMENDMENT "A" to H. P • 
L.D. 1919 
l420, 
Sec. FFFF -3. Appropriations and allocations. 
appropriations and allocations are made. 
The 
following 
BOMAR SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: 
Provides for the deappropriation of funds to reflect 
the 
transfer 
of 
funding 
responsibility 
for 
the 
MaineCare 
noncategorical adult waiver to a new stand-alone waiver account. 
General Fund 
A1l Other 
General Fund Total 
Federal Expenditures Fund 
A1l Other 
Federal Expenditures Fund Total 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
MaineCare Boncategorical Adults Waiver (Bew) 
2004-05 
($36,864,000) 
($36,864,000) 
2004-05 
($68,975,793) 
($68,975,793) 
Initiative: 
Provides for the appropriation of funds for a new 
MaineCare noncategorical adult waiver program account to help 
enforce the statutory requirement to limit the waiver program to 
budgeted levels. 
General Fund 
A1l Other 
General Fund Total 
Federal Expenditures Fund 
A1l Other 
Federal Expenditures Fund Total 
2003-04 
$0 
$0 
2003-04 
$0 
$0 
2004-05 
$27,864,000 
$27,864,000 
2004-05 
$52,136,000 
$52,136,000 
Medical Care - Payments to Providers 
0147 
Initiative: 
Appropriates funds to restore 
and 
deal location 
in 
Part 
FFF 
resulting 
voluntary pharmacy mail order program for 
low-cost drugs for the elderly programs. 
The 
Services is not authorized to implement any 
mail order program for these programs. 
the deappropriation 
from 
initiating 
a 
MaineCare 
and 
the 
Department of Human 
form of a pharmacy 
HOUSE AMENDMENT 
HOUSE AMENDMENT .5" to COMMITTEE 
AMENDMENT "A" to H.P. 
L.D. 1919 
1420, 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$5,000,000 
General Fund Total 
$0 
$5,000,000 
Federal Expenditures Fund 
2003-04 
2004-05 
All Other 
$0 
$9,355,441 
Federal Expenditures Fund Total 
$0 
$9,355,441 
IlUMAR SEHVICES, DEPAR'DIENT OF 
DEPAR"l'MEBT '1'OrALS 
2003-04 
2004-05 
GERERAL FUND 
$0 
($4,000,000) 
FEDERAL EXPENDITURES FUND 
$0 
($7,484,353) 
DEPAR"rMEBT "J.'OTAL -
ALL FORDS 
$0 
($11,484,353) 
BEHAVIORAL AND DEVEWPMENTAL 
SERVICES, DEPAR7MENT OF 
Mental Health Services - Coaaunity 
0121 
Initiative: 
Appropriates funds for peer support services. 
General Fund 
All Other 
General Fund Total 
Mental Health Services -
Community 
0121 
2003-04 
$0 
$0 
2004-05 
$200,000 
$200,000 
Initiative: 
Appropriates funds to maintain funding for social 
clubs at the fiscal year 2003-04 level. 
General Fund 
All Other 
General Fund Total 
Mental Health Services -
Community 
0121 
2003-04 
$0 
$0 
2004-05 
$200,000 
$200,000 
Initiative: 
Appropriates funds for housing assistance to persons 
with mental illness. 
General Fund 
All Other 
General Fund Total 
HOUSE 
2003-04 
$0 
$0 
2004-05 
$1,600,000 
$1,600,000 
AMENDMENT 
~ .. ,. 
HOUSE 
AMENDMENT ·S" to COMMITTEE 
AMENDMENT 
"A" to H.P. 1420, 
L.D. 1919 
BEHAVIORAL AIm DEVELOPMEHTAL 
SERVICES, DEPAR7MEHT OF 
DEPAllTMENT '1'OTALS 
GENERAL FORD 
DEPAIr.l'MENT 'l"O'.rAL -
ALL FORDS 
BAXTER C<»IPERSATIOIi AUTIIORITY 
Baxter Compensation Authority 
2003-04 
2004-05 
$0 
$2,000,000 
$0 
$2,000,000 
Initiative: 
Appropriates 
funds 
to disperse 
to 
those 
former 
students who are found to have suffered physical or sexual abuse 
while they were students at and under the care of the Governor 
Baxter School for the Deaf or the Maine School for the Deaf. 
General Fund 
2003-04 
2004-05 
All Other 
$0 
$2,000,000 
General Fund Total 
$0 
$2,000,000 
BAXTER C<»IPERSATIOIi AUTHORITY 
DEPAR'l'MElIT 'lOrALS 
2003-04 
2004-05 
GENERAL FORD 
$0 
$2,000,000 
DEPAIr.l'MENT ".l"O'.rAL -
ALL FORDS 
$0 
$2,000,000 
SECTIOIi TO'I'ALS 
2003-04 
2004-05 
GENERAL FORD 
$0 
$0 
FEDERAL EXPERDI'l'URES FORD 
(7,484,353) 
SECTI<If TO'I'AL -
ALL FORDS 
$0 
($7,484,353) . 
Further amend the bill by relettering or renumbering any 
nonconsecutive 
Part 
letter 
or 
section 
number 
to 
read 
consecutively. 
SUMMARY 
This amendment creates the MaineCare noncategorical adult 
waiver account to act as the sole source of state funding for 
adults eligible for MaineCare under the noncategorical waiver. 
The 
amendment caps enrollment in the noncategorical MaineCare 
HOUSE AMENDMENT 
.. , 
.. 
~ 
HOUSE 
AMENDMENT 
.. S.. to COMMITTEE AMENDMENT "A" to H. P . 
L.D. 1919 
1420, 
coverage 
category at 
20,000 
persons at anyone time. 
The 
amendment directs the Commissioner of Human Services to convene a 
working group to explore ways to achieve cost savings in all 
pharmacy-related programs administered by the Department of Human 
Services. 
SPONSORED BY: 
(Representative 
TOWN: 
Augusta 
FISCAL NOTE REQUIRED 
(See attached) 
J'~ 
HOUSE AMENDMENT 
Net Cost (Savings) 
General Fund 
Appropriations! Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Approved: 04/14/04 ~ae. 
Office of Fiscal and Program Review 
LD 1919 
An Act to Make Supplemental Appropriations and Allocations for the 
Expenditures of State Government and to Change Certain Provisions of 
the Law Necessary to the Proper Operations of State Government for the 
Fiscal Years Ending June 30, 2004 and June 30, 2005 
LR2833(15) 
Fiscal Note for House Amendment" " to Committee Amendment" A" 
Sponsor: Rep. O'brien 
Fiscal Note Required: Yes 
Fiscal Note 
2003·04 
2004·05 
$0 
$0 
$0 
$0 
$0 
($7,484,353) 
$0 
($7,484,353) 
This amendment will have no net effect on General Fund appropriations and revenue and a balanced budget is 
maintained for the 2004-2005 biennium. 
LR2833(15) - Fiscal Note - Page 1 of 1