An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State Government and to Change Certain Provisions of the Law Necessary for the Proper Operations of State Government for the Fiscal Years Ending June 30, 2004 and June 30,2005 LR2700(09)
Maine Legislature, Session 121, LD 1828
Committee Amendment CA_A-SA_G_S372 (Senate)
Amends: 22 MRSA §7932

SENATE 
AMENDMENT "Q,. to COMMITTEE 
AMENDMENT "A" to H. P . 
1351, 
L.D. 
1828, 
Bill, 
"An 
Act 
To 
Make 
Supplemental 
Appropriations 
and Allocations for the Expenditures of State 
Government and To Change Certain Provisions of the Law Necessary 
for the Proper Operations of State Government for the Fiscal 
Years Ending June 30, 2004 and June 30, 2005" 
Amend the amendment by inserting after Part CC the following: 
'PARTDD 
Sec. DD-l. 22 MRSA §7932. sub-§10. "C to E, as enacted by PL 
1999, c. 384, §13, are amended to read: 
C. 
Be certified by the State as being a necessary provider 
of health care services to residents in the area or be 
located more than a 35-mile drive from any other hospital or 
critical access hospital. 
In mountainous terrain or in 
areas with only secondary roads, the mileage criterion is 15 
miles; 
D. 
Provide 
not 
more 
than 
l§ 
beds 
for 
acute 
hospital-level inpatient care~ or, if a swing bed facility, 
provide 
up 
to 
inpatient 
beds 
that 
may 
be 
used 
interchangeably for acute or skilled nursing facility care: 
~l}--~~-~£~~--a-~~-~a€~~~~y--~&-~~~-~e 
Rave--~p--~~-~~--~Bpa~~eB~--aeas--~~--<~-~--Qsea 
~B~e~eRaB~eaa*y-~~--aeQ~e-~--s*~**ea-~~~-~ae~*~~y 
ea~eT-~s-~~~~~~-~RaB-~~-~-~~~-a~-aBy 
eBe-~~ffie-~e~-aeQ~e-ea~eT 
SENATE AMENDMENT 
SENATE AMENDMENT "t:>, to COMMITTEE AMENDMENT "A" to H.P. 1351, 
L.D. 1828 
E. 
Agree to *ee~-eaeB provide inpatient ~e~-~-~-~BaB 
care for a period that does not exceed, as determined on an 
annual, average basis, 96 
hoursT-~~-a-de£~€~-~-~-is 
~e~Qi~eQ-~-~--iBelemeB~--~a~a&~-~--~~--eme~~eBey 
eeBQi~ieBS-~--a-~--Reyise~-~~~~~-~PRg~-~--e~Be~ 
e~QiyaleB~---eB~i~YT---eB---~e~QeS~T---waiyes---~Be---ge-BeQ~ 
~es~~ie~ieB per patient; and 
Sec. DD·2. Jackman Region Health Center. 
The Department of 
Human Services shall promptly take whatever steps are necessary 
to facilitate the qualifying of the Jackman Region Health Center 
as a critical access hospital. 
Sec. DD·3. Rules. 
The Department of Human Services shall 
adopt rules to implement this Part. 
Rules adopted pursuant to 
this section are routine technical rules as defined in the Maine 
Revised Statutes, Title 5, chapter 375, subchapter 2-A.' 
Further amend the amendment by 
any 
nonconsecutive 
Part 
letter 
or 
consecutively. 
relettering or renumbering 
section 
number 
to 
read 
S~ARY 
This amendment updates the state definition of "critical 
access hospital" to be consistent with the new federal definition 
as 
set 
forth 
in 
the 
federal 
Medicare 
Prescription 
Drug, 
Improvement, and Modernization Act of 2003. 
The amendment also 
requires the Department of Human Services to take whatever steps 
are necessary to qualify the Jackman Region Health Center as a 
critical access hos ital. 
SPONSORED BY: 
(Senator R. 
COUNTY: 
Oxford 
FISCAL l\'"OTE REQl"lRF:D 
(See attached) 
SENATE AMENDMENT 
! 
f 
_·1scal Detail and Notes 
Approved: 01129/04 frae 
Office of Fiscal and Program Review 
LD 1828 
An Act to Make Supplemental Appropriations and Allocations for 
the Expenditures of State Government and to Change Certain 
Provisions of the Law Necessary for the Proper Operations of State 
Government for the Fiscal Years Ending June 30, 2004 and June 
30,2005 
LR2700(09) 
Fiscal Note for Senate Amendment @-to Committee Amendment" A" 
Sponsor: Sen. Bennett 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
This amendment will have no net effect on General Fund appropriations and revenue_ 
LR2700(9) - Fiscal Note - Page 1 of 1