An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2006 and June 30, 2007
Maine Legislature, Session 122, LD 0468
Committee Amendment CA_A-SA_J_S35 (Senate)
Amends: 22 MRSA §3174-G

SENATE 
AMENDMENT "J: to COMMITTEE 
AMENDMENT 
"A" to H.P. 
343, L.D. 468, Bill, "An Act Making Unified Appropriations and 
Allocations for the Expenditures of State Government, 
General 
Fund and Other Funds, and Changing Certain Provisions of the Law 
Necessary to the Proper Operations of State Government for the 
Fiscal Years Ending June 30, 2006 and June 30, 2007" 
Amend the amendment by adding after Part PPPP the following: 
'PARTQQQQ 
Sec. QQQQ-l. 22 MRSA §3174-GG is enacted to read: 
§3174-GG. 
MaineCare reimbursement for ambulance services 
Beginning January L 
2006, the department shall conduct an 
annual review of MaineCare reimbursement rates paid for ambulance 
services. 
The rates must be adjusted annually to a level that is 
not less than the average allowable reimbursement rates under 
Medicare for such services. 
Sec. QQQQ-2. Appropriations and allocations. 
The 
following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
(FORMERLY DRS) 
Medical Care -
Payments to Providers 0147 
Initiative: 
Appropriates 
and 
allocates 
funds 
to 
increase 
MaineCare reimbursement for ambulance services to a 
level not 
less than the average allowable Medicare reimbursement rates for 
such services. 
Page l-LR2149(55) 
SENATE AMENDMENT 
SENATE AMENDMENT J" to COMMITTEE 
AMENDMENT "A" to H.P. 
L.D. 468 
343, 
GENERAL FUND 
2005-06 
2006-07 
All Other 
$1,059,673 
$2,288,894 
GENERAL FUND TOTAL 
$1,059,673 
$2,288,894 
FEDERAL EXPENDITURES FUND 
2005-06 
2006-07 
All Other 
$1,982,742 
$4,282,723 
FEDERAL EXPENDITURES FUND TOTAL 
$1,982,742 
$4,282,723' 
SUMMARY 
This amendment requires the Department of Health and Human 
Services to conduct an annual review beginning January 1, 2006, 
of the adequacy of reimbursement rates paid to licensed ambulance 
services under the MaineCare program and to adjust reimbursement 
rates to levels that are 
no 
less than the 
average federal 
Medicare reimbursement rates for the same services. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORE~\'-'" "'!. A. ~ ~ 
(Senator R. NASS) 
COUNTY: 
York 
SENATE AMENDMENT 
Approved: 03/24/05 ;:bYae:.. 
LD468 
LR2149(55) 
An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, 
General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper 
Operations of State Government for the Fiscal Years Ending June 30, 2006 and June 30, 2007 
Fiscal Note for Senate Amendment J: to Committee Amendment ~ 
Sponsor: Sen. Nass 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
2006-07 
Net Cost (Savings) 
General Fund 
$1,059,673 
$2,288,894 
Appropriations/Allocations 
General Fund 
$1,059,673 
$2,288,894 
Federal Expenditures Fund 
$1,982,742 
$4,282,723 
Revenue 
General Fund 
$0 
$0 
Federal Expenditures Fund 
$1,982,742 
$4,282,723 
Fiscal Detail and Notes 
This amendment will increase the General Fund cost of the bill by $1,059,673 in fiscal year 2005-06 and $2,288,894 
in fiscal year 2006-07. Based on the estimated year-end balances, this amendment maintains a balanced budget for the 
2006-2007 biennium. 
Estimate based on the actual units of ambulance services for state fiscal year 2004, the rate difference between 
MaineCare and Medicare reimbursement for certain ambulance services, the calculated additional cost ifMaineCare 
reimbursement equaled Medicare reimbursement, trended forward to state fiscal year 2006, and assumes a January 1, 
2006 start date. 
LR2149(55) - Fiscal Note - Page 1 of 1