An Act To Ensure Appropriate Reimbursement of Rising Energy Costs for Long-term Care Facilities
Maine Legislature, Session 122, LD 2000
Committee Amendment CA_A_H963 (House)

COMMITTEE AMENDMENT ·4, to H.P. 1402, L.D. 2000, Bill, "An Act To 
Ensure Appropriate Reimbursement of Rising Energy Costs for Long-term Care 
Facilities" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Ensure Appropriate Reimbursement of-Rising Heating Costs for 
Long-term Care Facilities' 
Further amend the bill by striking out everything after the title and before the 
summary and inserting in its place the following: 
'Sec. 1. Rules governing reimbursement of heating costs. Resolved: That 
the Department of Health and Human Services shall amend its rules governing principles 
of reimbursement for nursing facilities and residential care facilities to rebase the heating 
costs incorporated in the routine cost component. 
For nursing facilities, the routine cost component base and the related cap that is 
subject to annual adjustment under the MaineCare principles of reimbursement must be 
adjusted upward to fully incorporate each facility's actual heating costs incurred during 
its fiscal year ending in 2005, as long as the adjusted amount is not less than the amount 
prior to rebasing. All other cost elements must remain the same after rebasing. 
For medical and remedial private nonmedical institutions that do not receive 
MaineCare reimbursement as residential care facilities but instead are reimbursed room 
and board costs under the section of the department's rules entitled, "Principles of 
Reimbursement for Residential Care Facilities - Room and Board Costs," the routine cost 
component base and the related cap of the room and board cost reimbursement must be 
adjusted upward to fully incorporate each facility's actual heating costs incurred during 
its fiscal year ending in 2005, as long as the adjusted amount is not less than the amount 
prior to rebasing. All other cost elements must remain the same after rebasing; and be it 
further 
Sec. 2. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
COMMITTEE AMENDMENT 
~t'ft. 
COMMITTEE AMENDMENT ,,~ to H.P. 1402, L.D. 2000 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Nursing Facilities 0148 
fuitiative: 
Appropriates and allocates funds for the costs of rebasing heating costs 
incorporated in the routine cost component for nursing facilities. 
GENERAL FUND 
2005-06 
2006-07 
All Other 
$0 
$308,453 
GENERAL FUND TOTAL 
$0 
$308,453 
FEDERAL EXPENDITURES FUND 
2005-06 
2006-07 
All Other 
$0 
$529,278 
FEDERALEXPENDITLrnESFUNDTOTAL 
$0 
$529,278 
State Boarding Homes Z009 
fuitiative: 
Appropriates and allocates funds for the costs of rebasing heating costs 
incorporated in the routine cost component for residential care facilities. 
GENERAL FUND 
2005-06 
2006-07 
All Other 
$0 
$494,508 
GENERAL FUND TOTAL 
$0 
$494,508 
HEALTH AND HUMAN SERVICES, DEPARTMENT 
OF 
DEPARTMENT TOTALS 
2005-06 
2006-07 
GENERAL FUND 
SO 
S802,961 
FEDERAL EXPENDITURES FUND 
SO 
S529,278 
DEPARTMENT TOTAL-ALLFUNDS 
SO 
SI,332,239 
SUMMARY 
This amendment replaces the bill and changes it to a resolve. 
It removes the 
emergency language in the bill and adds an appropriations and allocations section. It 
requires the Department of Health and Human Services to amend its principles of 
reimbursement for long-term care facilities to rebase the heating cost element of the 
routine cost component for nursing facilities and medical and remedial private 
nonmedical institutions. 
FISCAL NOTE REQUIRED 
(See Attached) 
COMMITTEE AMENDMENT 
Approved: 03/31106 ~.ac:. 
LD 2000 
LR2750(02) 
An Act to Ensure Appropriate Reimbursement of Rising Energy Costs for Long-term Care Facilities 
Fiscal Note for Bill as Amended by Committee Amendment ,a" 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
$0 
$0 
$0 
$0 
2006-07 
$802,961 
$802,961 
$529,278 
$529,278 
Projections 
2007-08 
$1,403,503 
$1,403,503 
$912,796 
$912,796 
Projections 
2008-09 
$1,442,801 
$1,442,801 
$938,354 
$938,354 
Provides a General Fund appropriation of $802,961 in FY 2006-07 for the first year costs of adjusting payments to 
nursing facilities and residential care facilities to reflect actual heating costs incurred during facility fiscal years 
ending in 2005. 
LR2750(2) - Fiscal Note - Page 1 of 1