Resolve, To Develop a Comprehensive Plan for Service Reforms and System Improvements Reqardinq Children'S Services Provided by the Department of Health and Human Services Further amend the bill by striking out everything after the title and before the summary and inserting in its place the following: Sec. 1. Comprehensive plan. Resolved: That the Department of Health and Human Services shall develop a comprehensive plan for service reforms and system improvements regarding children's services provided by the department. The department shall develop the plan in collaboration with consumers, families, providers and advocates. The plan must address, at a minimum, children's services delivery structures, financing of these services, quality assurance and quality improvement strategies to be reflected as part of the management of the system and must include the following components. 1. Systems values and standards. There must be a system for children's services that is based on those values and standards already adopted by the State, including the values and standards reflecting the beliefs that: A. Prevention is an essential component in the health and well-being of children; Page l-LR1462(2} COMMITTEE AMENDMENT
Maine Legislature, Session 122, LD 0863
Committee Amendment CA_A_H610 (House)

COMMITTEE AMENDMENT "A .. to H.P. 614, L.D. 863, Bill, 
Act To Ensure Wraparound Services for Children in Need of Care" 
"An 
Amend the bill by striking out the title and substituting 
the following: 
'Resolve, To Develop a Comprehensive Plan for Service Reforms and 
System Improvements Reqardinq Children'S Services Provided by the 
Department of Health and Human Services' 
Further amend the bill by striking out everything after the 
title and before the summary and inserting in its place the 
following: 
'Sec. 1. Comprehensive plan. Resolved: 
That the Department of 
Health and Human Services shall develop a comprehensive plan for 
service 
reforms 
and 
system 
improvements 
regarding children's 
services provided by the department. The department shall develop 
the plan in collaboration with consumers, families, providers and 
advocates. 
The 
plan must address, 
at 
a 
minimum, 
children's 
services 
delivery 
structures, 
financing 
of 
these 
services, 
quality 
assurance 
and 
quality 
improvement 
strategies 
to 
be 
reflected as part of the management of the system and must 
include the following components. 
1. 
Systems values and standards. 
There must be a system 
for 
children's 
services 
that is 
based 
on 
those 
values 
and 
standards already adopted by the State, including the values and 
standards reflecting the beliefs that: 
A. 
Prevention is an essential component in the health and 
well-being of children; 
Page l-LR1462(2} 
COMMITTEE AMENDMENT 
.. flO. 
~. 
COMMITTEE AMENDMENT ~" to H.P. 614, L.D. 863 
B. 
The safety of children is paramount and must 
inform 
decisions made across all sectors of the service system; 
C. 
A 
flexible, 
individualized 
system 
of 
services 
and 
supports is essential so that all families and children are 
able to identify their strengths and needs; 
D. 
Families must be, to the extent possible, the drivers of 
their own plans of services and supports; 
E. 
The 
system 
must 
be 
accountability, measurable 
practices; 
outcome-based 
and 
must 
demand 
standards and best or promising 
F. 
The needs of the community are best served by a system 
of care built on locally based input and solutions; 
G. 
Appropriate 
assessments 
must 
be 
standardized 
across 
systems to ensure prompt referral and service planning; 
H. 
Grievance 
procedures 
must 
be 
readily accessible 
and 
transparent; 
I. 
There must be respect and inclusion for all families 
regardless 
of 
race, 
ethnicity, 
disability, 
sexual 
orientation or economic challenges; and 
J. All planning for 
preserving families, 
achieving stability. 
children should focus on the goal of 
reunifying families and supporting and 
2. Service reform and system improvement. 
There must be a 
behavioral health services system that reflects, at a minimum, 
urgent 
care 
services, 
including 
crisis 
services, 
inpatient 
services, outpatient clinical and community-based services and 
care 
management. 
When 
children 
and 
families 
have 
complex 
multisystems 
needs, 
the service delivery must 
be based 
upon 
wraparound principles and practices that include: 
A. 
A community collaborative that will serve as the entry 
point; 
B. A comprehensive assessment; 
C. A wraparound multidisciplinary planning team; 
D. A family-driven service plan; 
E. 
A 
comprehensive 
flexible 
and 
individualized 
service 
array; and 
COMMITTEE AMENDMENT 
c. 
~v 
.... 
COMMITTEE AMENDMENT "A, to H. P. 614, L. D. 863 
F. A community as the locus of service implementation. 
3. 
System readiness. 
Service reform must be undertaken 
within the following parameters: 
A. 
Significant changes in reimbursement methodology must 
include actuarial analysis when necessary; 
B. Administrative burdens may not be increased, consistent 
with current department efforts in this area; 
C. Data that meets federal and state reporting 
must 
be 
aligned 
with 
any 
system 
redesign 
technology implemented to support reform; 
requirements 
information 
D. The system must be measured by outcomes that are grounded 
in 
the 
values 
stated in this 
section 
and 
reflect the 
individual and family benefits of receiving services using 
consistent measurement tools; and 
E. 
Required MaineCare waivers must be approved prior to 
changes being implemented pursuant to this resolve. 
4. 
Implementation. 
The plan must provide that substantive 
changes in financing and service delivery of children's services 
will be phased in with an evaluation process for each phase; and 
be it further 
Sec. 2. Report. Resolved: 
That the department shall submi t 
its plan pursuant to section 1 to the Joint Standing Committee on 
Health 
and 
Human 
Services 
and 
the 
Children's 
Mental 
Health 
Oversight Committee by January 3, 2006.' 
SUMMARY 
This amendment replaces the bill, changes the title of the 
bill and turns the bill into a resolve. 
The amendment requires 
the 
Department 
of 
Health 
and 
Human 
Services 
to 
develop 
a 
comprehensive plan for service reforms and system improvements 
regarding children's services provided by the department and to 
submit that plan to the Joint Standing Committee on Health and 
Human 
Services 
and 
the 
Children's 
Mental 
Health 
Oversight 
Committee by January 3, 
2006. The department must develop the 
plan in collaboration with consumers, 
families, 
providers and 
advocates. 
The 
plan must 
address, 
at a 
minimum, 
children's 
services 
delivery 
structures, 
financing 
of 
these 
services, 
quality assurance and quality improvement strategies as part of 
the management of the system and must include certain components 
and must address system values and standards, reform and system 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ./1 .. to H.P. 614, L.D. 863 
improvement, 
complex multisystem needs, 
system readiness and a 
plan for implementation. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04127/05 ~ac:.. 
LD863 
1462(02) 
An Act To Ensure Wraparound Services for Children in Need of Care 
Fiscal Note for Bill as Amended by Committee Amendment ,A" 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Any additional costs to the Department of Health and Human Service in implementing this bill can be absorbed by the 
department utilizing existing resources. 
LR1462(2) - Fiscal Note - Page 1 of 1