An Act To Require Fair and Timely MaineCare Payments to Hospitals
Maine Legislature, Session 122, LD 0678
Committee Amendment CA_A_S181 (Senate)

COMMITTEE AMENDMENT ,A" to S.P. 214, L.D. 678, Bill, 
Act To Require Fair and Timely MaineCare Payments to Hospitals" 
"An 
Amend the bill in section 1 in the first line (page 1, line 
in 
L.D.) 
by 
striking 
out 
the 
following: 
"§1714-B" 
and 
inserting in its place the following: 
'§1714-C' 
Further amend the bill in section 1 in that part designated 
"§1714-B." in the first line (page 1, line 5 in L.D.) by striking 
ovt the following: 
"§1114-B." and inserting in its place the 
following: 
'§1114-C. ' 
Further amend the bill in section 1 in that part designated 
"§.J,.114-B." in subsection 1 in the first paragraph in the last 
line (page 1, line 13 in L.D.) by striking out the following: 
·'as filed" and inserting in its place the following: 
'as-filed 
MaineCare-specific' 
Further amend the bill in section 1 in that part designated 
"§1114-B." in subsection 1 by striking out all of the blocked 
paragraph (page 1, lines 26 and 27 in L.D.) 
Further amend the bill in section 1 in that part designated 
"§1114-B." in subsection 2 in the 9th line (page 1, line 37 in 
L.D.) 
by 
inserting 
after 
the 
following: 
"as-filed" 
the 
following: 
'MaineCare-specific' 
COMMITTEE AMENDMENT 
~~" 
COMMITTEE AMENDMENT ,,~, to S.P. 214, L.D. 678 
Further amend the bill in section 1 in that part designated 
"§1714-B." in subsection 2 in the last line (page 1, line 41 in 
L.D.) 
by 
inserting 
after 
the 
following: 
"as-filed" 
the 
following: 
'MaineCare-specific' 
Further amend the bill by inserting after section 1 the 
following: 
, Sec. 
2. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
The 
following 
HEALTH AND BUMAlf SERVICES, DEPARTMENT OF (FORMERLY DRS) 
Medical Care -
Payments to Providers 0147 
Initiative: 
Adjusts appropriations and allocations to reflect 
requirements that the Department of Health and Human Services 
accelerate MaineCare payments to hospitals. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
2005-06 
$25,399,662 
$25,399,662 
2005-06 
$46,943,437 
2006-07 
($10,454,846) 
($10,454,846) 
2006-07 
($17,725,331) 
FEDERAL EXPENDITURES FUND TOTAL 
$46,943,437 ($17,725,331)' 
SUMMARY 
This amendment is the majority report of the committee. 
The 
amendment corrects a section number. 
The amendment corrects the 
reference to the hospital's as-filed cost report and deletes the 
prov1s1on 
prohibiting 
caps 
on 
hospital 
prospective 
interim 
payment 
amounts. 
The 
amendment 
adds 
an 
appropriations 
and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/13/05 ;:t:!?ac:.. 
LD678 
LR 1599(02) 
An Act To Require Fair and Timely MaineCare Payments to Hospitals 
Fiscal Note for Bill as Amended by Committee Amendment Il\ 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
2005-06 
2006-07 
2007-08 
Net Cost (Savings) 
General Fund 
$25,399,662 
($10,454,846) 
($16,384,444) 
tlpropriations/ Allocations 
General Fund 
$25,399,662 
($10,454,846) 
($16,384,444) 
Federal Expenditures Fund 
$46,943,437 
($17,725,331) 
($27,778,4 78) 
Revenue 
Federal Expenditures Fund 
$46,943,437 
($17,725,331) 
($27,778,478) 
Fiscal Detail and Notes 
Projections 
2008-09 
$0 
$0 
$0 
$0 
Assumes the bill requires the Department of Health And Human Services to speed up its current plans to catch up on 
MaineCare hospital settlement payments and prospective interim payments (PIPs) to hospitals. The fiscal impact 
reflects the difference between the bill's requirements and the Department's Part 1 Budget assumptions resulting in a 
net cost in Year 1 and a savings from Budget assumptions in Years 2 and 3. The impact of the cap provision and 
deleting the cap provision are expected to be minor. 
LR1599(2) - Fiscal Note - Page 1 of 1