Resolve, To Ensure the Availability of Consumer-directed Personal Assistance Services
Maine Legislature, Session 122, LD 1991
Committee Amendment CA_A_S581 (Senate)

COMMITTEE AMENDMENT "A, to S.P. 769, L.D. 1991, "Resolve, To Ensure the 
Availability of Consumer-directed Personal Assistance Services" 
Amend the resolve in section 1 in the next to the last line (page 1, line 5 in L.D.) by 
striking out the following: "$7.71" and inserting in its place the following: '$9.00' 
Further amend the resolve in section 2 in the next to the last line (page 1, line 11 in 
L.D.) by striking out the following: 
"$7.71" and inserting in its place the following: 
'$9.00' 
Further amend the resolve by inserting after section 5 the following: 
'Sec. 6. 
Salary and benefits survey and report. 
Resolved: That the 
Commissioner of Health and Human Services and the Commissioner of Labor shall 
perform a survey of wages and benefits to determine the wages paid to personal care 
assistants across the State. The survey must include all programs for which funds are 
provided by the State. By January 1, 2007, the Commissioner of Health and Human 
Services and the Commissioner of Labor shall report to the joint standing committee of 
the Legislature having jurisdiction over health and human services matters with the 
results of the survey and include any recommendations for legislative action or 
rulemaking by the Department of Health and Human Services and the Department of 
Labor; and be it further' 
Further amend the resolve in section 6 in the last line (page 1, line 42 in L.D.) by 
striking out the following: "2-A." and inserting in its place the following: '2-A; and be it 
fUliher' 
Further amend the resolve by inserting after section 6 the following: 
'Sec. 7. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payment to Providers 0147 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ,A" to S.P. 769, L.D. 1991 
Initiative: Provides funding to increase the MaineCare reimbursement rate for personal 
care attendants serving persons in the MaineCare physical disabilities waiver and the 
consumer-directed personal assistance services programs from $9.00 per hour to $10.00 
per hour beginning October 1, 2006. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2005-06 
2006-07 
$0 
$1,112,287 
$0 
$1,112,287 
2005-06 
2006-07 
$0 
$754,145 
$0 
$754,145 
Further amend the resolve by relettering or renumbering any nonconsecutive Part 
letter or section number to read consecutively. 
SUMMARY 
This amendment adds to the work of the Commissioner of Health and Human 
Services and the Commissioner of Labor a survey of wages and benefits of personal care 
assistants, including those in programs for which funds are provided by the State, and a 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters by January 1, 2007. The amendment changes the resolve to 
provide wage increases from $9 to $10 per hour in order to reflect the increase from 
$7.71 to $9.00 per hour provided in Public Law 2005, chapter 519, Part VVV. The 
amendment provides an appropriation for the Department of Health and Human Services 
programs. The amendment makes money available for the wage increase October 1, 
2006. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/05/06 frac:.. 
LD 1991 
LR 2791(02) 
Resolve, To Ensure the Availability of Consumer-directed Personal Assistance Services 
Fiscal Note for Bill as Amended by Committee Amendment "A" 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
Projections 
2005-06 
2006-07 
2007-08 
2008-09 
Net Cost (Savings) 
General Fund 
$0 
$1,112,287 
$1,201,270 
$1,297,371 
Appropriations/Allocations 
General Fund 
$0 
$1,112,287 
$1,201,270 
$1,297,371 
Federal Expenditures Fund 
$0 
$754,145 
$814,476 
$879,634 
Revenue 
Federal Expenditures Fund 
$0 
$754,145 
$814,476 
$879,634 
Fiscal Detail and Notes 
Includes a fiscal year 2006-07 General Fund appropriation of $1,112,287 to increase the MaineCare reimbursement 
rate for personal care attendants serving persons in the adults with disabilities waiver and the consumer-directed 
personal assistance services programs from $9.00 per hour to $10.00 per hour beginning July, 1,2006. While the bill 
indicates the increase is from $7.71 per hour to $10.00 per hour, PL 2005, c. 519, Part VVV already appropriated 
funds for an increase to $9.00 per hour and only the incremental amount of funding is reflected here. 
PL 2005, c. 519, part VVV, also provided for an increase in the reimbursement rate for providers of consumer-
directed personal care assistance services funded by the Department of Labor from $7.71 per hour to $9.00 per hour. 
Because the number of authorized hours per consumer has decreased, the Department has assumed the Rehabilitation 
Services - Home Based Care program will be able to absorb the cost of the rate increase up to $10.00 per hour within 
existing General Fund appropriations. Additional costs to the Department of Labor associated with conducting the 
required survey can be absorbed within existing budgeted resources. However, there may be increased costs to the 
program associated with implementing the recommendations of the working group. The amount can not be 
determined at this time. 
LR2791 (2) - Fiscal Note - Page 1 of 1