An Act To Improve the Deli very of Maine's Mental Health Services
Maine Legislature, Session 122, LD 0151
Committee Amendment CA_A-SA_B_S373 (Senate)
Committee: Health and Human Services with proposals for funding the progressive treatment program to the maximum extent possible by redirection of existing resources and use of funds that will not be needed because of participation in the program

SENATE AMENDMENT "B, to COMMITTEE AMENDMENT "A" to S.P. 57, 
L. D. 151, Bill, "An Act To Improve the Deli very of Maine's Mental 
Health Services" 
Amend the amendment in Part A by striking out all of section 
(page 4, lines 16 to 32 in amendment) 
Further amend the amendment in Part B in section 6 in that 
part designated "§3873." in subsection 6 in the first line (page 
9, 
line 
in 
amendment) 
by 
striking 
out 
the 
following: 
"January" and inserting in its place the following: 
'July' 
Further amend the amendment in Part B by inserting at the 
end the following: 
'Sec. B·7. Implementation. 
Implementation of the progressive 
treatment program under the Maine Revised Statutes, Title 34-B, 
section 3873 is subject to the following provisions. 
1. 
Funding is provided for one person to provide services 
to the Department of Health and Human Services from October 1, 
2005 to June 30, 2006 providing planning and budgeting services 
for the progressive treatment program in order that operation of 
the program may begin July 1, 
2006 with maximum coordination 
between the state mental health institutes and the community 
mental health service providers 
and 
maximum 
use 
of existing 
resources. 
2. 
The 
Department 
of 
Health 
and 
Human 
Services 
shall 
undertake a 
thorough review of the needs of persons who 
are 
eligible to participate in the progressive treatment program and 
the resources currently used to provide services to meet those 
needs. 
The 
department 
shall 
analyze 
the 
current 
costs 
of 
Page l-LR0913(6) 
SENATE AMENDMENT 
SENATE AMENDMENT ,,5 to COMMITTEE AMENDMENT "A" to S.P. 57, L.D. 
communi ty-based care and hospitalization in community hospitals 
and state mental health institutes for persons who 
would be 
eligible to participate in the program. 
By February 1, 2006 the 
department shall report to the Joint Standing Committee on Health 
and Human Services with proposals for funding the progressive 
treatment program to the maximum extent possible by redirection 
of existing resources and use of funds that will not be needed 
because of participation in the program. 
3. 
Operation 
of 
the 
progressive 
treatment 
program 
is 
limited for fiscal year 2006-07 to a pilot project that may serve 
up to 
a 
maximum 
of 
persons 
who 
are hospitalized on 
an 
involuntary basis at the Riverview Psychiatric Center. 
During 
fiscal 
year 
2006-07 
the 
development 
of 
new 
resources 
or 
redirection of existing resources for a new assertive community 
treatment team is limited to one team serving persons who were 
previously hospitalized at Riverview Psychiatric Center.' 
Further amend the amendment in Part D by striking out all of 
section 1 and inserting in its place the following: 
, Sec. D-l. 
Appropriations and allocations. 
appropriations and allocations are made. 
The 
HEALTH AND BOMAN SERVICES, DEPARTMENT OF (formerly BDS) 
Mental Health Services -
Community 
0121 
following 
Initiative: 
Provides funds for 
one limited-period MH 
Program 
Coordinator position and funds for the additional housing costs 
associated with assertive community treatment. 
GENERAL FUND 
Personal Services 
All Other 
GENERAL FUND TOTAL 
2005-06 
$54,359 
$3,750 
$58,109 
Mental Health Services -
Community Medicaid 
0732 
2006-07 
$0 
$59,400 
$59,400 
Initiative: 
Provides funds for the state share of the additional 
costs associated with assertive community treatment. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND BOMAN SERVICES, 
DEPARTMENT OF (formerly BDS) 
DEPAR'DmlIT 'l'OTALS 
2005-06 
$0 
$0 
2005-06 
2006-07 
$363,716 
$363,716 
2006-07 
SENATE AMENDMENT 
'~ 
--. 
SENATE AMENDMENT g. to COMMITTEE AMENDMENT "A" to S.P. 57, L.D. 
GENERAL FUND 
$58,109 
$423,116 
DEPARTMENT 'l'O'.rAL -
ALL FUNDS 
$58,109 
$423,116 
HEALTH AND BOMAN SERVICES, DEPAR'l"MENT OF (formerly DRS) 
Medical Care -
Payments to Providers 
0147 
Initiative: 
additional 
teams. 
Provides 
funds 
for 
costs associated with 
the 
federal 
share 
of 
the 
assertive community treatment 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND BOMAN SERVICES, 
DEPARTMENT OF (formerly DRS) 
DEPARTMENT 7O'l'ALS 
FEDERAL EXPENDITURES FUND 
DEPARTMENT 'l'O'.rAL -
ALL FUNDS 
JUDICIAL DEPARTMENT 
2005-06 
$0 
$0 
2005-06 
$0 
$0 
2006-07 
$630,044 
$630,044 
2006-07 
$630,044 
$630,044 
Courts -
Supreme, Superior, District and Administrative 
0063 
Initiative: 
Provides 
funds 
for 
temporary 
judicial 
staff 
services, indigent legal services and other costs associated with 
the requirements of this legislation. 
GENERAL FUND 
Personal Services 
All Other 
GENERAL FUND TOTAL 
JUDICIAL DEPARTMENT 
DEPARTMENT 'l'O'.rALS 
GENERAL FUND 
DEPARTMENT 'l'O'.rAL -
ALL FUNDS 
SECTION 'l'OTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUHD 
2005-06 
2006-07 
$0 
$34,987 
$0 
$70,350 
$0 
$105,337 
2005-06 
2006-07 
$0 
$105,337 
$0 
$105,337 
2005-06 
2006-07 
$58,109 
$528,453 
$0 
$630,044 
SENATE AMENDMENT 
I 
SENATE AMENDMENT ,1.3 to COMMITTEE AMENDMENT "A" to S. P . 57, L . D. 
SECTION '!UTA!. -
ALL FUNDS 
$58,109 
$1,158,497' 
Further amend the amendment in Part E in section 1 in the 
first line (page 12, line 14 in amendment) by striking out the 
following: 
"January" and inserting in its place the following: 
'July' 
Further amend the amendment by 
any 
nonconsecutive 
Part 
letter 
or 
consecutively. 
SUMMARY 
relettering or renumbering 
section 
number 
to 
read 
This amendment amends Committee Amendment "A." 
It returns 
the time period for involuntary commitment to that of current 
law, 
up to 4 
months for the first order and 
months 
for 
succeeding orders. 
It delays implementation of the progressive 
treatment program from January 1, 2006 until July 1, 2006 and 
extends the repeal of the program by 6 months. 
It provides 
funding for 9 months for a person to work on program planning and 
budgeting. 
It directs 
the 
Department 
of 
Health 
and 
Human 
Services to report to the Joint Standing Committee on Health and 
Human 
Services 
by 
February 
1, 
2006 
on 
funding 
proposals, 
including 
funding 
the 
progressive 
treatment 
program 
to 
the 
maximum extent possible by redirection of existing resources and 
use of funds that will not be needed because of participation in 
the 
program. 
It 
limits 
implementation 
of 
the 
progressive 
treatment program to 50 persons who are hospitalized at Riverview 
Psychiatric Center and limits the development of a new assertive 
community treatment 
team. 
It adds 
a 
new appropriations 
and 
allocations section. 
SPONSORED BY: 
(Senator 
COUNTY: 
Aroostook 
FISCAL NOTE REQUIRED 
(See attached) 
-
SENATE AMENDMENT 
Approved: 06/15/05 ~ae. 
Net Cost (Savings) 
General Fund 
LD 151 
LR 0913(06) 
An Act To Improve the Delivery of Maine's Mental Health Services 
Fiscal Note for Senate Amendment ;S, to Committee Amendment f\" 
Sponsor: Sen. Martin 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
2005-06 
2006-07 
2007-08 
($1,299,868) 
($1,292,679) 
($1,344,913) 
Appropriations/Allocations 
General Fund 
($1,299,868) 
($1,292,679) 
($1,344,913) 
Fiscal Detail and Notes 
Projections 
2008-09 
($1,399,254) 
($1,399,254) 
This amendment reduces the General Fund cost of the bill by $1,299,868 in fiscal year 2005-06 and $1,292,679 in 
fiscal year 2006-07. This legislation will still require General Fund appropriations totalling $58,109 in fiscal year 
2005-06 and $528,453 in fiscal year 2006-07. 
LR0913(6) - Fiscal Note - Page 1 of 1