An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government and To Change Certain Provisions of the Law II Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2008 and June 30, 2009
Maine Legislature, Session 123, LD 2173
Committee Amendment CA_A-HA_S_H843 (House)
Amends: 36 MRSA §2891, 36 MRSA §2892

HOUSE AMENDMENT ,,5 "to COMMITTEE AMENDMENT "A" to H.P. 1547, 
L.D. 2173, Bill, "An Act To Make Supplemental Appropriations and Allocations for the 
Expenditures of State Government and To Change Certain Provisions of the Law 
II 
Necessary to the Proper Operations of State Government for the Fiscal Years Ending 
June 30, 2008 and June 30, 2009" 
Amend the amendment by inserting after Part MMMM the following: 
'PART NNNN 
IS 
Sec. NNNN-I. 36 MRSA §2891, sub-§l, as corrected by RR 2003, c. 2, § 116, is 
amended to read: 
1. Hospital. "Hospital" means an acute care health care facility with permanent 
inpatient beds planned, organized, operated and maintained to offer for a continuing 
period of time facilities and services for the diagnosis and treatment of illness, injury and 
deformity; with a governing board and an organized medical staff offering continuous 24-
hour professional nursing care; with a plan to provide emergency treatment 24 hours a 
day and including other services as defined in rules of the Department of Health and 
Human Services relating to licensure of general and specialty hospitals; and that is 
licensed under Title 22, chapter 405 as a general hospital, specialty hospital or critical 
access hospital. For purposes of this chapter, "hospital" does not include a nursing home 
or a publicly owned specialty hospital and, for state fiscal years beginning on or after July 
I, 2008, municipally funded hospitals. 
Sec. NNNN-2. 36 MRSA §2891, sub-§l-A is enacted to read: 
1-A. Municipally funded hospital. "Municipally funded hospital" means Mayo 
Regional Hospital in Dover-Foxcroft or Cary Medical Center in Caribou. 
Sec. NNNN-3. 36 MRSA §2892, as amended by PL 2005, c. 12, Pt. ZZ, §2, is 
further amended to read: 
§2892. Tax imposed 
For the state fiscal year beginning on July I, 2003, a tax is imposed against each 
hospital in the State. The tax is equal to .74% of net operating revenue for the tax year as 
HOUSE AMENDMENT 
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HOUSE AMENDMENT -5" to COMMITTEE AMENDMENT '"A" to H.P. 1547, L.D. 2173 
identified on the hospital's most recent audited annual financial statement for that tax 
year. Delinquent tax payments are subject to Title 22, section 3175-C. 
For state fiscal years beginning on or after July I, 2004, a tax is imposed annually 
against each hospital in the State. 
The tax is equal to 2.23% of the hospital's net 
operating revenue as identified in the hospital's audited financial statement for the 
hospital's taxable year. For the state fiscal year beginning July 1, 2004, the hospital's 
taxable year is the hospital's fiscal year that ended during calendar year 2002. For the 
state fiscal year beginning July 1, 2005, the hospital's taxable year is the hospital's fiscal 
year that ended during calendar year 2003. For state fiscal years beginning on or after 
July I, 2006 but before July I, 2008, the hospital's taxable year is the hospital's fiscal year 
that ended during calendar year 2004. 
For state fiscal years beginning on or after July 1, 2008, the hospital's taxable year is 
the hospital's fi scal year that ended during calendar year 2006. 
Sec. NNNN-4. Appropriations and allocations. The following appropriations 
and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Adjusts funding to reflect an update of the hospital tax base year from 2004 to 
2006 and the exclusion of municipally funded hospitals from the tax beginning July 1, 
2008. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2007-08 
2008-09 
$0 
($11,394,341) 
$0 
($11,394,341) 
2007-08 
2008-09 
$0 
$11,394,341 
$0 
$11,394,341 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates and allocates funds for additional payments to hospitals under the 
MaineCare program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2007-08 
$0 
$0 
HOUSE AMENDMENT 
2008-09 
$3,269,264 
$3,269,264 
HOUSE AMENDMENT:5 "to COMMITTEE AMENDMENT "A" to H.P. 1547, L.D. 2173 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2007-08 
$0 
$0 
2008-09 
$5,846,206 
$5,846,206 
Initiative: Restores funding for hospital-based physicians reduced in Part A, section 28. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2007-08 
$0 
2008-09 
$7,282,509 
$0 
$7,282,509 
2007 -08 
2008-09 
$0 
$13,022,827 
$0 
$13,022,827 
2007-08 
2008-09 
$0 
($842,568) 
$0 
$18,869,033 
$0 
$11,394,341 
$0 
$29,420,806 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment adds a new Part that updates the base year for the hospital tax and 
excludes municipally funded hospitals from the tax after July 1, 2008. 
HOUSE AMENDMENT 
HOUSE AMENDMENT '5" to COMMITTEE AMENDMENT "A" to H.P. 1547, L.D. 2173 
FISCAL NOTE REQUIRED 
(s~e t4Jhed~ 
SPONSORED BY: -Jf--+-'~~_--O::~::::""-::~'---------
(Representative 
TOWN: Millinocket 
HOUSE AMENDMENT 
Approved: 03/26/08 
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LD 2173 
LR 3445(41) 
An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State 
Government and To Change Certain Provisions of the Law Necessary to the Proper Operations of 
State Government for the Fiscal Years Ending June 30, 2008 and June 30, 2009 
Fiscal Note for House Amendment ,,5 " to Committee Amendment "A" 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Sponsor: Rep. Clark of Millinocket 
Fiscal Note Required: Yes 
Fiscal Note 
2007-08 
$0 
$0 
$0 
$0 
$0 
2008-09 
($842,568) 
($842,568) 
$18,869,033 
$11,394,341 
$11,394,341 
Projections 
2009-10 
($842,568) 
($842,568) 
$18,869,035 
$11,394,341 
$11,394,341 
Projections 
2010-11 
($842,568) 
($842,568) 
$18,869,035 
$11,394,341 
$11,394,341 
This amendment will decrease the General Fund cost ofthe bill by $842,568 in fiscal year 2008-09. Based on the 
estimated year-end balances, this amendment maintains a balanced budget for the 2008-2009 biennium. 
LR3445(41) - Fiscal Note - Page 1 of 1