Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-tenn Care Facilities
Maine Legislature, Session 123, LD 0652
Committee Amendment CA_B_H645 (House)

COMMITTEE AMENDMENT "B " 
to H.P. 501, L.D. 652, "Resolve, To Ensure 
Appropriate Personal Needs Allowances for Persons Residing in Long-tenn Care 
Facilities" 
Amend the resolve in section 1 in the 2nd line (page 1, line 2 in L.D.) by striking out 
the following: "2007" and inserting the following: '2008' 
Amend the resolve in section 1 in the 6th line (page I, line 6 in L.D.) by striking out 
the following: "July 1,2007 to July 1,2008" and inserting the following: 'July 1,2008 to 
June 30, 2009' 
Amend the resolve in section 1 in the 7th line (page 1, line 7 in L.D.) by striking out 
the following: "July 1, 2008" and inserting the following: 'June 30, 2009' 
Amend the resolve in section 1 in the last line (page 1, line 9 in L.D.) by striking out 
the following: "2-A." and inserting the following: '2-A; and be it further' 
Amend the resolve in section 2 in the 2nd line (page 1, line 11 in L.D.) by striking out 
the following: "2007" and inserting the following: '2008' 
Amend the resolve in section 2 in the 7th line (page 1, line 16 in L.D.) by striking out 
the following: "July 1,2007 to July 1,2008" and inserting the following: 'July 1,2008 to 
June 30, 2009' 
Amend the resolve in section 2 in the 9th line (page 1, line 18 in L.D.) by striking out 
the following: "July 1,2007 to July 1,2008" and inserting the following: 'July 1,2008 to 
June 30, 2009' 
Amend the resolve in section 2 in the 10th line (page 1, line 19 in L.D.) by striking 
out the following: "July 1,2008" and inserting the following: 'June 30, 2009' 
Amend the resolve in section 2 in the last line (page 1, line 22 in L.D.) by striking out 
the following: "2-A." and inserting the following: '2-A; and be it further' 
Amend the resolve by inserting after section 2 the following: 
COMMITTEE AMENDMENT 
" ~,~). 
COMMITTEE AMENDMENT "t " 
to H.P. 501, L.D. 652 
\:.~.. . 
'Sec. 3. Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Initiative: Appropriates and allocates funds for an increase in the minimum personal 
needs allowance for nursing home residents to $50 per month. 
GENERc~L FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
State Boarding Homes Z009 
2007-08 
$0 
$0 
2007-08 
$0 
$0 
2008-09 
$203,157 
$203,157 
2008-09 
$350,403 
$350,403 
Initiative: Appropriates funds to increase the personal needs allowance for residential 
carelboarding home residents from $50 to $65 per month for supplemental security 
income eligibles and from $70 to $85 per month for other residents. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2007-08 
$0 
$0 
2007-08 
$0 
$0 
$0 
COMMITTEE AMENDMENT 
2008-09 
$594,120 
$594,120 
2008-09 
$797,277 
$350,403 
$1,147,680 
COMMITTEE AMENDMENT" g" to H.P. 501, L.D. 652 
SUMMARY 
This amendment is the minority report of the committee. The amendment provides 
for increases in personal needs allowances for the time period of July 1,2008 to June 30, 
2009. The amendment changes the dates for annual increases to after June 30, 2009. It 
also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 12/19/07 frac 
LD652 
LR2109(04) 
Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care 
Facilities 
Fiscal Note for Bill as Amended by Committee Amendment "B " 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations! Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2007-08 
$0 
$0 
$0 
2008-09 
$797,277 
$797,277 
$350,403 
Projections 
2009-10 
$837,140 
$837,140 
$367,924 
Projections 
2010-11 
$878,997 
$878,997 
$386,320 
Provides an appropriation of $594,120 in fiscal year 2008-09 for the additional costs the State will need to pick up as a 
result of a $15 per month increase in the personal needs allowance for residential carelboarding home residents. This 
assumes 2,960 residents will be allowed to keep an additional $15 for their personal needs allowance and 511 
residents, for whom .the State already pays an additional $5 per month, would be able to keep an additional $10. 
These costs to the State are not Medicaid matchable. 
Also provides an appropriation of $203,157 in fiscal year 2008-09 for the State's share of the cost of increasing the 
minimum personal needs allowance for MaineCare nursing home residents to $50 per month. The current nursing 
home personal needs allowance is $40 per month. It is assumed that 4,613 nursing home residents would retain an 
additional $10 per month, resulting in the MaineCare program picking up a total cost of$553,560 per year that is split 
between the state and federal governments based on the federal medical assistance percentage (FMAP). The first year 
effective date is assumed to be July I, 2008. 
LR2109(04) - Fiscal Note - Page 1 of 1