An Act To Provide Assistance to Family Members, Friends and Neighbors Who Provide Home Health Care for Senior Citizens
Maine Legislature, Session 123, LD 0519
Committee Amendment CA_A_H665 (House)

COMMITTEE AMENDMENT "A " to H.P. 397, L.D. 519, Bill, "An Act To 
Provide Assistance to Family Members, Friends and Neighbors Who Provide Home 
Health Care for Senior Citizens" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, Regarding Supplemental Services under the National Family 
Caregiver Support Program' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, this legislation authorizes the Department of Health and Human Services 
to conduct a demonstration project of supplemental services until June 30, 2008; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it 
Sec. 1. 
Supplemental services under the National Family Caregiver 
Support Program. Resolved: That the Department of Health and Human Services 
shall initiate a demonstration project regarding the provision of supplemental services 
provided under the federally funded National Family Caregiver Support Program until 
June 30, 2008 as provided in this section. 
1. Supplemental services. The supplemental services must be offered through the 5 
Area Agencies on Aging under contracts with the Department of Health and Human 
Services, Office of Elder Services and must include supplemental services on a one-time, 
limited basis. The services for the consumer and those services that are necessary to 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 397, L.D. 519 
support the family caregiver's role and to complement the care provided by the family 
caregiver must be determined by a collaborative process of the consumer, the family 
caregiver and the family caregiver program coordinator for the local Area Agency on 
Aging, working together to complete the screening tool. 
The maximum amount of 
funding for supplemental services available for each consumer is $1,000. 
2. Administration. Funding for the supplemental services demonstration project is 
$40,000 for each Area Agency on Aging, of which up to 10% may be expended for 
administrative costs. 
A. The family caregiver program coordinator at each Area Agency on Aging shall 
use a screening form to identify unmet needs developed at the state level through a 
collaborative process and, after provision of the supplemental services, shall conduct 
a written survey with the family caregiver and consumer and request written 
confirmation that the funds have been used for the designated purposes. 
B. Priority must be given to family caregivers of elderly family members, who have 
the greatest social and economic need. 
C. Demonstration project funding may be used, without prior approval of the Office 
of Elder Services, for family respite services, assistive technology, simple home 
modifications, individual and household needs such as clothing, heating oil and rent, 
homemaker services, personal care, health maintenance, home health services, 
physical therapy, speech therapy, occupational therapy and community connections. 
If other uses of these funds are requested, the family caregiver program coordinator at 
the local Area Agency on Aging must get prior approval from the Department of 
Health and Human Services, Office of Elder Services. 
D. The local Area Agency on Aging may determine to purchase a service or product 
in paragraph C on behalf of the family caregiver. 
E. Funding under the demonstration project may not be used to provide respite or 
adult day services to caregivers of persons who are eligible for or receiving other 
state-funded or Medicaid-funded home and community-based services, including 
private duty nursing, personal care services, and respite care for people with 
Alzheimer's and related disorders, except when there is a waiting list for those 
services. 
Emergency clause. 
In view of the emergency cited In the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment changes the bill to a resolve and changes the title. The amendment 
directs the Department of Health and Human Services to initiate a demonstration project 
regarding the provision of supplemental services provided under the federal National 
Family Caregiver Support Program. The project will provide funding of $40,000 per 
Area Agency on Aging and will fund up to $1,000 per consumer. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT"~ "to H.P. 397, L.D. 519 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 01/09/08 ,;tvae 
LD519 
LR 1122(02) 
An Act To Provide Assistance to Family Members, Friends and Neighbors Who Provide Home Health 
Care for Senior Citizens 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment" A " 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Current biennium cost increase - General Fund 
The bill would result in additional costs of $200,000 in fiscal year 2007-08 for one-time grants of $40,000 to each of 
the five Maine Area Agencies on Aging for a demonstration project to supplement services provided under the federa' 
Family Caregiver Support Program. An appropriation to fund these grants is not needed because the Department of 
Health and Human Services intends to use unencumbered balances forwarded in the Home-Based Care account 
allotted for this purpose in Financial Order 03655 F8 approved on September 6,2007. Any other additional costs to 
the Department of Health and Human Services to initiate and implement the demonstration project can be absorbed by 
the department utilizing existing budget resources. 
LRl122(02) - Fiscal Note - Page I of 1