An Act To
Maine Legislature, Session 123, LD 1669
Committee Amendment CA_A_H292 (House)

COMMITTEE AMENDMENT "A" to H.P. 1178, L.D. 1669, Bill, "An Act To 
Amend the Laws Governing Reimbursement of Nursing Facilities" 
Amend the bill by striking out all of section 7 and inserting the following: 
'Sec. 7. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Initiative: Appropriates and allocates funds for the costs of rebasing nursing facility costs 
to a base year determined by audited allowable costs for a facility's fiscal year ending 
between July 1,2004 and June 30, 2005. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2007-08 
$6,000,000 
2008-09 
$6,180,000 
$6,000,000 
$6,180,000 
2007-08 
2008-09 
$10,348,774 
$10,663,827 
$10,348,774 
$10,663,827 
Nursing Facilities 0148 
Initiative: Appropriates and allocates funds for increased nursing facility heating cost 
reimbursements. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT .. r}., to H.P.1l78, L.D. 1669 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
2007-08 
2008-09 
$1,140,238 
-$1,169,845 
$1,140,238 
2007-08 
$1,966,677 
$1,966,677 
$1,169,845 
2008-09 
$2,017,744 
$2,017,744 
Initiative: Appropriates and allocates funds for increased nursing facility medical director 
reimbursements. 
. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
2007-08 
$364,945 
$364,945 
2007-08 
$629,455 
$629,455 
2008-09 
$373,239 
$373,239 
2008-09 
$643,761 
$643,761 
Initiative: Appropriates and allocates funds for the costs of increasing the nursing facility 
administration and policy planning ceiling. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
2007-08 
$97,251 
$97,251 
2007-08 
$167,739 
COMMITTEE AMENDMENT 
2008-09 
$99,196 
$99,196 
2008-09 
$171,093 
r 
COMMITTEE AMENDMENT" A" to H.P. 1178, L.D.1669 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
$167,739 
$171,093 
2007-08 
2008-09 
$7,602,434 
$7,822,280 
$13,112,645 
$13,496,425 
$20,715,079 
$21,318,705 
This amendment replaces the appropriations and allocations section of the bill. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/18/07 frac 
LD 1669 
LR 2111(02) 
An Act To Amend the Laws Governing Reimbursement of Nursing Facilities 
Fiscal Note for Bill as Amended by Committee Amendment" A " 
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 
$7,602,434 
$7,602,434 
$13,112,645 
2008-09 
$7,822,280 
$7,822,280 
$13,496,425 
Projections 
2009-10 
$8,048,524 
$8,048,524 
$13,882,058 
Projections 
2010-11 
$8,281,350 
$8,281,350 
$14,289,786 
Appropriates and allocates funds for the costs of rebasing nursing facility costs to a base year detennined by audited 
allowable costs for a facility's fiscal year ending between July 1,2004 and June 30,2005. The Governor's 2008-2009 
Budget (LD 499) proposes an appropriation of $6,000,000 in 2008-09 to rebase nursing facility costs. The bill also 
appropriates and alIocates funds to increase nursing facility reimbursements for heating costs, medical director costs 
and for an increase in the administration and policy planning ceiling. 
LR2111(02) - Fiscal Note - Page 1 of 1