An Act To Protect Access to Health Care
Maine Legislature, Session 123, LD 2290
Senate Amendment SA_A_S541 (Senate)

SENA TE AMENDMENT" A " to H.P. 1652, L.D. 2290, Bill, "An Act To Protect 
Access to Health Care" 
Amend the bill by striking out all of sections 4 to 6. 
I I 
Amend the bill by striking out all of section 8 and inserting the following: 
'Sec. 8. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Mental Health Services - Child Medicaid 0731 
Initiative: Provides funding related to consolidating crisis services to one provider per 
district. The corresponding federal match increase is in the Medical Care - Payments to 
Providers program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community 0121 
2007-08 
$0 
$0 
2008-09 
$200,000 
$200,000 
Initiative: Provides funding for community integration services for consumers who are 
not eligible for MaineCare. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2007-08 
$0 
$0 
SENA TE AMENDMENT 
2008-09 
$500,000 
$500,000 
SENATE AMENDMENT "A" to H.P. 1652, L.D. 2290 
Mental Retardation Waiver - MaineCare 0987 
Initiative: Increases funding for MaineCare home- and community-based waiver services. 
The corresponding federal match increase is in the Medical Care - Payments to Providers 
program. 
-. T1 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
D-tPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2007-08 
$0 
$0 
2007-08 
$0 
$0 
2008-09 
$155,815 
$155,815 
2008-09 
$855,815 
$855,815 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Increases funding for MaineCare home- and community-based waiver services. 
The corresponding state funding increases are in the Mental Retardation Waiver -
MaineCare program. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for hospital-based physicians. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2007-08 
$0 
$0 
2007-08 
$0 
$0 
SENATE AMENDMENT 
2008-09 
$278,617 
$278,617 
2008-09 
$7,282,509 
$7,282,509 
SENATE AMENDMENT" A" to H.P. 1652, L.D. 2290 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2007-08 
2008-09 
$0 
$13,022,827 
$0 
$13,022,827 
Initiative: Provides funding related to consolidating crisis services to one provider per 
district. The corresponding state match increase is in the Mental Health Services -
Community Medicaid program. 
I 1 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2007-08 
$0 
$0 
2008-09 
$357,625 
$357,625 
Initiative: Reduces funding by managing enrollment in the childless adult waiver program 
and maximizing the use of the federal allocation in the qualified individual program and 
other efficiencies in the MaineCare program. This initiative relates to the curtailments 
ordered in Financial Order 003806 F8. 
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 
2007-08 
$0 
$0 
2008-09 
($8,138,324) 
($8,138,324) 
2007-08 
2008-09 
$0 
($14,553,225) 
$0 
($14,553,225) 
2007-08 
2008-09 
$0 
($855,815) 
$0 
($894,156) 
SENATE AMENDMENT 
SENA TE AMENDMENT" A" to H.P. 1652, L.D. 2290 
DEPARTMENT TOTAL-ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
SECTION TOTAL - ALL FUNDS 
$0 
($1,749,971) 
2007-08 
$0 
$0 
$0 
2008-09 
$0 
($894,156) 
($894,156) 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment retains those portions of the bill that give the community service 
networks the responsibility of providing consolidated mental health crisis services for 
children and adults, beginning March 1, 2009, through a memorandum of understanding 
among providers of mental health services in the network that includes provisions to 
ensure coordination, eliminate duplication and provide a minimum level of crisis services 
established by the Department of Health and Human Services and provides funding for 
hospital-based physicians in order to protect access to health care. Rather than updating 
the base year for the hospital tax, this amendment reduces funding by managing 
enrollment in the childless adult waiver program and maximizing the use of the federal 
allocation in the qualified individual program and other efficiencies in the MaineCare 
program. 
FISCAL NOTE REQUIRED 
(See attached) 
/'---~7 -) 
SPONSOREDBY:~4r/~~ 
(Senator ROSEN, R.) 
COUNTY: Hancock 
SENA TE AMENDMENT 
Approved: 03/31/08 Mac.. 
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 
LD 2290 
LR 3614(03) 
An Act To Protect Access to Health Care 
Fiscal Note for Senate Amendment" A " 
Sponsor: Sen. Rosen, R. of Hancock 
Fiscal Note Required: Yes 
Fiscal Note 
2007-08 
$0 
$0 
$0 
$0 
$0 
2008-09 
Projections 
2009-10 
$0 
$0 
$0 
$0 
($20,375,744) 
($20,375,746) 
($11,394,341) 
($11,394,341) 
($11,394,341) 
($11,394,341) 
Projections 
2010-11 
$0 
$0 
($20,375,746) 
($11,394,341 ) 
($11,394,341) 
This amendment includes offsetting General Fund appropriations and deappropriations resulting in no net General 
Fund impact during the 2008-2009 biennium. 
LR3614(03)-Fisca1Note-Page 1 of1