An Act To Implement the Recommendations of the Blue Ribbon Commission To Study Long-term Home-based and Community-based Care
Maine Legislature, Session 124, LD 0400
Committee Amendment CA_A_S57 (Senate)
Amends: 22 MRSA §7301

COMMITTEE AMENDMENT ,,4 " to S.P. 142, L.D. 400, Bill, "An Act To 
Implement the Recommendations of the Blue Ribbon Commission To Study Long-term 
Home-based and Community-based Care" 
Amend the bill by striking out everything after the enacting clause and before the 
emergency clause and inserting the following: 
'Sec. 1. 22 MRSA §7301, sub-§2, as enacted by PL 1981, c. 511, § 1, is amended 
to read: 
2. Policy. The Legislature declares that it is the policy of this State, with regard to in-
home and community support services: 
A. To increase the availability of in home and community support services long-term 
care services that are consumer-driven, optimize individual choice and autonomy and 
maximize physical health, mental health, functional well-being and independence for 
adults with long-term care needs through high-quality services and supports in 
settings that reflect the needs and choices of consumers and that are delivered in the 
most flexible, innovative and cost-effective manner; 
B. That the priority recipients of in-home and community support services, pursuant 
to this subtitle, sflal.I. must be the elderly and disabled adults with long-term care 
needs who are at the greatest risk of being, or \vho already have been, placed 
inappropriately in an institutional setting without needed in-home and community 
SUppOlt services; and 
C. 
That a variety of agencies, facilities and individuals sflal.I. must be encouraged to 
provide in-home and community support services and to increase the percentages of 
adults with 10ng-tenTI care needs receiving in-home and community support services~~ 
D. To promote and encourage public and private partnerships among a variety of 
agencies, facilities and individuals; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,·A "to S.P. 142, L.D. 400 
E. To support the roles of family caregivers and a qualified workforce in the effort to 
streamline and facilitate access to high-quality services in the least restrictive and 
most integrated settings; and 
F. To establish the most efficient, innovative and cost-effective system for delivering 
a broad array of long-term care services. 
Sec. 2. 22 MRSA § 7302, su b-§5, as enacted by PL 1981, c. 511, § 1, is amended 
to read: 
5. In-home and community support services. "In-home and community support 
services" means health and social services and other assistance required to enable adults 
with long-term care needs to remain in their places of residence. These services include, 
but are not limited to, medical and diagnostic services; professional nursing; physical, 
occupational and speech therapy; dietary and nutrition services; home health aide 
services; personal care assistance services; companion and attendant services; handyman, 
chore and homemaker services; respite care; hospice care; counseling services; 
transportation; small rent subsidies; various devices :wffieh that lessen the effects of 
disabilities; and other appropriate and necessary social services. 
Sec. 3. 
Planning for comprehensive presentation of long-term care 
budget for services and supports for adults with long-term care needs. The 
Department of Health and Human Services shall undertake a process to provide a 
comprehensive presentation of a budget for long-term care services and supports for 
adults with long-term care needs that is complementary to the State's vision for a 
consumer-centered approach to long-term care. By January 1, 2010, the Commissioner 
of Health and Human Services shall submit a report to the joint standing committees of 
the Legislature having jurisdiction over appropriations and financial affairs and health 
and human services matters. 
Sec. 4. Report. The Department of Health and Human Services shall report by 
January 1, 2010 to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters on: 
1. 
Waiting lists for services for home-based and community-based care and 
homemaker services for adults with long-term care needs and strategies to eliminate 
waiting lists; 
2. Funding sources for assistive technologies to help accomplish the State's vision of 
long-term services and supports for adults with long-term care needs; 
3. A comprehensive and systematic approach to training, reimbursement and benefits 
for direct care workers in home-based and community-based care, residential facilities 
and nursing facilities; and 
4. Work done regarding the expenditures and the operations of the Aging and 
Disability Resource Centers and efforts to improve the discharge planning process and 
the provision of infonnation to consumers and their families. 
Sec. 5. Increase number of people served. The Department of Health and 
Human Services shall undertake efforts to increase the number of people served and 
funds spent in home-based and community support services for people with long-term 
COMMITTEE AMENDMENT 
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COMMITIEE AMENDMENT "A "to S.P. 142, L.D. 400 
care needs. The department shall report annually through 2015 on its progress regarding 
increased funding and access to in-home and community support services by February 1st 
beginning in 2010 to the joint standing committees of the Legislature having jurisdiction 
over appropriations and financial affairs and health and human services matters. 
Sec. 6. Aging and Disability Resource Centers. The Department of Health 
and Human Services shall work with the 5 area agencies on aging to provide services 
through Aging and Disability Resource Centers on a statewide basis. The department 
shall provide funding as appropriated in this Act. 
As a condition of receiving the 
funding, the area agencies on aging shall work with hospitals, nursing facilities and 
residential care facilities to improve the discharge planning process, including improving 
the provision of information to the consumer about facility-based and home-based and 
community-based options, and improving consumer choice in the discharge process. 
Sec. 7. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Long Term Care - Human Services 0420 
Initiative: Provides funding for Aging and Disability Resource Centers in the five area 
agencies on aging to provide information and referral services for the elderly and adults 
with physical disabilities and their families. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Long Term Care - Human Services 0420 
2009-10 
$300,000 
$300,000 
2010-11 
$300,000 
$300,000 
Initiative: Provides funding for the Priority Social Services program for reimbursement of 
the costs of volunteers for the delivery of meals in the homes of consumers of long-term 
care services and medical rides. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
2009-10 
$500,000 
$500,000 
2009-10 
$800,000 
COMMITTEE AMENDMENT 
2010-11 
$500,000 
$500,000 
2010-11 
$800,000 
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COMMITIEE AMENDMENT "A "to S.P. 142, L.D. 400 
DEPARTMENT TOTAL-ALL FUNDS 
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$800,000 
$800,000 
This amendment replaces the bill. It combines 4 provisions requiring reports to the 
joint standing committee of the Legislature having jurisdiction over health and human 
services matters. It reduces the funding from $1,000,000 per year to $800,000 per year. 
It changes the provision requiring a unified long-term care budget to the provision of a 
comprehensive presentation of the long-term care budget. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 04/03/09 Mac:.. 
LD400 
LR 569(02) 
An Act To Implement the Recommendations of the Blue Ribbon Commission To Study Long-term 
Home-based and Community-based Care 
Fiscal Note for Bill as Amended by Committee Amendment "A " 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
2009-10 
2010-11 
Projections 
2011-12 
Projections 
2012-13 
Net Cost (Savings) 
General Fund 
$800,000 
$800,000 
$800,000 
$800,000 
(,: 
""/Appropriations/ Allocations 
General Fund 
$800,000 
$800,000 
$800,000 
$800,000 
Fiscal Detail and Notes 
The bill provides appropriations totaling $800,000 in each of fiscal years 2009-10 and 2010-11 for services for the 
elderly and adults with physical disabilities and their families consistent with the recommendations of the Blue 
Ribbon Commission to Study Long-term Home-based and Community-based care. The additional costs to the 
Department of Health and Human Services in submitting a plan for a unified budget for long-term care and other 
supports for adults with physical disabilities can be absorbed utilizing existing budgeted resources. 
LR0569(02) - Fiscal Note - Page 1 of 1