Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care Facilities
Maine Legislature, Session 124, LD 0016
Committee Amendment CA_A_H41 (House)

COMMITTEE AMENDMENT ,/1" to H.P. 11, L.D. 16, "Resolve, To Ensure 
Appropriate Personal Needs Allowances for Persons Residing in Long-term Care 
Facilities" 
Amend the resolve in section 1 in the 6th line (page 1, line 6 in L.D.) by striking out 
the following: "July 1,2009" and insetting the following: 'October 1,2009' 
Amend the resolve in section 2 in the 7th line (page 1, line 17 in L.D.) by striking out 
the following: "July 1,2009" and inserting the following: 'October 1,2009' 
Amend the resolve in section 2 in the 9th line (page 1, line 19 in L.D.) by striking out 
the following: "July 1, 2009" and insetting the following: 'October 1, 2009' 
Amend the resolve in section 2 in the last line (page 1, line 23 in L.D.) by striking out 
the following: "2-A." and insetting the following: '2-A; and be it flllther' 
Amend the resolve by insetting after section 2 the following: 
'Sec. 3. Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
MRlEIdedy PNMI Room and Board Z009 
Initiative: Appropriates funds to increase the personal needs allowance for residential 
care and boarding home residents to $65 per 1110nth for residents eligible for supplemental 
security income and to $85 per month for other residents. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Nursing Facilities 0148 
2009-10 
$432,540 
$432,540 
COMMITTEE AMENDMENT 
2010-11 
$596,328 
$596,328 
a~,a 
COMMITTEE AMENDMENT·A "to H.P. II, L.D. 16 
Initiative: Appropriates and allocates funds for an increase in the minimum personal 
needs allowance for nursing home residents to $50 per month. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2009-10 
$145,901 
$145,901 
2009-10 
$264,049 
$264,049 
State Supplement to Federal Supplemental Security Income 0131 
2010-11 
$201,149 
$201,149 
2010-11 
$364,035 
$364,035 
Initiative: Appropriates funds to increase the pe~sonal needs allowance for residential 
care and boarding home residents to $65 per month for residents eligible for supplemental 
security income and 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 
SUMMARY 
2009-10 
2010-11 
$49,500 
$68,244 
$49,500 
$68,244 
2009-10 
2010-11 
$627,941 
$865,721 
$264,049 
$364,035 
$891,990 
$1,229,756 
This amendment changes the date for increasing the personal needs allowance from 
July 1,2009 to October 1,2009 and adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 03/12/09 Mac:.. 
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LD 16 
LR 136(02) 
Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care 
Facilities 
Fiscal Note for Bill as Amended by Committee Amendment '~' 
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 
2009-10 
$627,941 
$627,941 
$264,049 
2010-11 
$865,721 
$865,721 
$364,035 
Projections 
2011-12 
$895,155 
$895,155 
$376,412 
Projections 
2012-13 
$925,619 
$925,619 
$389,210 
Provides an appropriation of $482,040 in fiscal year 2009-10 and $664,572 in 2010-11 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 
care/boarding home residents. This assumes 3,204 residents will be allowed to keep an additional $15 of their 
personal needs allowance and 550 residents for whom the state already pays an additional $5 per month would be able 
to keep an additional $10 per month. These costs to the State are not matched by Medicaid. The first year effective 
date is assumed to be October 1, 2009. 
Also provides an appropriation of $145,90 1 in fiscal year 2009-10 and $201,149 in fiscal year 2010-11 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 4,555 nursing 
home residents would retain an additional $10 per month, resulting in the MaineCare program picking up a total cost 
of approximately $550,000 annually 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 October 1,2009. 
LROI36(02) - Fiscal Note - Page I of)