An Act To Ensure Fairness in Penalties for Administrative Errors in the Long-term Care Assessment Process
Maine Legislature, Session 124, LD 1507
Committee Amendment CA_A_H782 (House)

COMMITTEE AMENDMENT "R " 
to H.P. 1056, L.D. 1507, Bill, "An Act To 
Ensure Fairness in Penalties for Administrative Errors in the Long-term Care Assessment 
Process" 
Amend the bill by striking out all of the 5th paragraph after the title (page 1, lines 14 
and 15 in L.D.) 
Amend the bill in the 6th paragraph after the title in the first and 2nd lines (page I, 
lines 16 and 17 in L.D.) by striking out the following: "long-term care providers" and 
inserting the following: 'nursing facilities' 
Amend the bill in the 6th paragraph after the title in the 2nd line (page I, line 17 in 
L.D.) by striking out the following: "to an amount that will" and inserting the following: 
'in order to' 
Amend the bill by striking out all of sections 1 and 2 and inserting the following: 
'Sec. 1. 22 MRS A §3174-I, sub-§3, as enacted by PL 1989, c. 498 and amended 
by PL 2003, c. 689, Pt. B, §6, is repealed and the following enacted in its place: 
3. 
Rules. 
The department shall adopt rules to implement this section. 
Notwithstanding any other provision of law to the contrary, the rules must require 
reimbursement of nursing facilities for services rendered to a resident between the date an 
assessment under this section is due and the date the assessment is complete if: 
A. The resident is assessed as medically eligible when the assessment occurs; and 
B. The nursing facility has failed to request assessment no more than 2 times in a 12-
month period. 
Sec. 2. 
Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Page I - 124LR2436(02)-1 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,4,. to H.P. 1056, L.D. 1507 
Initiative: Appropriates and allocates funds for the costs of reducing the applicability of 
the MaineCare reimbursement penalty for late or missed medical assessments to allow 2 
late assessments without penalty. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
FEDERAL EXPENDITURES FUND ARRA 
All Other 
FEDERAL EXPENDITURES FUND ARRA TOTAL 
HEALTH AND HUMAN SERVICES, 
DEP ARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
FEDERAL EXPENDITURES FUND ARRA 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
2009-10 
$0 
$0 
$0 
$0 
$0 
2010-11 
$104,723 
$104,723 
2010-11 
$262,321 
$262,321 
2010-11 
$22,614 
$22,614 
2010-11 
$21,504 
$21,504 
2010-11 
$104,723 
$262,321 
$22,614 
$21,504 
$411,162 
This amendment removes from the bill provisions applicable to private, nonmedical 
and board and care institutions. The amendment requires the department's MaineCare 
reimbursement rules applicable to nursing facilities to allow 2 late assessment referrals 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,A,. to H.P. 1056, L.D, 1507 
without denial of reimbursement. 
This amendment also adds an appropriations and 
allocations section. 
FISCAL ;'\OTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/24/1 0 MaC!. 
LD 1507 
LR 2436(02) 
An Act To Ensure Fairness in Penalties for Administrative Errors in the Long-term Care Assessment 
Process 
Fiscal Note for Bill as Amended by Committee Amendment ,4" 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
A ppropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Federal Expenditures Fund ARRA 
Revenue 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
2009-10 
$0 
$0 
$0 
$0 
$0 
$0 
2010-11 
$104,723 
$104,723 
$262,321 
$22,614 
$21,504 
$22,614 
Projections 
2011-12 
$126,227 
$126,227 
$262,321 
$22,614 
$0 
$22,614 
Projections 
2012-13 
$126,227 
$126,227 
$262,321 
$22,614 
$0 
$22,614 
Provides an appropriation of $1 04,723 to the Nursing Facilities program in the Department of Health and Human 
Services for the increase in MaineCare costs resulting from reducing the applicability of the MaineCare 
reimbursement penalty for late or missed medical assessments to allow two late assessments without penalty, 
LR2436(02) - FiscaJ Note - Page 1 of 1 
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