An Act To Implement the Recommendations of the Streamline and Prioritize Core Government Services Task Force for the Fiscal Years Ending June 30,2012 and June 30, 2013 and To Make Certain Other Allocations and Appropriations and Changes to the Law Necessary to the Operation of State Government
Maine Legislature, Session 125, LD 1816
House Amendment HA_D_H707 (House)
Amends: 36 MRSA §2896

HOUSE AMENDMENT "17,, to H.P. 1339, L.D. 1816, Bill, "An Act To Implement 
the Recommendations of the Streamline and Prioritize Core Government Services Task 
Force for the Fiscal Years Ending June 30,2012 and June 30, 2013 and To Make Certain 
Other Allocations and Appropriations and Changes to the Law Necessary to the 
Operation of State Government" 
Amend the bill by striking out all ofPart X (page 81, lines 1 to 28 in L.D.) 
Amend the bill in Part M in section 1 in that part designated "HEALTH AND 
HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)" in the 23rd 
occurrence of that part relating to "Medical Care - Payments to Providers 0147" by 
striking out the initiative (page 72, lines 26 to 29 in L.D.) and inserting the following: 
'Initiative: Reduces funding as a result of a one-time transfer from the Dirigo Health Fund 
to the Medical Care - Payments to Providers program as a result ofreducing eligibility for 
Medicaid services for parents with a maximum income of 200% to a maximum income of 
133% of the nonfarm income official poverty line effective October 1,2012.' 
Amend the bill in Part Z in section 1 in §6914 in the 3rd paragraph in the 2nd line 
(page 82, line 28 in L.D.) by striking out the following: "$7,210,000" and inserting the 
following: '$2,397,939' 
Amend the bill in Part Z by striking out all of section 2. 
Amend the bill in Part BB by inserting after section 2 the following: 
'Sec. BB-3. Transition of categorically eligible individuals. In recognition of 
the expiration on December 31, 2013 of the federal waiver for the MaineCare childless 
adult waiver program, the Department of Health and Human Services, in accordance with 
federal requirements, shall submit a plan by June 30, 2013 to transition categorically 
eligible individuals who are enrolled in the program to available MaineCare coverage 
options by December 31, 2013.' 
Amend the bill in Part II in section 1 in Sec. JJJ -1 in the 3rd line (page 86, line lOin 
L.D.) by striking out the following: 
"$102,000,000" and inserting the following: 
'$103,500,000' 
HOUSE AMENDMENT 
t:. 
~~~. 
HOUSE AMENDMENT <D" to H.P. 1339, L.D. 1816 
Amend the bill in Part II in section 1 in Sec. JJJ-l in the 5th line (page 86, line 12 in 
L.D.) by striking out the following: 
"$102,000,000" and inserting the following: 
'$103,500,000' 
Amend the bill by inserting after Part II the following: 
'PARTJJ 
Sec. JJ-1. 36 MRSA §2896 is enacted to read: 
§2896. Hospital assessment; 2012-2013 
1. Assessment. For state fiscal year 2012-13, an assessment is imposed against each 
hospital in the State. The assessment is equal to 0.39% of net operating revenue as 
identified on the hospital's most recent audited financial statement for the hospital's fiscal 
year that ended during calendar year 2008. 
2. Return required. A person subject to the assessment imposed under this section 
shall submit to the assessor a return on a form prescribed and furnished by the assessor. 
The assessment is payable in 2 payments. The first payment is due by September 30, 
2012. The 2nd payment is due by March 30,2013. 
3. Application of revenues. All revenues received by the assessor under subsection 
must be credited to the General Fund. 
PARTKK 
Sec. KK-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding to restore the 3 % reduction in funding to certain institutes for 
mental disease. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$70,000 
$70,000 
2011-12 
$120,580 
$120,580 
HOUSE AMENDMENT 
2012-13 
$280,000 
$280,000 
2012-13 
$482,320 
$482,320 
HOUSEAMENDMENT"]}toH.P.1339,L.D.1816 
Initiative: Provides funding to allow for reimbursement to hospitals when a MaineCare 
patient is subsequently readmitted to the hospital from 3 days to 14 days following an 
inpatient admission for the same diagnosis. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$170,190 
$170,190 
2011-12 
$294,842 
$294,842 
2012-13 
$907,680 
$907,680 
2012-13 
$1,563,418 
$1,563,418 
Initiative: Restores funding reduced in this Act for outpatient services at acute care 
hospitals. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
2012-13 
$3,180,269 
$3,180,269 
2012-13 
$5,478,236 
$5,478,236 
Initiative: Restores funding reduced in this Act from reducing reimbursement for critical 
access hospitals from 109% to 105%. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2011-12 
$290,834 
$290,834 
HOUSE AMENDMENT 
2012-13 
$1,179,804 
$1,179,804 
HOUSE AMENDMENT ':P" to H.P. 1339, L.D. 1816 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$503,794 
$503,794 
2012-13 
$1,987,455 
$1,987,455 
Initiative: Restores funding reduced in this Act from limiting reimbursement for hospital 
admissions to 5 per member per year. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$91,890 
$91,890 
2011-12 
$159,176 
$159,176 
2012-13 
$490,081 
$490,081 
2012-13 
$825,573 
. $825,573 
Initiative: Restores funding reduced in this Act from reducing funding for outpatient 
services at acute care hospitals by 5%, effective July 1, 2012. 
GENERAL FUND 
All Other 
GENERAl: FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
2012-13 
$3,180,269 
$3,180,269 
2012-13 
$5,357,366 
$5,357,366 
Initiative: Restores funding reduced in this Act from reducing reimbursement for hospital 
inpatient services by 10%. 
HOUSE AMENDMENT 
HOUSE AMENDMENT 'Vto H.P. 1339, L.D. 1816 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DRS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL - ALL FUNDS 
2011-12 
$768,208 
$768,208 
2011-12 
$2,098,929 
$2,098,929 
2011-12 
$1,391,122 
$3,177,321 
$4,568,443 
2012-13 
$3,127,406 
$3,127,406 
2012-13 
$5,268,314 
$5,268,314 
2012-13 
$12,345,509 
$20,962,682 
$33,308,191 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment: 
1. 
Reduces from $7,210,000 to $2,397,939 the amount of the one-time transfer 
required by Dirigo Health in fiscal year 2012-13 to the Medical Care - Payments to 
Providers, Other Special Revenue Funds account in the Department of Health and Human 
Services for the purpose of providing a state match for federal Medicaid services; 
2. Corrects the stated effective date of the eligibility reduction for Medicaid services 
for parents with a maximum income of 200% to a maximum income of 133% of the 
nonfarm income official poverty line in the Part M initiative reducing the funding in the 
Medical Care - Payments to Providers account as a result of the one-time transfer. The 
amendment maintains the amount of the funding reduction in the Part M initiative at 
$7,210,000; 
3. Eliminates the provision that extends the 1.87% access payment to support the 
cost of Dirigo Health through June 30, 2013 and allows the rate to decrease to 1.64% on 
July 1,2012 as scheduled; 
4. Requires the Department of Health and Human Services to submit a plan by June 
30, 2013 to transition categorically eligible individuals who are enrolled in the 
MaineCare childless adult waiver program to available MaineCare coverage options by 
December 31, 2013; 
HOUSE AMENDMENT 
HOUSE AMENDMENT ',])' to H.P. 1339, L.D. 1816 
5. Increases from $102,000,000 to $103,500,000 the interfund advance from Other 
Special Revenue Funds to the General Fund unappropriated surplus required for one day 
at the end of fiscal year 2011-12; 
6. Eliminates the proposed reductions in MaineCare payments to hospitals; and 
7. Imposes on each hospital in the State a temporary assessment beginning July 1, 
2012 equal to 0.39% of net operating revenue as identified on the hospital's audited 
financial statement. 
FISCAL NOTE REQUIRED 
(See attached) I 
~ 
Of /J 
SPONSORED BY: _~---'----'~='---_"<,\",,--,-----,Y_ql)---+-~~~ 
(Representative FLOOD) 
TOWN: Winthrop 
HOUSE AMENDMENT 
Approved: 02115112 
~ac 
LD 1816 
LR 2701(06) 
An Act To Implement the Recommendations of the Streamline and Prioritize Core Government 
Services Task Force for the Fiscal Years Ending June 30, 2012 and June 30, 2013 and To Make 
Certain Other Allocations and Appropriations and Changes to the Law Necessary to the Operation of 
Net Cost (Savings) 
General Fund 
\ppropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
General Fund 
Dirigo Health Fund 
Transfers 
General Fund 
Other Special Revenue Funds 
Dirigo Health Fund 
Fiscal Detail and Notes 
State Government 
l\ 
Fiscal Note for House Amendment".u " 
Sponsor: Rep. Flood of Winthrop 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
FY 2012-13 
Projections 
FY 2013-14 
($108,878) 
($328,304) 
$12,345,509 
$1,391,122 
$3,177,321 
$0 
$0 
$1,500,000 
($1,500,000) 
$0 
$12,345,509 
$20,962,682 
$14,173,813 
($4,812,061) 
($1,500,000) 
($3,312,061) 
$4,812,061 
$12,345,509 
$20,962,682 
$0 
$0 
$0 
$0 
$0 
Projections 
FY 2014-15 
$9,985,901 
$9,985,901 
$20,962,682 
$0 
$0 
$0 
$0 
$0 
This amendment reduces the General Fund cost of the bill by $108,878 in fiscal year 2011-12 and $328,304 in fiscal 
year 2012-13. It eliminates the bill's proposed extension ofthe current 1.87% Dirigo Health access payment rate 
through June 30, 2013 and allows the rate to decrease to 1.64% on July 1,2012 as scheduled. It also reduces by 
$4,812,061 the bill's one-time transfer from the Dirigo Health Fund to the Medical Care - Payments to Providers 
program and would result in a reduction in Other Special Revenue Funds resources for the state share of MaineCare 
costs. This amendment also increases General Fund appropriations in fiscal year 2012-13 to offset reductions in 
MaineCare payments to hospitals. This General Fund cost is offset by increased revenue from the imposition of a 
temporary 0.39% hospital assessment beginning July 1, 2012 for hospital fiscal years ending during calendar year 
2008 and an increase of $1 ,500,000 in the one-day borrowing from Other Special Revenue Funds. 
LR2701(06) - Fiscal Note - Page 1 of 1