Resolve, Directing the Department of Health and Human Services To Complete the Redesign of a Shared Living Program for Adults with Intellectual Disabilities
Maine Legislature, Session 125, LD 0376
Committee Amendment CA_A_H81 (House)

:FIRST REGULAR SESSION 
COMMITTEE AMENDMENT ,J~ "to H.P. 302, L.D. 376, "Resolve, Directing the 
Department of Health and Human Services To Complete the Redesign of a Shared Living 
Program for Adults with Intellectual Disabilities" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Complete the Timely and Appropriate Redesign of Shared Living 
Services for Adults with Intellectual Disabilities and Autism' 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, shared living is an appropriate and cost-effective option for many adults 
with cognitive and intellectual disabilities and autism; and 
Whereas, the Department of Health and Human Services began redesign efforts for 
a shared living program July 1, 2010 and booked savings in this program; and 
Whereas, the initial redesign has occurred and substantial actions to clarify 
respective roles of administering agencies, host families and department employees have 
occurred; and 
Whereas, portions of the redesign remain unresolved; and 
Whereas, residential supports for over 450 individuals with intellectual disabilities 
and autism are critical services that require additional redefinition; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it 
COMMITTEE A ENDMENT 
COMMITTEE AMENDMENT" 
"to H.P. 302, L.D. 376 
Sec. 1. Redesign. Resolved: That the Department of Health and Human Services 
shall continue to work on the redesign of its shared living program that began July 1, 
2010 with the stakeholder group that was established by the Commissioner of Health and 
Human Services. The redesign work must include the following: 
1. The development of a tiered reimbursement system for host home providers that is 
within the limits of existing resources and that reflects the intensity of supports required 
by the individual, based on an objective needs assessment process; 
2. Analysis of the efficacy and appropriateness of host families becoming providers 
of record under MaineCarc rules and refinement and clarification of host families being 
defined as independent contractors; 
3. 
Amendment of the rules regarding the MaineCare program home-based and 
community-based waiver to include a clear definition of shared living services; and 
4. Review of the handbook and allocation of responsibilities that took effect October 
1, 2010 to assess the pro gress in properly assigning tasks and responsibilities among host 
home providers, oversight agencies and case managers for the Department of Health and 
Human Services. 
The Department of Health and Human Services shall provide progress reports to the 
Joint Standing Committee on Health and Human Services on the shared living program 
redesign by September 1, 2011 and December 15, 2011. 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment replaces the resolve. 
It requires the Department. of Health and 
. Human Services to continue to work on the redesign of its shared living program and to 
report on its progress to the Joint Standing Committee on Health and Human Services by 
September 1,2011 and December 15, 2011. 
.FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMEND ENT 
Approved: 03/22/11 p/ae.. 
125th MAINE LEGISLATUJlli 
LD376 
IJ{ 912(02) 
Resolve, Directing the Department of Health and Human Services To Complete the Redesign of a 
Shared Living Program for Adults with Intellectual Disabilities 
li'jscal Note for Bm as Amended by Committee Amendment 'A" 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
The additional costs to the Department of Health and Human Services can be absorbed utilizing existing budgeted 
resources. 
LR0912(02) - Fiscal Note - Page 1 of 1