An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government and To Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2012 and June 30,
Maine Legislature, Session 125, LD 1746
Committee: Appropriations and Financial Affairs
Sponsors: ROSEN, FLOOD
Amends: 22 MRSA §3173-A, 22 MRSA §3173-C, 22 MRSA §3174-A, 22 MRSA §3174-F, 22 MRSA §3174-G, 22 MRSA §254-D, 22 MRSA §258, 22 MRSA §1711-E, 22 MRSA §2681, 22 MRSA §2685, 22 MRSA §3174-K, 24-A MRSA §4317, 24-A MRSA §5002-B, 22 MRSA §3174-Q, 22 MRSA §3174-H, 22 MRSA §3174-R, 22 MRSA §1714-B, 22 MRSA §3174-N, 22 MRSA §3174-O, 8 MRSA §1036

Legislative Document 
No. 1746
S.P. 600 
In Senate, January 5, 2012
An Act To Make Supplemental Appropriations and Allocations for 
the Expenditures of State Government and To Change Certain 
Provisions of the Law Necessary to the Proper Operations of State 
Government for the Fiscal Years Ending June 30, 2012 and June 30, 
2013 
(EMERGENCY) 
Reference to the Committee on Appropriations and Financial Affairs suggested and ordered 
printed. 
JOSEPH G. CARLETON, JR. 
Secretary of the Senate 
Presented by Senator ROSEN of Hancock.  (GOVERNOR'S BILL) 
Cosponsored by Representative FLOOD of Winthrop. 
Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, the 90-day period may not terminate until after the beginning of the next 
fiscal year; and 
Whereas, certain obligations and expenses incident to the operation of state 
departments and institutions will become due and payable immediately; 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 enacted by the People of the State of Maine as follows: 
PART A 
Sec. A-1.  Appropriations and allocations.  The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Developmental Services - Community 0122 
Initiative: Reduces funding for reimbursement in rental assistance to United States 
Department of Housing and Urban Development levels. 
Developmental Services Waiver - MaineCare 0987 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Developmental Services Waiver - MaineCare 0987 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($1,200,000)
GENERAL FUND TOTAL 
$0
($1,200,000)
GENERAL FUND 
2011-12
2012-13
All Other 
$5,808,535
$6,299,768
GENERAL FUND TOTAL 
$5,808,535
$6,299,768
Developmental Services Waiver - MaineCare 0987 
Initiative: Reduces funding to reflect savings from payment reform in the Developmental 
Services Waiver - MaineCare program. 
Developmental Services Waiver - Supports Z006 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Developmental Services Waiver - Supports Z006 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Disproportionate Share - Dorothea Dix Psychiatric Center 0734 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Disproportionate Share - Riverview Psychiatric Center 0733 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$1,190,669
GENERAL FUND TOTAL 
$0
$1,190,669
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($3,000,000)
GENERAL FUND TOTAL 
$0
($3,000,000)
GENERAL FUND 
2011-12
2012-13
All Other 
$1,967,371
$5,658,034
GENERAL FUND TOTAL 
$1,967,371
$5,658,034
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$91,346
GENERAL FUND TOTAL 
$0
$91,346
GENERAL FUND 
2011-12
2012-13
Personal Services 
$0
$73,700
GENERAL FUND TOTAL 
$0
$73,700
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Dorothea Dix Psychiatric Center 0120 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
FHM - Substance Abuse 0948 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Medicaid Services - Developmental Services 0705 
Initiative: Reduces funding by eliminating targeted case management services as an 
optional service in the MaineCare program. 
Medicaid Services - Developmental Services 0705 
Initiative: Reduces funding by eliminating private nonmedical institution services as an 
optional service in the MaineCare program effective July 1, 2012. 
GENERAL FUND 
2011-12
2012-13
Personal Services 
$0
$111,280
All Other 
$0
$40,232
GENERAL FUND TOTAL 
$0
$151,512
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
Personal Services 
$0
($73,700)
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
($73,700)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
$17,976
FUND FOR A HEALTHY MAINE TOTAL 
$0
$17,976
GENERAL FUND 
2011-12
2012-13
All Other 
($389,340)
($1,772,320)
GENERAL FUND TOTAL 
($389,340)
($1,772,320)
Medicaid Services - Developmental Services 0705 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Medicaid Services - Developmental Services 0705 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Mental Health Services - Child Medicaid 0731 
Initiative: Reduces funding by eliminating optional coverage under the MaineCare 
program for persons 19 and 20 years of age with income less than or equal to 150% of the 
nonfarm income official poverty line. 
Mental Health Services - Child Medicaid 0731 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
$0
($83,408)
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
($83,408)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$1,201,050
GENERAL FUND TOTAL 
$0
$1,201,050
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$592,079
GENERAL FUND TOTAL 
$0
$592,079
GENERAL FUND 
2011-12
2012-13
All Other 
($64,775)
($351,600)
GENERAL FUND TOTAL 
($64,775)
($351,600)
GENERAL FUND 
2011-12
2012-13
All Other 
$5,290,051
$4,709,869
GENERAL FUND TOTAL 
$5,290,051
$4,709,869
Mental Health Services - Child Medicaid 0731 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Mental Health Services - Child Medicaid 0731 
Initiative: Reduces funding by reducing optional coverage for children who are 
behaviorally challenged and who are in a residential setting. 
Mental Health Services - Children 0136 
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program 
for families with income greater or equal to 150% but less than 200% of the nonfarm 
income official poverty line as the result of contributions from the Dirigo Health Fund to 
provide MaineCare seed for the program. 
Mental Health Services - Children 0136 
Initiative: Reduces funding by reducing contracts for residential services. 
Mental Health Services - Community 0121 
Initiative: Reduces funding by limiting the availability of mental health crisis intervention 
to persons who experience severe and persistent mental illness. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$470,754
GENERAL FUND TOTAL 
$0
$470,754
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($500,000)
GENERAL FUND TOTAL 
$0
($500,000)
GENERAL FUND 
2011-12
2012-13
All Other 
($17,392)
($94,426)
GENERAL FUND TOTAL 
($17,392)
($94,426)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($1,250,000)
GENERAL FUND TOTAL 
$0
($1,250,000)
Mental Health Services - Community Medicaid 0732 
Initiative: Reduces funding by eliminating optional coverage under the MaineCare 
program for persons 19 and 20 years of age with income less than or equal to 150% of the 
nonfarm income official poverty line. 
Mental Health Services - Community Medicaid 0732 
Initiative: Reduces funding by eliminating private nonmedical institution services as an 
optional service in the MaineCare program effective July 1, 2012. 
Mental Health Services - Community Medicaid 0732 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($2,084,746)
GENERAL FUND TOTAL 
$0
($2,084,746)
FEDERAL BLOCK GRANT FUND 
2011-12
2012-13
All Other 
$0
($91,369)
FEDERAL BLOCK GRANT FUND TOTAL 
$0
($91,369)
GENERAL FUND 
2011-12
2012-13
All Other 
($37,593)
($204,059)
GENERAL FUND TOTAL 
($37,593)
($204,059)
GENERAL FUND 
2011-12
2012-13
All Other 
$0 ($12,754,745)
GENERAL FUND TOTAL 
$0 ($12,754,745)
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
$0
($341,170)
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
($341,170)
Office of Substance Abuse - Medicaid Seed 0844 
Initiative: Reduces funding by eliminating private nonmedical institution services as an 
optional service in the MaineCare program effective July 1, 2012. 
Office of Substance Abuse - Medicaid Seed 0844 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Office of Substance Abuse - Medicaid Seed 0844 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
Riverview Psychiatric Center 0105 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$614,409
GENERAL FUND TOTAL 
$0
$614,409
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
$0
($89,487)
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
($89,487)
GENERAL FUND 
2011-12
2012-13
All Other 
$983,953
$869,928
GENERAL FUND TOTAL 
$983,953
$869,928
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$53,748
GENERAL FUND TOTAL 
$0
$53,748
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
Personal Services 
$0
($111,280)
All Other 
$0
($40,232)
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
($151,512)
Traumatic Brain Injury Seed Z042 
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal 
Medical Assistance Percentage. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Bureau of Medical Services 0129 
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program 
for families with income greater or equal to 150% but less than 200% of the nonfarm 
income official poverty line as the result of contributions from the Dirigo Health Fund to 
provide MaineCare seed for the program. 
Departmentwide 0640 
Initiative: Reduces funding from salary savings.  Notwithstanding any other provision of 
law, the State Budget Officer shall calculate the amount of savings in this Part that 
applies to each General Fund account in the Department of Health and Human Services 
and shall transfer the amounts by financial order upon the approval of the Governor. 
These transfers are considered adjustments to appropriations in fiscal year 2011-12. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$1,669
GENERAL FUND TOTAL 
$0
$1,669
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
2011-12
2012-13
GENERAL FUND 
$13,540,810
($1,233,361)
FUND FOR A HEALTHY MAINE 
$0
$17,976
OTHER SPECIAL REVENUE FUNDS 
$0
($739,277)
FEDERAL BLOCK GRANT FUND 
$0
($91,369)
DEPARTMENT TOTAL - ALL FUNDS 
$13,540,810
($2,046,031)
GENERAL FUND 
2011-12
2012-13
All Other 
($44,413)
($241,124)
GENERAL FUND TOTAL 
($44,413)
($241,124)
FHM - Bureau of Health 0953 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Donated Dental 0958 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Drugs for the Elderly and Disabled Z015 
Initiative: Reduces funding by eliminating the coinsurance deductible and copay for 
prescription drugs and the payment of Medicare Part D premiums for certain individuals 
receiving benefits from the Low-cost Drugs To Maine's Elderly program. 
FHM - Drugs for the Elderly and Disabled Z015 
Initiative: Reduces funding by reducing the number of prescriptions for brand name drugs 
for which reimbursement is allowed from 4 to 2 per month unless the prescription is 
determined to be medically necessary. 
GENERAL FUND 
2011-12
2012-13
Personal Services 
($5,000,000)
($3,000,000)
GENERAL FUND TOTAL 
($5,000,000)
($3,000,000)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0 ($10,783,273)
FUND FOR A HEALTHY MAINE TOTAL 
$0 ($10,783,273)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
($36,463)
FUND FOR A HEALTHY MAINE TOTAL 
$0
($36,463)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
($247,964)
($1,322,475)
FUND FOR A HEALTHY MAINE TOTAL 
($247,964)
($1,322,475)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
($55,880)
($279,402)
FHM - Drugs for the Elderly and Disabled Z015 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Family Planning 0956 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Head Start 0959 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Immunization Z048 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
FHM - Medical Care 0960 
FUND FOR A HEALTHY MAINE TOTAL 
($55,880)
($279,402)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0 ($10,332,353)
FUND FOR A HEALTHY MAINE TOTAL 
$0 ($10,332,353)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
($401,430)
FUND FOR A HEALTHY MAINE TOTAL 
$0
($401,430)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
($700,000)
($1,354,580)
FUND FOR A HEALTHY MAINE TOTAL 
($700,000)
($1,354,580)
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
($1,078,884)
FUND FOR A HEALTHY MAINE TOTAL 
$0
($1,078,884)
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal 
Medical Assistance Percentage. 
FHM - Medical Care 0960 
Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in 
the Medical Care - Payments to Providers program and reducing funding in the FHM - 
Medical Care program to reflect a redistribution of funding within the Fund for a Healthy 
Maine. 
FHM - Purchased Social Services 0961 
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy 
Maine. 
Head Start 0545 
Initiative: Eliminates funding for the Head Start program. 
IV-E Foster Care/Adoption Assistance 0137 
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal 
Medical Assistance Percentage. 
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
$113,010
FUND FOR A HEALTHY MAINE TOTAL 
$0
$113,010
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$1,003,844
$25,031,096
FUND FOR A HEALTHY MAINE TOTAL 
$1,003,844
$25,031,096
FUND FOR A HEALTHY MAINE 
2011-12
2012-13
All Other 
$0
($3,942,236)
FUND FOR A HEALTHY MAINE TOTAL 
$0
($3,942,236)
GENERAL FUND 
2011-12
2012-13
All Other 
($800,000)
($2,448,875)
GENERAL FUND TOTAL 
($800,000)
($2,448,875)
Low-cost Drugs To Maine's Elderly 0202 
Initiative: Reduces funding by eliminating the coinsurance deductible and copay for 
prescription drugs and the payment of Medicare Part D premiums for certain individuals 
receiving benefits from the Low-cost Drugs To Maine's Elderly program. 
Low-cost Drugs To Maine's Elderly 0202 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Medical Care - Payments to Providers 0147 
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program 
for families with income greater or equal to 150% but less than 200% of the nonfarm 
income official poverty line as the result of contributions from the Dirigo Health Fund to 
provide MaineCare seed for the program. 
Medical Care - Payments to Providers 0147 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$13,579
GENERAL FUND TOTAL 
$0
$13,579
GENERAL FUND 
2011-12
2012-13
All Other 
($836,743)
($4,462,786)
GENERAL FUND TOTAL 
($836,743)
($4,462,786)
GENERAL FUND 
2011-12
2012-13
All Other 
$1,401,437
$0
GENERAL FUND TOTAL 
$1,401,437
$0
GENERAL FUND 
2011-12
2012-13
All Other 
($410,995)
($2,231,331)
GENERAL FUND TOTAL 
($410,995)
($2,231,331)
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
$472,800
$2,556,881
OTHER SPECIAL REVENUE FUNDS TOTAL 
$472,800
$2,556,881
Initiative: Reduces funding by eliminating optional coverage under the MaineCare 
program for families who are covered above mandatory federal levels. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating optional coverage under the MaineCare 
program for persons 19 and 20 years of age with income less than or equal to 150% of the 
nonfarm income official poverty line. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating adult family care as an optional service in the 
MaineCare program. 
GENERAL FUND 
2011-12
2012-13
All Other 
($2,184,239)
($8,533,575)
GENERAL FUND TOTAL 
($2,184,239)
($8,533,575)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($5,791,515) ($30,571,405)
FEDERAL EXPENDITURES FUND TOTAL 
($5,791,515) ($30,571,405)
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
($1,159,127)
($9,614,390)
OTHER SPECIAL REVENUE FUNDS TOTAL 
($1,159,127)
($9,614,390)
GENERAL FUND 
2011-12
2012-13
All Other 
($993,649)
($5,393,575)
GENERAL FUND TOTAL 
($993,649)
($5,393,575)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($1,898,564) ($10,021,863)
FEDERAL EXPENDITURES FUND TOTAL 
($1,898,564) ($10,021,863)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating ambulatory surgical center services as an 
optional service in the MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating consumer-directed attendant services as an 
optional service in the MaineCare program. 
Medical Care - Payments to Providers 0147 
GENERAL FUND 
2011-12
2012-13
All Other 
($40,810)
($220,068)
GENERAL FUND TOTAL 
($40,810)
($220,068)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($68,641)
($362,332)
FEDERAL EXPENDITURES FUND TOTAL 
($68,641)
($362,332)
GENERAL FUND 
2011-12
2012-13
All Other 
($17,200)
($93,274)
GENERAL FUND TOTAL 
($17,200)
($93,274)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($28,155)
($148,619)
FEDERAL EXPENDITURES FUND TOTAL 
($28,155)
($148,619)
GENERAL FUND 
2011-12
2012-13
All Other 
($449,605)
($2,440,130)
GENERAL FUND TOTAL 
($449,605)
($2,440,130)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($772,450)
($4,077,499)
FEDERAL EXPENDITURES FUND TOTAL 
($772,450)
($4,077,499)
Initiative: Reduces funding by eliminating targeted case management services as an 
optional service in the MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating dental services as an optional service in the 
MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating occupational therapy as an optional service in 
the MaineCare program. 
GENERAL FUND 
2011-12
2012-13
All Other 
($94,312)
($429,320)
GENERAL FUND TOTAL 
($94,312)
($429,320)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($908,725)
($4,846,533)
FEDERAL EXPENDITURES FUND TOTAL 
($908,725)
($4,846,533)
GENERAL FUND 
2011-12
2012-13
All Other 
($410,611)
($2,225,611)
GENERAL FUND TOTAL 
($410,611)
($2,225,611)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($652,668)
($3,445,208)
FEDERAL EXPENDITURES FUND TOTAL 
($652,668)
($3,445,208)
GENERAL FUND 
2011-12
2012-13
All Other 
($78,846)
($426,996)
GENERAL FUND TOTAL 
($78,846)
($426,996)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating vision services as an optional service in the 
MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating physical therapy as an optional service in the 
MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating podiatry services as an optional service in the 
MaineCare program. 
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($124,966)
($659,650)
FEDERAL EXPENDITURES FUND TOTAL 
($124,966)
($659,650)
GENERAL FUND 
2011-12
2012-13
All Other 
($151,826)
($823,447)
GENERAL FUND TOTAL 
($151,826)
($823,447)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($250,663)
($1,323,161)
FEDERAL EXPENDITURES FUND TOTAL 
($250,663)
($1,323,161)
GENERAL FUND 
2011-12
2012-13
All Other 
($97,657)
($529,071)
GENERAL FUND TOTAL 
($97,657)
($529,071)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($158,352)
($835,885)
FEDERAL EXPENDITURES FUND TOTAL 
($158,352)
($835,885)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating private nonmedical institution services as an 
optional service in the MaineCare program effective July 1, 2012. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating sexually transmitted disease screening clinic 
services as an optional service in the MaineCare program. 
GENERAL FUND 
2011-12
2012-13
All Other 
($68,407)
($370,903)
GENERAL FUND TOTAL 
($68,407)
($370,903)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($110,904)
($585,423)
FEDERAL EXPENDITURES FUND TOTAL 
($110,904)
($585,423)
GENERAL FUND 
2011-12
2012-13
All Other 
$0 ($47,637,039)
GENERAL FUND TOTAL 
$0 ($47,637,039)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0 ($104,043,080)
FEDERAL EXPENDITURES FUND TOTAL 
$0 ($104,043,080)
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
($319,609)
($5,113,739)
OTHER SPECIAL REVENUE FUNDS TOTAL 
($319,609)
($5,113,739)
GENERAL FUND 
2011-12
2012-13
All Other 
($40,397)
($217,951)
GENERAL FUND TOTAL 
($40,397)
($217,951)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating chiropractic services as an optional service in 
the MaineCare program. 
Medical Care - Payments to Providers 0147 
Initiative: Adjusts funding in fiscal year 2011-12 as a result of contributions from the 
Dirigo Health Fund to provide MaineCare seed for the childless adult waiver. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by reducing reimbursement for critical access hospitals from 
109% to 105%. 
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($45,771)
($241,610)
FEDERAL EXPENDITURES FUND TOTAL 
($45,771)
($241,610)
GENERAL FUND 
2011-12
2012-13
All Other 
($69,199)
($375,344)
GENERAL FUND TOTAL 
($69,199)
($375,344)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($114,901)
($606,525)
FEDERAL EXPENDITURES FUND TOTAL 
($114,901)
($606,525)
GENERAL FUND 
2011-12
2012-13
All Other 
($10,000,000)
$0
GENERAL FUND TOTAL 
($10,000,000)
$0
OTHER SPECIAL REVENUE FUNDS 
2011-12
2012-13
All Other 
$10,000,000
$0
OTHER SPECIAL REVENUE FUNDS TOTAL 
$10,000,000
$0
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by reducing the number of prescriptions for brand name drugs 
for which reimbursement is allowed from 4 to 2 per month unless the prescription is 
determined to be medically necessary. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by limiting reimbursement to 15 outpatient hospital visits per 
year. 
Medical Care - Payments to Providers 0147 
GENERAL FUND 
2011-12
2012-13
All Other 
($290,834)
($1,179,804)
GENERAL FUND TOTAL 
($290,834)
($1,179,804)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($503,794)
($1,987,455)
FEDERAL EXPENDITURES FUND TOTAL 
($503,794)
($1,987,455)
GENERAL FUND 
2011-12
2012-13
All Other 
($1,168,120)
($5,840,598)
GENERAL FUND TOTAL 
($1,168,120)
($5,840,598)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($2,023,465)
($9,838,860)
FEDERAL EXPENDITURES FUND TOTAL 
($2,023,465)
($9,838,860)
GENERAL FUND 
2011-12
2012-13
All Other 
($277,540)
($1,480,214)
GENERAL FUND TOTAL 
($277,540)
($1,480,214)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($480,766)
($2,493,515)
FEDERAL EXPENDITURES FUND TOTAL 
($480,766)
($2,493,515)
Initiative: Reduces funding by limiting reimbursement for hospital admissions to 5 per 
member per year. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by limiting the use of Suboxone for the treatment of opioid 
dependency to coverage for a 2-year period. 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
GENERAL FUND 
2011-12
2012-13
All Other 
($91,890)
($490,081)
GENERAL FUND TOTAL 
($91,890)
($490,081)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($159,176)
($825,573)
FEDERAL EXPENDITURES FUND TOTAL 
($159,176)
($825,573)
GENERAL FUND 
2011-12
2012-13
All Other 
($147,563)
$0
GENERAL FUND TOTAL 
($147,563)
$0
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($1,082,650)
$0
FEDERAL EXPENDITURES FUND TOTAL 
($1,082,650)
$0
GENERAL FUND 
2011-12
2012-13
All Other 
$91,805,960
$38,142,642
GENERAL FUND TOTAL 
$91,805,960
$38,142,642
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding from the elimination of the childless adult waiver program. 
Medical Care - Payments to Providers 0147 
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal 
Medical Assistance Percentage. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by eliminating the reimbursement for smoking cessation 
products. 
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$207,077,368
$124,626,202
FEDERAL EXPENDITURES FUND TOTAL 
$207,077,368
$124,626,202
GENERAL FUND 
2011-12
2012-13
All Other 
$0 ($22,000,000)
GENERAL FUND TOTAL 
$0 ($22,000,000)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0 ($37,060,403)
FEDERAL EXPENDITURES FUND TOTAL 
$0 ($37,060,403)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$6,997,873
GENERAL FUND TOTAL 
$0
$6,997,873
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0 ($10,382,324)
FEDERAL EXPENDITURES FUND TOTAL 
$0 ($10,382,324)
GENERAL FUND 
2011-12
2012-13
All Other 
($80,000)
($430,000)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding for outpatient services at acute care hospitals by 5%, effective 
July 1, 2012. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by reducing optional coverage for children who are 
behaviorally challenged and who are in a residential setting. 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding to reflect savings from payment reform in the Developmental 
Services Waiver - MaineCare program. 
GENERAL FUND TOTAL 
($80,000)
($430,000)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($138,580)
($724,363)
FEDERAL EXPENDITURES FUND TOTAL 
($138,580)
($724,363)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($3,180,269)
GENERAL FUND TOTAL 
$0
($3,180,269)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0
($5,357,366)
FEDERAL EXPENDITURES FUND TOTAL 
$0
($5,357,366)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0
($842,282)
FEDERAL EXPENDITURES FUND TOTAL 
$0
($842,282)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0
($5,053,691)
FEDERAL EXPENDITURES FUND TOTAL 
$0
($5,053,691)
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding by reducing reimbursement for hospital inpatient services by 
10%. 
Medical Care - Payments to Providers 0147 
Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in 
the Medical Care - Payments to Providers program and reducing funding in the FHM - 
Medical Care program to reflect a redistribution of funding within the Fund for a Healthy 
Maine. 
MR/Elderly PNMI Room and Board Z009 
Initiative: Reduces funding by eliminating adult family care as an optional service in the 
MaineCare program. 
MR/Elderly PNMI Room and Board Z009 
Initiative: Reduces funding by eliminating occupational therapy as an optional service in 
the MaineCare program. 
GENERAL FUND 
2011-12
2012-13
All Other 
($768,208)
($3,127,406)
GENERAL FUND TOTAL 
($768,208)
($3,127,406)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($2,098,929)
($5,268,314)
FEDERAL EXPENDITURES FUND TOTAL 
($2,098,929)
($5,268,314)
GENERAL FUND 
2011-12
2012-13
All Other 
($1,003,844) ($25,031,096)
GENERAL FUND TOTAL 
($1,003,844) ($25,031,096)
GENERAL FUND 
2011-12
2012-13
All Other 
($22,609)
($121,918)
GENERAL FUND TOTAL 
($22,609)
($121,918)
MR/Elderly PNMI Room and Board Z009 
Initiative: Reduces funding by eliminating physical therapy as an optional service in the 
MaineCare program. 
MR/Elderly PNMI Room and Board Z009 
Initiative: Reduces funding by eliminating optional coverage under the MaineCare 
program for individuals in the medically needy category. 
MR/Elderly PNMI Room and Board Z009 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Nursing Facilities 0148 
Initiative: Reduces funding by eliminating occupational therapy as an optional service in 
the MaineCare program. 
GENERAL FUND 
2011-12
2012-13
All Other 
($4,088)
($22,141)
GENERAL FUND TOTAL 
($4,088)
($22,141)
GENERAL FUND 
2011-12
2012-13
All Other 
($4,890)
($26,490)
GENERAL FUND TOTAL 
($4,890)
($26,490)
GENERAL FUND 
2011-12
2012-13
All Other 
($2,533,359) ($13,511,247)
GENERAL FUND TOTAL 
($2,533,359) ($13,511,247)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$8,210,778
GENERAL FUND TOTAL 
$0
$8,210,778
GENERAL FUND 
2011-12
2012-13
All Other 
($7,516)
($40,706)
GENERAL FUND TOTAL 
($7,516)
($40,706)
Nursing Facilities 0148 
Initiative: Reduces funding by eliminating physical therapy as an optional service in the 
MaineCare program. 
Nursing Facilities 0148 
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary 
to make cycle payments through the remainder of the 2012-2013 biennium. 
Nursing Facilities 0148 
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal 
Medical Assistance Percentage. 
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($11,088)
($58,532)
FEDERAL EXPENDITURES FUND TOTAL 
($11,088)
($58,532)
GENERAL FUND 
2011-12
2012-13
All Other 
($9,087)
($49,230)
GENERAL FUND TOTAL 
($9,087)
($49,230)
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
($13,732)
($72,488)
FEDERAL EXPENDITURES FUND TOTAL 
($13,732)
($72,488)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$7,036,142
GENERAL FUND TOTAL 
$0
$7,036,142
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0
$11,852,830
FEDERAL EXPENDITURES FUND TOTAL 
$0
$11,852,830
State-funded Foster Care/Adoption Assistance 0139 
Initiative: Eliminates funding for the supplemental services for children with complex 
emotional and behavioral needs. 
State-funded Foster Care/Adoption Assistance 0139 
Initiative: Reduces funding by reducing contracts in the family reunification program. 
State-funded Foster Care/Adoption Assistance 0139 
Initiative: Reduces funding by reducing contracts in the alternative response program. 
GENERAL FUND 
2011-12
2012-13
All Other 
$0
$1,538,014
GENERAL FUND TOTAL 
$0
$1,538,014
FEDERAL EXPENDITURES FUND 
2011-12
2012-13
All Other 
$0
($1,538,014)
FEDERAL EXPENDITURES FUND TOTAL 
$0
($1,538,014)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($1,999,984)
GENERAL FUND TOTAL 
$0
($1,999,984)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($1,007,112)
GENERAL FUND TOTAL 
$0
($1,007,112)
GENERAL FUND 
2011-12
2012-13
All Other 
$0
($1,290,000)
GENERAL FUND TOTAL 
$0
($1,290,000)
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
2011-12
2012-13
PART B 
Sec. B-1.  22 MRSA §3173-A, as reallocated by PL 1979, c. 127, §145 and 
amended by PL 2003, c. 689, Pt. B, §6, is repealed. 
PART C 
Sec. C-1.  22 MRSA §3173-C, sub-§7, as amended by PL 2009, c. 415, Pt. A, 
§12, is further amended to read: 
7.  Copayments.  Notwithstanding any other provision of law, the following 
copayments per service per day are imposed and reimbursements are reduced, or both, to 
the following levels: 
A.  Outpatient hospital services, $3; 
B.  Home health services, $3; 
C.  Durable medical equipment services, $3; 
D.   Private duty nursing and personal care services, $5 per month; 
E.  Ambulance services, $3; 
F.  Physical therapy services, $2; 
G.  Occupational therapy services, $2; 
H.  Speech therapy services, $2; 
I.  Podiatry services, $2; 
J.  Psychologist services, $2; 
GENERAL FUND 
$65,008,940 ($100,989,688)
FEDERAL EXPENDITURES FUND 
$189,638,913 ($106,792,941)
FUND FOR A HEALTHY MAINE 
$0
($4,386,990)
OTHER SPECIAL REVENUE FUNDS 
$8,994,064 ($12,171,248)
DEPARTMENT TOTAL - ALL FUNDS 
$263,641,917 ($224,340,867)
SECTION TOTALS 
2011-12
2012-13
GENERAL FUND 
$78,549,750 ($102,223,049)
FEDERAL EXPENDITURES FUND 
$189,638,913 ($106,792,941)
FUND FOR A HEALTHY MAINE 
$0
($4,369,014)
OTHER SPECIAL REVENUE FUNDS 
$8,994,064 ($12,910,525)
FEDERAL BLOCK GRANT FUND 
$0
($91,369)
SECTION TOTAL - ALL FUNDS 
$277,182,727 ($226,386,898)
K.  Chiropractic services, $2; 
L.  Laboratory and x-ray services, $1; 
M.  Optical services, $2; 
N.  Optometric services, $3; 
O.  Mental health clinic services, $2; 
P.  Substance abuse services, $2; 
Q.  Hospital inpatient services, $3 per patient day; 
R.  Federally qualified health center services, $3 per patient day, effective July 1, 
2004; and 
S.  Rural health center services, $3 per patient day. 
The department may adopt rules to adjust the copayments set forth in this subsection.  
The rules may adjust amounts to ensure that copayments are deemed nominal in amount 
and may include monthly limits or exclusions per service category.  The need to maintain 
provider participation in the Medicaid program to the extent required by 42 United States 
Code, Section 1396a(a)(30)(A) or any successor provision of law must be considered in 
any reduction in reimbursement to providers or imposition of copayments. 
PART D 
Sec. D-1.  22 MRSA §3174-A, as amended by PL 2001, c. 559, Pt. X, §5, is 
repealed. 
Sec. D-2.  Effective date.  This Part takes effect July 1, 2012. 
PART E 
Sec. E-1.  22 MRSA §3174-F, as amended by PL 1997, c. 159, §§1 and 2 and PL 
2003, c. 689, Pt. B, §6, is repealed. 
PART F 
Sec. F-1.  22 MRSA §3174-G, sub-§1, ¶D, as repealed and replaced by PL 2007, 
c. 695, Pt. C, §10, is amended to read: 
D.  A child one year of age or older and under 19 years of age when the child's family 
income is equal to or below 200% of the nonfarm income official poverty line, except 
that the department may adopt a rule that provides that children described in this 
paragraph in families with income over 150% and equal to or below 200% of the 
nonfarm income official poverty line who meet the eligibility requirements of the 
Cub Care program established under section 3174-T are eligible to participate in the 
Cub Care program instead of Medicaid. Rules adopted pursuant to this paragraph are 
routine technical rules as defined in Title 5, chapter 375, subchapter 2-A; and 
Sec. F-2.  22 MRSA §3174-G, sub-§1, ¶¶E and F, as amended by PL 2011, c. 
380, Pt. KK, §2, are repealed. 
PART G 
Sec. G-1.  22 MRSA §254-D, as amended by PL 2007, c. 240, Pt. RR, §1, is 
repealed. 
Sec. G-2.  22 MRSA §258, sub-§1, ¶A, as amended by PL 2005, c. 401, Pt. C, 
§2, is repealed. 
Sec. G-3.  22 MRSA §258, sub-§§3 to 5, as enacted by PL 2001, c. 293, §5, are 
amended to read: 
3.  Administration; components.  The department shall administer the prescription 
program.  The elderly low-cost drug program is a component of the prescription program. 
4.  Benefit eligibility.  Benefits are subject to the following provisions. 
A.  An individual enrolled in both the elderly low-cost drug program and the 
prescription program is eligible for the more generous discount authorized under 
either program in the event overlapping benefits exist. 
B.  If a drug rebate is paid for any prescription under the prescription program, a 
rebate is not due under the elderly low-cost drug program. 
C.  The department shall issue a single certificate for eligibility to an individual who 
is eligible for both the benefit under the elderly low-cost drug program and the 
benefit under the prescription program. 
5.  Copayments.  Notwithstanding section 3173-C, a beneficiary of the prescription 
program shall make the copayments authorized under the prescription program and 
the elderly low-cost drug program. 
Sec. G-4.  22 MRSA §1711-E, sub-§4, ¶C, as enacted by PL 2007, c. 460, §1, is 
amended to read: 
C.  The department shall assess an annual fee payable by October 1st each year 
beginning in 2007 on manufacturers of prescription drugs whose drugs are dispensed 
to members of the MaineCare program under chapter 855 and enrollees in the elderly 
low-cost drug program under section 254-D.  Eighty percent of the fees collected 
under this paragraph must be deposited in a separate account that does not lapse at the 
end of the fiscal year and must be used to cover the costs of the Maine Health Data 
Organization pursuant to paragraph A and section 8713.  Twenty percent of the 
assessments must be retained by the department. 
Sec. G-5.  22 MRSA §2681, sub-§3, as amended by PL 2005, c. 401, Pt. C, §3, is 
further amended to read: 
3.  Rebate agreement.  A drug manufacturer or labeler that sells prescription drugs 
in this State through the elderly low-cost drug program under section 254-D or any other 
publicly supported pharmaceutical assistance program shall enter into a rebate agreement 
with the department for this program.  The rebate agreement must require the 
manufacturer or labeler to make rebate payments to the State each calendar quarter or 
according to a schedule established by the department. 
Sec. G-6.  22 MRSA §2681, sub-§9, as amended by PL 2005, c. 401, Pt. C, §4, is 
further amended to read: 
9.  Dedicated fund.  The Maine Rx Plus Dedicated Fund, referred to in this section 
as the "fund," is established to receive revenue from manufacturers and labelers who pay 
rebates as provided in subsection 4 and any appropriations or allocations designated for 
the fund.  The purposes of the fund are to reimburse retail pharmacies for discounted 
prices provided to qualified residents pursuant to subsection 5; and to reimburse the 
department for contracted services including pharmacy claims processing fees, 
administrative and associated computer costs and other reasonable program costs; and to 
benefit the elderly low-cost drug program under section 254-D.  The fund is a nonlapsing 
dedicated fund.  Interest on fund balances accrues to the fund.  Surplus funds in the fund 
must be used for the benefit of the program.  Notwithstanding Title 5, section 1585, 
surplus funds may also be transferred to the elderly low-cost drug program established 
under section 254-D. 
Sec. G-7.  22 MRSA §2685, sub-§2, ¶E, as enacted by PL 2007, c. 327, §1, is 
repealed. 
Sec. G-8.  22 MRSA §2685, sub-§4, as enacted by PL 2007, c. 327, §1, is 
amended to read: 
4.  Program coverage.  The program must provide outreach and education to 
prescribers and dispensers who participate in, contract with or are reimbursed by state-
funded health care programs, including but not limited to the MaineCare program, the 
Maine Rx Plus Program, Dirigo Health insurance, the elderly low-cost drug program and 
the state employee health insurance program.  The program may provide outreach and 
education to carriers, health plans, hospitals, employers and other persons interested in 
the program on a subscription or fee-paying basis under rules adopted by the department. 
Sec. G-9.  22 MRSA §2685, sub-§5, as amended by PL 2011, c. 461, §2, is 
further amended to read: 
5.  Funding.  The program may be funded from the General Fund, from federal funds 
and from other special revenue funds.  'Beginning April 1, 2012 each manufacturer of 
prescription drugs that are provided to Maine residents through the MaineCare program 
or the elderly low-cost drug program shall pay a fee of $500 per calendar year to the 
department to provide funding for the program.  The program may accept funds from 
nongovernmental health access foundations, the Tobacco Manufacturers Act under 
chapter 263, subchapter 3, undesignated funds associated with pharmaceutical marketing 
and pricing practices acquired through litigation or action of the Office of the Attorney 
General and fees from subscriptions, contracts and agreements with private payors as 
established by rule.  Savings achieved as a result of the program may be retained for 
operation of the program or paid into the General Fund, at the option of the department. 
Sec. G-10.  22 MRSA §3174-G, sub-§1-B, as amended by PL 2005, c. 401, Pt. 
C, §5, is repealed. 
Sec. G-11.  22 MRSA §3174-G, sub-§1-C, as amended by PL 2005, c. 401, Pt. 
C, §6, is repealed. 
Sec. G-12.  22 MRSA §3174-G, sub-§2, as enacted by PL 1989, c. 502, Pt. A, 
§72 and amended by PL 1997, c. 530, Pt. A, §34, is repealed. 
Sec. G-13.  22 MRSA §3174-G, sub-§3, as enacted by PL 1989, c. 502, Pt. A, 
§72, is repealed. 
Sec. G-14.  22 MRSA §3174-KK, sub-§3, as amended by PL 2005, c. 683, Pt. A, 
§35, is further amended to read: 
3.  Fund purposes.  Allocations from the fund must prevent any loss of services or 
increased cost of services to a MaineCare member or a person receiving benefits under 
the elderly low-cost drug program under section 254-D that would otherwise result from 
insufficient General Fund appropriations, insufficient federal matching funds or any other 
shortage of funds, changes in federal or state law, rule or policy or the implementation of 
the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003. 
Sec. G-15.  24-A MRSA §4317, sub-§3, as amended by PL 2011, c. 443, §5, is 
further amended to read: 
3.  Exception.  Subsections 1 and 2 do not apply to any medical assistance or public 
health programs administered by the Department of Health and Human Services, 
including, but not limited to, the Medicaid program and the elderly low-cost drug 
program under Title 22, section 254-D. 
Sec. G-16.  24-A MRSA §5002-B, sub-§2-A, as amended by PL 2005, c. 401, 
Pt. C, §7, is repealed. 
PART H 
Sec. H-1.  22 MRSA §3174-Q, sub-§2, as amended by PL 2009, c. 571, Pt. PPP, 
§1, is further amended to read: 
2.  Services covered.  Elimination of services covered under the program on August 
1, 1996, except when immediately necessary to comply with federal law or to comply 
with balanced budget provisions described in Title 5, section 1664, subsection 1.  The 
department may not eliminate a service if modification of that service can achieve 
compliance with federal law unless such elimination is required as a result of balanced 
budget provisions described in Title 5, section 1664, subsection 1.  Any modification may 
be made only to the extent necessary to achieve compliance with federal law or with 
balanced budget provisions described in Title 5, section 1664, subsection 1.  Any 
elimination or modification made under this subsection must be done through rulemaking 
under the Maine Administrative Procedure Act.  Rules adopted pursuant to this 
subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A. 
If the department takes action to eliminate or modify a service under this subsection, it 
shall provide notice of the rule-making proceedings to members of the Legislature. 
PART I 
Sec. I-1.  22 MRSA §3174-FF, as amended by PL 2007, c. 71, §1, is repealed. 
PART J 
Sec. J-1.  22 MRSA §3174-HH, as enacted by PL 2005, c. 401, Pt. B, §1, is 
repealed. 
PART K 
Sec. K-1.  22 MRSA §3174-RR, sub-§1, as reallocated by RR 2011, c. 1, §32, is 
amended to read: 
1.  Reimbursement.  By October 1, 2012, the department shall provide for the 
reimbursement under the MaineCare program of independent practice dental hygienists 
practicing as authorized under Title 32, section 1094-I only for members 21 years of age 
or younger for the following procedures: 
A.  Prophylaxis performed on a person who is 21 years of age or younger; 
B.  Topical application of fluoride performed on a person who is 21 years of age or 
younger; 
C.  Provision of oral hygiene instructions; 
D.  The application of sealants; 
E.  Temporary fillings; and 
F.  X-rays. 
Reimbursement must be provided to independent practice dental hygienists directly or to 
a federally qualified health center pursuant to section 3174-V when an independent 
practice dental hygienist is employed as a core provider at the center. 
PART L 
Sec. L-1.  Emergency rule-making authority; health and human services 
matters.  The Department of Health and Human Services is authorized to adopt 
emergency rules on or before June 30, 2013 under the Maine Revised Statutes, Title 5, 
sections 8054 and 8073 in order to implement those provisions of this Act over which the 
department has subject matter jurisdiction for which specific authority has not been 
provided in any other part of this Act. Notwithstanding Title 5, section 8054, subsections 
and 2, the Department of Health and Human Services is not required to find that 
immediate adoption is necessary to avoid a threat to public health, safety or general 
welfare. 
PART M 
Sec. M-1.  22 MRSA §1714-B, as amended by PL 2009, c. 213, Pt. CC, §1, is 
further amended to read: 
§1714-B.  Critical access hospital reimbursement 
For state fiscal years beginning on or after July 1, 2005 through June 30, 2009, the 
department shall reimburse licensed critical access hospitals at 117% of MaineCare 
allowable costs for both inpatient and outpatient services provided to patients covered by 
the MaineCare program.  For state fiscal years beginning on or after July 1, 2009, for 
each critical access hospital fiscal year up to but not including the hospital fiscal year 
beginning on or after April 1, 2011, the department shall reimburse licensed critical 
access hospitals at 109% 105% of MaineCare allowable costs for both inpatient and 
outpatient services provided to patients covered by the MaineCare program.  Of the total 
allocated from hospital tax revenues under Title 36, chapter 375, $1,000,000 in state and 
federal funds must be distributed annually among critical access hospitals for staff 
enhancement payments.  This section is repealed April 1, 2012. 
Sec. M-2.  22 MRSA §3174-NN, as enacted by PL 2009, c. 213, Pt. CC, §5, is 
repealed. 
Sec. M-3.  22 MRSA §3174-OO, as enacted by PL 2009, c. 213, Pt. CC, §6, is 
repealed. 
PART N 
Sec. N-1.  8 MRSA §1036, sub-§2, ¶E, as amended by PL 2011, c. 380, Pt. II, 
§1, is further amended to read: 
E.  Ten percent of the net slot machine income must be forwarded by the board to the 
State Controller to be and except as otherwise provided in this paragraph credited to 
the Fund for a Healthy Maine established by Title 22, section 1511 and segregated 
into a separate account under Title 22, section 1511, subsection 11, with the use of 
funds in the account restricted to the purposes described in Title 22, section 1511, 
subsection 6, paragraph E.  For the fiscal years ending June 30, 2010, June 30, 2011, 
and June 30, 2012 and June 30, 2013, the amount credited annually by the State 
Controller to the Fund for a Healthy Maine under this paragraph may not exceed 
$4,500,000 annually and any funds in excess of $4,500,000 annually during these 
fiscal years must be credited as General Fund undedicated revenue, and, for the fiscal 
year ending June 30, 2013, the amount credited by the State Controller to the Fund 
for a Healthy Maine under this paragraph is $0; 
PART O 
Sec. O-1.  Lapse available balance.  Notwithstanding any other provision of law, 
at the close of fiscal year 2011-12, the State Controller shall lapse $5,000,000 from the 
Bureau of Medical Services account within the Department of Health and Human 
Services to the unappropriated surplus of the General Fund. 
PART P 
Sec. P-1.  PL 2011, c. 380, Pt. JJJ, §1 is amended to read: 
Sec. JJJ-1.  Transfer from Other Special Revenue Funds to 
unappropriated surplus of the General Fund. Notwithstanding any other provision 
of law, the State Controller shall transfer $43,000,000 $102,000,000 on June 30, 2012 
from Other Special Revenue Funds to the unappropriated surplus of the General Fund. On 
July 1, 2012, the State Controller shall transfer $43,000,000 $102,000,000 from the 
General Fund unappropriated surplus to Other Special Revenue Funds as repayment. This 
transfer is considered an interfund advance. 
PART Q 
Sec. Q-1.  Transfer from unappropriated surplus; Maine Budget 
Stabilization Fund.  Notwithstanding any other provision of law, the State Controller 
shall transfer $39,500,000 during fiscal year 2012-13 from the General Fund 
unappropriated surplus to the Maine Budget Stabilization Fund within the Department of 
Administrative and Financial Services in order to ensure that funds will be available to 
fund necessary services through the Department of Health and Human Services for the 
State's most vulnerable citizens. 
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved, except as otherwise indicated. 
SUMMARY 
PART A 
This Part makes appropriations and allocations. 
PART B 
This Part repeals the requirement that MaineCare cover optional services under the 
MaineCare program for adults for physical and occupational therapy services provided to 
residents of intermediate care or skilled nursing facilities. 
PART C 
This Part repeals provisions requiring copayments from MaineCare members for 
physical therapy services, occupational therapy services, speech therapy services, 
podiatry services, chiropractic services, optical services and optometric services. These 
services are proposed for elimination from the MaineCare program subject to federal 
guidelines and approval. 
PART D 
This Part repeals the requirement that the Department of Health and Human Services 
administer a program of medical coverage for persons residing in cost reimbursement 
boarding homes effective July 1, 2012. 
PART E 
This Part repeals the requirement that the MaineCare program provide coverage for 
adult dental services as a service to Medicaid-eligible people. 
PART F 
This Part does the following. 
1.  It reduces eligibility for Medicaid services of a parent or caretaker relative of an 
eligible child from a maximum income of 200% of the nonfarm income official poverty 
line to the minimum federal requirement of no less than standard of need for Aid to 
Families with Dependent Children as of 1996, which is approximately 51% of the 
nonfarm income official poverty line. 
2.  It eliminates medical coverage for childless adults from 20 to 64 years of age. 
PART G 
This Part does the following. 
1.  It repeals the elderly low-cost drug program. 
2.  It repeals the requirement that the Department of Health and Human Services 
apply for a federal waiver to use federal matching dollars to enhance the elderly low-cost 
drug program. 
3.  It repeals the restriction on the use of a resource test by the Department of Health 
and Human Services for children and pregnant women eligible for Medicaid coverage. 
PART H 
This Part authorizes the Department of Health and Human Services to make changes 
to MaineCare service provisions if necessary to comply with state balanced budget 
provisions. 
PART I 
This Part repeals the MaineCare Basic program. 
PART J 
This Part repeals the provision authorizing the Department of Health and Human 
Services to provide prescription drug services for MaineCare members through the 
elderly low-cost drug program. 
PART K 
This Part eliminates the requirement that the MaineCare program cover optional 
dental services provided by independent practice dental hygienists to persons who are 
older than 21 years of age. 
PART L 
This Part gives the Department of Health and Human Services the authority to adopt 
emergency rules to implement any provisions of this legislation over which it has specific 
authority that has not been addressed by some other part of this legislation. 
PART M 
This Part does the following. 
1.  It reduces the reimbursement rate for critical access hospitals from 109% to 105% 
of MaineCare allowable costs and strikes the provision that repeals, effective April 1, 
2012, the section that establishes this reimbursement rate. 
2.  It repeals the provision that requires the Department of Health and Human 
Services to phase in a system to reimburse critical access hospitals for inpatient services 
under the MaineCare program based on diagnosis-related groupings. 
3.  It repeals the provision that requires the Department of Health and Human 
Services to phase in a system to reimburse critical access hospitals for outpatient services 
under the MaineCare program based on ambulatory payment classifications. 
PART N 
This Part eliminates the transfer of up to $4,500,000 of slot machine income to the 
Fund for a Healthy Maine for the fiscal year ending June 30, 2013. 
PART O 
This Part lapses $5,000,000 from the Bureau of Medical Services account within the 
Department of Health and Human Services to the unappropriated surplus of the General 
Fund at the end of fiscal year 2011-12. 
PART P 
This Part increases 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-
from $43,000,000 to $102,000,000. 
PART Q 
This Part transfers $39,500,000 from the General Fund unappropriated surplus to the 
Maine Budget Stabilization Fund during fiscal year 2012-13 in order to ensure funds will 
be available to fund services through the Department of Health and Human Services for 
the State's most vulnerable citizens.