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 II Make Certain Other Allocations and Appropriations and Changes to the Law Necessary to the Operation of State Government
Maine Legislature, Session 125, LD 1816
Senate Amendment SA_C_S381 (Senate)

SENATE AMENDMENT" C ,,' 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 
II 
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 of Part AA (page 83, lines 16 to 40 in L.D.) 
Amend the bill by inserting at the end before the emergency clause the following: 
'PART JJ 
Sec. JJ-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: Restores funding reduced in this Act as a result of a one-time transfer from the 
Dirigo Health Fund to the Medical Care - Payments to Providers program as a result of 
reducing 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 
September 1,2012. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
2011-12 
$0 
$0 
2011-12 
$0 
SENATE AMENDMENT 
2012-13 
$7,210,000 
$7,210,000 
2012-13 
$12,421,096 
SENATE AMENDMENT "e" to H.P. 1339, L.D. 1816 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$12,421,096 
Medical Care - Payments to Providers 0147 
Initiative: Reduces funding from increasing the number of MaineCare members receiving 
care management services under the department's emergency department collaborative 
management initiative to encourage more appropriate utilization of emergency 
departments, promote better health outcomes and increase savings. 
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 
($2,228,571 ) 
($2,228,571 ) 
2012-13 
($3,838,870) 
($3,838,870) 
Initiative: Reduces funding by reducing reimbursement rates for hospital emergency 
room visits that are more appropriately treated in a primary care setting to $100 per visit. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
2011-12 
$0 
$0 
2012-13 
($6,000,000) 
($6,000,000) 
2011-12 
2012-13 
$0 ($10,335,421) 
$0 ($10,335,421) 
2011-12 
2012-13 
$0 
($1,018,571) 
$0 
($1,753,195) 
SENATE AMENDMENT 
'. 
SENATEAMENDMENT"C"toH.P.1339,L.D.1816 
DEPARTMENT TOTAL-ALL FUNDS 
$0 
($2,771,766) 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment restores funding for MaineCare eligibility for parents earning up to 
200% of the nonfarm income official poverty line, and offsets those costs by increasing 
savings through hospital emergency care management and reimbursement reform for 
hospital emergency care services. 
FISCAL NOTE REQUIRED 
SPONSORED BY: 
----~-------------------------
:!J;JAhedl 
(Senator DILL) 
COUNTY: Cumberland 
SENATE AMENDMENT 
Approved: 02/14/12 
~ac 
LD 1816 
LR 2701(13) 
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 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Transfers 
Other Special Revenue Funds 
Dirigo Health Fund 
Fiscal Detail and Notes 
Fiscal Note for Senate Amendment "C" '5-3«, 
Sponsor: Sen. Dill of Cumberland 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
$0 
$0 
$0 
$0 
$0 
FY 2012-13 
Projections 
FY 2013-14 
Projections 
FY 2014-15 
($1,018,571) 
($8,228,571) 
($8,228,571 
($1,018,571) 
($8,228,571) 
($8,228,571) 
($1,753,195) 
($14,174,291) 
($14,174,291) 
($7,210,000) 
$7,210,000 
$0 
$0 
$0 
$0 
This amendment reduces the net General Fund cost of the bill by $1,018,571 in fiscal year 2012-13 and a balanced 
budgt is maintained for the 2012-2013 biennium. It restores funding for MaineCare eligibility for parents from 133% 
to 200% of the federal poverty level that is offset by a de appropriation of funds as a result of MaineCare payments to 
hospitals for decreased emergency department utilization and a reduction in MaineCare reimbursement rates paid for 
emergency department visits. 
LR2701(13) - Fiscal Note - Page 1 of 1