An Act To Protect the State from Accumulating Future Hospital Debt
Maine Legislature, Session 125, LD 0831
Committee Amendment CA_A_H581 (House)

COMMITTEE AMENDMENT "A" to H.P. 628, L.D. 831, Bill, "An Act To 
Protect the State from Accumulating Future Hospital Debt" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Protect the State from Accumulating Future Hospital Debt' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. Payment of hospitals for MaineCare services. Resolved: That the 
provisions of this section apply to reimbursement under the MaineCare program for 
hospital services provided to MaineCare members perfonned beginning on the date on 
which a new reimbursement mechanism is implemented by the Department of Health and 
Human Services, referred to in this resolve as "the department." No later than 12 months 
following the department's receipt of a hospital's as-filed Medicare cost report and 
MaineCare supplemental data fonn, the department shall make interim settlement 
payments, if any, to the hospital. The interim settlement payments must be calculated 
using the same method as was used for prior prospective interim payments, except that 
the data source used for inpatient calculations is discharges and charges included in the 
MaineCare paid claims history for the year for which settlement is being perfonned. Any 
other calculations required in making the interim settlement payment must be based on 
the hospital's as-filed Medicare cost report, the MaineCare supplemental data fonn and 
the MaineCare paid claims history for the year for which settlement is being performed; 
and be it further 
Sec. 2. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates and allocates funds for hospital settlements. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ,A" to H.P. 628, L.D. 831 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
. SUMMARY 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
2012-13 
$11,475,187 
$11,475,187 
2012-13 
$19,766,813 
$19,766,813 
This amendment is the majority report of the committee. This amendment changes 
the bill to a resolve and requires the Department of Health and Human Services to use 
current hospital cost reports to calculate amounts owed to hospitals and to pay any 
amounts due within one year of receiving the reports. It also adds an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/06111 
~ac:.. 
LD 831 
LR 1237(02) 
An Act To Protect the State from Accumulating Future Hospital Debt 
Fiscal Note for Bill as Amended by Committee Amendment t1( 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
FY 2012-13 
Projections 
FY 2013-14 
Projections 
FY 2014-15 
Net Cost (Savings) 
General Fund 
$0 
$11,475,187 
$11,475,187 
$11,475,187 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
$0 
$0 
$11,475,187 
$19,766,813 
$11,475,187 
$19,766,813 
$11,475,187 
$19,766,813 
Provides a General Fund appropriation of$11,475,187 in 2012-13 to pay MaineCare hospital settlements within one 
year of receiving the hospitals' as-filed cost reports. 
LRI237(02) - Fiscal Note - Page 1 of 1