An Act To Limit Payment for Care and Treatment of Residents of State Institutions
Maine Legislature, Session 125, LD 1628
Committee Amendment CA_A_S468 (Senate)

COMMITTEE AMENDMENT" A" to S.P. 538, L.D. 1628, Bill, "An Act To Limit 
Payment for Care and Treatment of Residents of State Institutions" 
Amend the bill in section 5 in paragraph C in the 4th and 5th lines (page 1, lines 24 
and 25 in L.D.) by striking out the following: ", as established by rule by the department 
for the MaineCare program under Title 22" and inserting the following: 'under the 
Medicare fee schedule' 
Amend the bill by adding after section 6 the following: 
'Sec. 7. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Disproportionate Share - Dorothea Dix Psychiatric Center 0734 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Disproportionate Share - Riverview Psychiatric Center 0733 
2011-12 
$0 
$0 
2012-13 
($5,630) 
($5,630) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
COMMITTEE AMENDMENT 
,!l-"\,. 
.~,,' 
COMMITTEE AMENDMENT" A" to S.P. 538, L.D. 1628 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Dorothea Dix Psychiatric Center 0120 
2011-12 
$0 
$0 
2012-13 
($45,191) 
($45,191) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Dorothea Dix Psychiatric Center 0120 
2011-12 
$0 
$0 
2012-13 
($2,970) 
($2,970) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Dorothea Dix Psychiatric Center 0120 
2011-12 
$0 
$0 
2012-13 
($9,810) 
($9,810) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHERSPEC~LREVENUEFUNDSTOTAL 
Riverview Psychiatric Center 0105 
2011-12 
$0 
$0 
2012-13 
($1,590) 
($1,590) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
COMMITTEE AMENDMENT 
.~ 
.)~, 
COMMITTEE AMENDMENT" A" to S.P. 538, L.D. 1628 
GENERAL FUND 
All Other 
GENE~\LFUNDTOTAL 
Riverview Psychiatric Center 0105 
2011-12 
$0 
$0 
2012-13 
($9,288) 
($9,288) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Riverview Psychiatric Center 0105 
2011-12 
$0 
$0 
2012-13 
($78,181) 
($78,181) 
Initiative: Reduces funding from savings from limiting reimbursement for medical 
services provided to a resident of a state institution outside of a state institution to the 
Medicare rate. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
$0 
2012-13 
($7,340) 
($7,340) 
2012-13 
($63,079) 
($96,921) 
($160,000) 
SUMMARY 
This amendment, which is the maj ority report of the committee, sets a reimbursement 
rate for medical services provided to a resident of a state institution off the premises of 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" A" to S.P. 538, L.D. 1628 
the state institution at the level of Medicare rather than at the rates set by the Department 
of Health and Human Services for the MaineCare program. It also adds an appropriations 
and allocations section to the bill. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/09112 
~ac 
LD 1628 
LR 2492(02) 
An Act To Limit Payment for Care and Treatment of Residents of State Institutions 
Fiscal Note for Bill as Amended by Committee Amendment "1\" s -Iffo ~ 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Other Special Revenue Funds 
Revenue 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
$0 
$0 
$0 
$0 
FY 2012-13 
($63,079) 
($63,079) 
($96,921) 
($96,921) 
Projections 
FY 2013-14 
($63,079) 
($63,079) 
($96,921) 
($96,921) 
Projections 
FY 2014-15 
($63,079) 
($63,079) 
($96,921) 
($96,921) 
The General Fund savings associated with limiting reimbursement for medical services provided to a resident of a 
state institution outside of the state institution to the Medicare rate is estimated to be $63,079 in fiscal year 2012-13. 
The Other Special Revenue Funds savings and corresponding reduction in revenue is estimated to be $96,921 in fiscal 
year 2012-13. 
LR2492(02) - Fiscal Note - Page 1 of 1