An Act To Improve Education about and Awareness of Maine's Health Laws and Resources
Maine Legislature, Session 126, LD 1719
Committee Amendment CA_A_H844 (House)

COMMITTEE AMENDMENT "A" to H.P. 1229, L.D. 1719, Bill, "An Act To 
Improve Education about and Awareness of Maine's Health Laws and Resources" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Improve Education about and Awareness of Maine's Health Laws and 
Resources and To Increase the Reimbursement Rate for Adult Day Services' 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 
Transfer; Fund for a Healthy Maine; General Fund. 
Notwithstanding any other provision of law, the State Controller shall transfer $175,032 
from the Fund for a Healthy Maine to the unappropriated surplus of the General Fund no 
later than June 30, 2015. 
Sec. 2. Department of Health and Human Services directed to increase 
reimbursement rates for adult day services. 
The Department of Health and 
Human Services shall increase reimbursement rates for adult day services programs in 
Chapter 101: MaineCare Benefits Manual, Chapter II, Sections 19 and 26 and Chapter 5: 
Office of Elder Services Policy Manual, Sections 61 and 63 to $12 per hour beginning 
July 1,2014. 
Sec. 3. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Office of Substance Abuse and Mental Health Services 0679 
Initiative: Allocates funds on a one-time basis for education and outreach on marijuana 
use and its impact on youth based on the office's marijuana workgroup's 
recommendations. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 1229, L.D. 1719 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Office of Substance Abuse and Mental Health Services 0679 
2013-14 
$0 
$0 
2014-15 
$150,000 
$150,000 
Initiative: Allocates funds on a one-time basis to fund community health coalitions to 
improve school tobacco and substance abuse policies to meet standards of the federal 
Department of Health and Human Services, Substance Abuse and Mental Health Services 
Administration and Centers for Disease Control and Prevention. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DDS) 
DEPARTMENT TOTALS 
FUND FOR A HEALTHY MAINE 
DEPARTMENT TOTAL - ALL FUNDS 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
2014-15 
$60,000 
$60,000 
2014-15 
$210,000 
$210,000 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Low-cost Drugs To Maine's Elderly 0202 
Initiative: Allocates funds on a one-time basis for access to transitional assistance for 
Medicare Savings Program members who are losing state assistance with Medicare Part 
D plan selection. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$275,000 
$275,000 
Initiative: Allocates funds on a one-time basis to the Tobacco Prevention and Control 
account for evidence-based outreach campaigns on current tobacco laws and cessation 
benefits. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 1229, L.D. 1719 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$475,000 
$475,000 
Initiative: Allocates funds on a one-time basis to the Tobacco Prevention and Control 
account for evidence-based community health coalition outreach on current tobacco laws 
and for evidence-based community health coalition outreach to the substance abuse and 
behavioral health community on tobacco cessation and policies. 
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FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$486,000 
$486,000 
Initiative: Allocates funds on a one-time basis to the Tobacco Prevention and Control 
account for evidence-based tobacco cessation outreach in one urban and one rural county 
performed by community health coalitions. 
FUND FOR A HEAL THY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$200,000 
$200,000 
Initiative: Allocates funds on a one-time basis to the Community/Schools Grants and 
Statewide Coordination account for outreach campaigns on the impact of food and 
beverage choices on obesity. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$410,000 
$410,000 
Initiative: Allocates funds on a one-time basis to the Community/Schools Grants and 
Statewide Coordination account for physical activity and nutrition education outreach for 
child care providers. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ./4" to H.P. 1229, L.D. 1719 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$126,000 
$126,000 
Initiative: Allocates funds on a one-time basis to the Oral Health account to provide 
dental services to children in the Portland Public Schools' school-based health centers. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$90,000 
$90,000 
Initiative: Allocates funds on a one-time basis to the Oral Health account to provide 250 
uninsured Maine adults with oral health treatment and to collect data to better inform 
future care. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$500,000 
$500,000 
Initiative: Allocates funds on a one-time basis to the Oral Health account to fund a pilot 
program with federally qualified health centers to prevent oral disease and tobacco use in 
young families. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$246,000 
$246,000 
Initiative: Allocates funds on a one-time basis to the Community/Schools Grants and 
Statewide Coordination account to enhance the school-based health center model through 
a study of the operational needs of school-based health centers sponsored by federally 
qualified health centers or hospital-based practices. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 1229, L.D. 1719 
FUND FOR A HEAL THY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$65,000 
$65,000 
Initiative: Allocates funds on a one-time basis to the Community/Schools Grants and 
Statewide Coordination account for a pilot program to develop a sustainable school health 
coordinator system. 
FUND FOR A HEAL THY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
Maine Center for Disease Control and Prevention 0143 
2013-14 
$0 
$0 
2014-15 
$300,000 
$300,000 
Initiative: Allocates funds on a one-time basis to the Community/Schools Grants and 
Statewide Coordination account to increase access to health care for adolescents and 
children through mobile health. 
FUND FOR A HEAL THY MAINE 
All Other 
FUND FOR A HEAL THY MAINE TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
FUND FOR A HEALTHY MAINE 
DEPARTMENT TOTAL - ALL FUNDS 
SECTION TOTALS 
FUND FOR A HEAL THY MAINE 
SECTION TOTAL - ALL FUNDS 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
2014-15 
$320,000 
$320,000 
2014-15 
$3,493,000 
$3,493,000 
2014-15 
$3,703,000 
$3,703,000 
Sec. 4. Appropriations and allocations. The following appropriations and 
allocations are made. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT.f}" to H.P. 1229, L.D. 1719 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Long Term Care - Office of Aging and Disability Services 0420 
Initiative: Appropriates funds for an increase in the reimbursement rate for adult day 
services to $12 per hour beginning July 1,2014. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medical Care - Payments to Providers 0147 
2013-14 
$0 
$0 
2014-15 
$57,095 
$57,095 
Initiative: Appropriates and allocates funds for an increase in the reimbursement rate for 
adult day services to $12 per hour beginning July 1,2014. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of Aging and Disability Services Central Office 0140 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
2014-15 
$46,416 
$46,416 
2014-15 
$75,109 
$75,109 
Initiative: Appropriates funds for an increase in the reimbursement rate for adult day 
services to $12 per hour beginning July 1,2014. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
COMMITTEE AMENDMENT 
2014-15 
$71,521 
$71,521 
2014-15 
$175,032 
$75,109 
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COMMITTEE AMENDMENT '4 "to H.P. 1229, L.D. 1719 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
$0 
$250,141 
This amendment transfers funds from the Fund for a Healthy Maine to the General 
Fund and directs the Department of Health and Human Services to increase 
reimbursement rates for adult day services programs. It eliminates the increases in 
allocations for 4 programs. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
• 
Approved: 04/11114 hac 
LD 1719 
LR 2653(02) 
An Act To Improve Education about and Awareness of Maine's Health Laws and Resou~\s 
Fiscal Note for Bill as Amended by Committee Amendment 'fl' (fI-8L.Ji-tJ 
Committee: Appropriations and Financial Affairs 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fund for a Healthy Maine 
Transfers 
General Fund 
Fund for a Healthy Maine 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2013-14 
$0 
$0 
$0 
$0 
$0 
$0 
FY 2014-15 
$0 
$175,032 
$75,109 
$3,703,000 
$175,032 
($175,032) 
Projections 
FY 2015-16 
$175,032 
$175,032 
$75,109 
$0 
$0 
$0 
Projections 
FY 2016-17 
$175,032 
$175,032 
$75,109 
$0 
$0 
$0 
The bill as amended provides one-time fiscal year 2014-15 Fund for a Healthy Maine allocations totaling $3,703,000 
for smoking prevention and health promotion programs. The bill as amended also provides appropriations totaling 
$175,032 in fiscal year 2014-15 to increase Department of Health and Human Service's reimbursement rates for adult 
day service beginning July 1,2014 and transfers $175,032 from the Fund for a Healthy Maine to the General Fund by 
June 30, 2015. 
LR2653(02) - Fiscal Note - Page I of I 
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