An Act To Require Health Insurance Carriers and the MaineCare Program To Cover the Cost of Transition Services To Bridge the Gap between High School and Independence
Maine Legislature, Session 126, LD 1367
Committee Amendment CA_A-SA_A_S553 (Senate)

SENATE AMENDMENT" A "to COMMITTEE AMENDMENT "A" to H.P. 975, 
L.D. 1367, Bill, "An Act To Require Health Insurance Carriers and the MaineCare 
Program To Cover the Cost of Transition Services To Bridge the Gap between High 
School and Independence" 
Amend the amendment by striking out everything after the title and before the 
summary and inserting the following: 
'Amend the bill by striking out the title and substituting the following: 
'Resolve, To Improve Early Diagnosis, Treatment and Outcomes for Youth and 
Young Adults with, or at Risk for, Serious Mental Health Conditions' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective unti190 days after adjournment unless enacted as emergencies; and 
Whereas, this legislation directs the Department of Health and Human Services to 
apply for federal grant funding to provide services and supports to address serious mental 
health conditions, co-occurring disorders and the risks for developing serious mental 
health conditions among youth 16 to 26 years of age; and 
Whereas, the immediate enactment of this legislation is necessary in order to meet 
the time lines for grant applications established by the Federal Government; 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 
Sec. 1. Federal grant funding. Resolved: That the Department of Health and 
Human Services shall apply for, accept, receive and use as appropriate for and on behalf 
of the State any grant money provided by the United States Department of Health and 
Human Services, Substance Abuse and Mental Health Services Administration under the 
"Now is the Time" Healthy Transitions: Improving Life Trajectories for Youth and 
Young Adults with, or at Risk for, Serious Mental Health Conditions grant program to 
SENATE AMENDMENT 
~ 
o~s 
SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 975, L.D. 1367 
provide services and supports to address serious mental health conditions, co-occurring 
disorders and the risks for developing serious mental health conditions among youth 16 to 
years of age. 
For youth with existing mental health conditions, including those 
experiencing early signs of serious mental illness, the grant funds must be used to 
improve access to relevant child-serving or adult-serving systems and implement 
effective evidence-based services and continuity of care to improve transitions to 
adulthood and to improve outcomes. If any grant money is received pursuant this section, 
the department shall ensure that the MaineCare program provides access to care 
coordination and assertive community treatment services for eligible persons who are 26 
years of age or younger who meet the criteria for a psychiatric diagnosis in the Diagnostic 
and Statistical Manual of Mental Disorders, 5th edition, published by the American 
Psychiatric Association and who experience significant impairment in function as 
determined by a licensed mental health provider. 
The department shall apply for grant money for which it is eligible as soon as 
practicable, but not later than June 1,2014. 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' ' 
SUMMARY 
This amendment replaces Committee Amendment "A" and makes the bill a resolve. 
The amendment requires the Department of Health and Human Services to apply for 
federal grants that might be available from the United States Department of Health and 
Human Services, Substance Abuse and Mental Health Services Administration under the 
"Now is the Time" Healthy Transitions: Improving Life Trajectories for Youth and 
Young Adults with, or at Risk for, Serious Mental Health Conditions grant program to 
provide services and supports to address serious mental health conditions, co-occurring 
disorders and the risks for developing serious mental health conditions among youth 16 to 
years of age. The amendment requires the department to apply for grant money no 
later than June 1,2014. 
FISCAL NOTE REQUIRED 
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SPONSO~<-=_-",=-~-r--+=~:::......-_~ 
__ 
(Senator HILL) 
COUNTY: York 
SENATE AMENDMENT 
, 
Approved: 04117114;tPae 
LD 1367 
LR 1550(06) 
An Act To Decrease Costs and Disability Due to Mental Illness in Children, Adolescents and Young 
Adults 
Fiscal Note for Senate Amendment 'WI to Committee Amendment "A" 
Sponsor: Sen. Hill of York 
~et Cost (Savings) 
General Fund 
Highway Fund 
Appropriations/Allocations 
General Fund 
Highway Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Projections Projections FY 
FY 2013-14 
FY 2014-15 
FY 2015-16 
2016-17 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
($82,300) 
($30,780) 
($82,300) 
($30,780) 
($88,884) 
($33,243) 
($88,884) 
($33,243) 
This fiscal note reflects the incremental impact of the amendment. The amendment replaces the bill with a resolve 
directing the Department of Health and Human Services to apply for an available federal grant to provide services and 
supports to address serious mental health conditions, co-occurring disorders and the risks for developing serious 
mental health conditions among youth and young adults 16 to 26 years of age. Any additional costs for the 
Department of Health and Human Services to apply for the grant are assumed to be minor and can be absorbed within 
existing budgeted resources. 
LR1550(06) - Fiscal Note - Page 1 of 1