Resolve, To Address Changes Needed for Providers of Private Nonmedical Institution Services
Maine Legislature, Session 126, LD 0847
Committee: Health and Human Services
Sponsors: FARNSWORTH, LACHOWICZ, BROOKS, DORNEY, GIDEON, PRINGLE, SANBORN, STUCKEY

Legislative Document 
No. 847 
H.P. 598 
House of Representatives, March 5, 2013 
Resolve, To Address Changes Needed for Providers of Private 
Nonmedical Institution Services 
Reference to the Committee on Health and Human Services suggested and ordered printed. 
MILLICENT M. MacFARLAND 
Clerk 
Presented by Representative FARNSWORTH of Portland. 
Cosponsored by Senator LACHOWICZ of Kennebec and 
Representatives: BROOKS of Winterport, DORNEY of Norridgewock, GIDEON of Freeport, 
PRINGLE of Windham, SANBORN of Gorham, STUCKEY of Portland. 
Preamble. Whereas, the Department of Health and Human Services has informed 
providers of private nonmedical institution services under the MaineCare Benefits 
Manual, Chapter II, Section 97 that the services must be changed due to requirements of 
the federal Centers for Medicare and Medicaid Services; and 
Whereas, the Department of Health and Human Services has been meeting with 
stakeholder groups for over a year; and 
Whereas, there currently exists a reasonable alternative to private nonmedical 
institution services for individuals with intellectual disabilities; now, therefore, be it 
Sec. 1.  Conversion of private nonmedical institution services beds. 
Resolved:  That the Department of Health and Human Services shall take all necessary 
actions to convert private nonmedical institution services beds for adults with intellectual 
disabilities currently funded under MaineCare Benefits Manual, Chapter II, Section 97, 
Appendix F to new waiver beds for adults with intellectual disabilities, pursuant to 
MaineCare Benefits Manual, Chapter II, Section 21, Home and Community Benefits for 
Members with Intellectual Disabilities or Autistic Disorder; and be it further 
Sec. 2.  Transition plan. Resolved:  That, by January 1, 2014, the Department of 
Health and Human Services shall complete a transition plan for the conversion of private 
nonmedical institution services beds to waiver beds required under section 1 and submit 
the plan to the Joint Standing Committee on Health and Human Services and the Joint 
Standing Committee on Appropriations and Financial Affairs; and be it further 
Sec. 3.  Conversion completion and report. Resolved:  That the Department 
of Health and Human Services shall complete the conversion required under section 1 by 
July 1, 2014. Upon completion of the conversion, the department shall submit a full 
report of the conversion to the Joint Standing Committee on Health and Human Services 
and the Joint Standing Committee on Appropriations and Financial Affairs; and be it 
further 
Sec. 4.  Appropriations. Resolved:  That the conversion required under section 1 
must be accomplished within existing resources appropriated for private nonmedical 
institution services under MaineCare Benefits Manual, Chapter II, Section 97, Appendix 
F. 
SUMMARY 
In response to requirements of the federal Centers for Medicare and Medicaid 
Services, this resolve directs the Department of Health and Human Services to take all 
necessary actions to convert private nonmedical institution services beds for adults with 
intellectual disabilities to home and community-based waiver beds for adults with 
intellectual disabilities. The resolve directs the department to complete a plan for the 
conversion and submit the plan to the Joint Standing Committee on Health and Human 
Services and the Joint Standing Committee on Appropriations and Financial Affairs by 
January 1, 2014. The resolve directs the department to complete the conversion by July 1, 
2014 and to submit a full report to the Joint Standing Committee on Health and Human 
Services and the Joint Standing Committee on Appropriations and Financial Affairs upon 
completion of the conversion. The resolve states that the conversion must be 
accomplished within existing resources appropriated for private nonmedical institution 
services.