An Act To Restore MaineCare Coverage for Ambulatory Surgical Center Services
Maine Legislature, Session 126, LD 0390
Committee Amendment CA_A_H215 (House)

COMMITTEE AMENDMENT "It" to H.P. 265, L.D. 390, Bill, "An Act To 
Restore MaineCare Coverage for Ambulatory Surgical Center Services" 
Amend the bill in the emergency preamble in the 2nd whereas paragraph in the 3rd 
line (page 1, line 5 in L.D.) by striking out the following: "inpatient" 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec. 1. Rulemaking. The Department of Health and Human Services shall adopt 
rules for the reimbursement of ambulatory surgical centers under the MaineCare program 
that are identical in substance to the rules that were in effect on January 1,2012. Rules 
adopted pursuant to this section must take effect July 1, 2013 and are routine technical 
rules as defined by the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Sec. 2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
FHM - Medical Care 0960 
Initiative: Allocates funds to restore funding for MaineCare coverage for ambulatory 
surgical center services. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
2013-14 
$93,274 
$93,274 
2014-15 
$93,274 
$93,274 
Medical Care - Payments to Providers 0147 
Initiative: Allocates funds to restore funding for MaineCare coverage for ambulatory 
surgical center services. 
COMMITTEE AMENDMENT 
Jt..,. 
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COMMITTEE AMENDMENT "A" to H.P. 265, L.D. 390 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
FEDERAL EXPENDITURES FUND 
FUND FOR A HEALTHY MAINE 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2013-14 
$148,619 
$148,619 
2013-14 
$148,619 
$93,274 
$241,893 
2014-15 
$148,619 
$148,619 
2014-15 
$148,619 
$93,274 
$241,893 
This amendment removes from the emergency preamble the word "inpatient," which 
was included in the bill in error. This amendment restores reimbursement that was 
eliminated in state fiscal year 2012-13. This amendment switches the funding in the bill 
from the General Fund to the Fund for a Healthy Maine and adds a requirement that the 
Department of Health and Human Services adopt routine technical rules regarding the 
reimbursement of ambulatory surgical centers to take effect July 1, 2013. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/01/13 ;tvac. 
LD390 
LR 1258(02) 
An Act To Restore MaineCare Coverage for Ambulatory Surgical Center Services 
~ '\ 
Fiscal Note for Bill as Amended by Committee Amendment 'h,[H.; d J 5.) 
Committee: Health and Human Services 
Net Cost (Savings) 
Fund for a Healthy Maine 
Appropriations/Allocations 
Federal Expenditures Fund 
Fund for a Healthy Maine 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Potential current biennium savings - General Fund 
FY 2013-14 
$93,274 
$148,619 
$93,274 
FY 2014-15 
$93,274 
$148,619 
$93,274 
Projections 
FY 2015-16 
$93,274 
$148,916 
$93,274 
Projections 
FY 2016-17 
$93,274 
$148,619 
$93,274 
The bill provides a Fund for a Health Maine allocation of$93,274 in FY 2013-14 and in FY 2014-15 for the State 
share of the costs to restore MaineCare coverage for ambulatory surgical center services. These allocations are 
consistent with the General Fund deappropriations included in PL 2011, c. 657 that eliminated MaineCare coverage 
for ambulatory surgical center services. Restoring coverage for ambulatory surgical center services may result in 
savings to the MaineCare program to the extent that services currently being provided in higher cost hospital settings 
are provided at a lower cost in ambulatory surgical centers. The extent of these savings cannot be determined at this 
time. 
LR1258(02) - Fiscal Note - Page 1 of 1