Resolve, Directing the Department of Health and Human Services To Amend Its Rules of Reimbursement under the MaineCare Program for Audiology and Speech-language Pathology Services
Maine Legislature, Session 126, LD 1188
Committee Amendment CA_A_H494 (House)

COMMITTEE AMENDMENT "A" to H.P. 832, L.D. 1188, "Resolve, Directing 
the Department of Health and Human Services To Amend Its Rules of Reimbursement 
under the MaineCare Program for Audiology and Speech-language Pathology Services" 
Amend the resolve by striking out all of section 1 and inserting the following: 
'Sec. 1. MaineCare reimbursement for audiology and speech-language 
pathology services. Resollved: That by October 1, 2013 the Department of Health 
and Human Services shall amend its rules regarding audiology and speech-language 
pathology services under the MaineCare Benefits Manual, Chapter II and Chapter III. 
The amended rules must increase reimbursement for audiology and speech-language 
pathology services provided by an independent speech-language practitioner by 112 of the 
difference between the rates that are paid for those services and the rates that are paid to a 
speech and hearing agency for the same services; and be it further' 
Amend the resolve in section 2 in the last line (page 1, line 18 in L.D.) by striking out 
the following: "2-A." and inserting the following: '2-A; and be it further' 
Amend the resolve by inserting after section 2 the following: 
'Sec. 3. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for an increase in MaineCare reimbursement rates for speech 
and hearing pathology and audiology services for independent practitioners to the rate 
paid to speech and hearing agencies for the same services. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT 'A" to H.P. 832, L.D. 1188 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2013-14 
$422,720 
$422,720 
2013-14 
$684,022 
$684,022 
2014-15 
$680,868 
$680,868 
2014-15 
$1,089,920 
$1,089,920 
This amendment deletes the provisions of the resolve that pe:rtain to services for 
persons who are eligible for the Medicare program and that pertain to prior authorization. 
The amendment retains the provision that raises rates for speech and hearing pathology 
services, but at only half the increase proposed in the resolve, and replaces references to 
"hearing services" with references to "audiology services." It also adds an appropriations 
and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/11113 M-ac. 
LD 1188 
LR 1719(02)",--) 
Resolve, Directing the Department of Health and Human Services To Amend Its Rules of 
Reimbursement under the MaineCare Program for Audiology and Speech-language Pathology 
. 
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Fiscal Note for Bill as Amended by Com~titee Amendment "AI {H ... 494 ) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fist~al Note Required: Yes 
Fiscal Note 
FY 2013-14 
$422,720 
$422,720 
$684,022 
FY 2014-15 
$680,868 
$680,868 
$1,089,920 
Projections 
FY 2015-16 
$680,868 
$680,868 
$1,089,920 
Projections 
FY 2016-17 
$680,868 
$680,868 
$1,089,920 
Provides appropriations of $422,720 in fiscal year 2013-14 and $680,868 in fiscal year 2014-15 for the State's share of 
the costs of funding an increase in MaineCare reimbursement rates for speech and hearing pathology and audiology 
services for independent practitioners to the rate paid to speech and hearing agencies for the same services. 
LR1719(02) - Fiscal Note - Page 1 of 1