An Act To Sustain Emergency Medical Services throughout the State
Maine Legislature, Session 126, LD 1274
Committee Amendment CA_A-SA_A_S357 (Senate)
Amends: 22 MRSA §3174-J

SENATE AMENDMENT "A." to COMMITTEE AMENDMENT "A" to S.P. 435, 
L.D. 1274, Bill, "An Act To Sustain Emergency Medical Services throughout the State" 
Amend the amendment by striking out all of the first indented paragraph after the title 
(page 1, lines 11 to 13 in amendment) and inserting the following: 
'Amend the bill by striking out all of section 1 (page 1, lines 2 to 8 in L.D.) and 
inserting the following: 
'Sec. 1. 22 MRSA §3174-JJ, as reallocated by RR 2005, c. 1, §6, is amended to 
read: 
§3174-JJ. MaineCare reimbursement for ambulance services 
The department shall reimburse for ambulance services under MaineCare at a level 
that is not less than the average allowable reimbursement rate under Medicare for such 
services or at the highest percent of that level that is possible within resources 
appropriated for those purposes. 
Beginning March 1, 2015, the department shall 
reimburse for ambulance services under MaineCare at a level that is not less than 65% of 
the average allowable reimbursement rate under Medicare for such services.' , 
Amend the amendment by striking out all of section 2 (page 1, lines 15 to 28 in 
amendment) and inserting the following: 
'Sec. 2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding to increase MaineCare reimbursement rates for ambulance 
services to not less than 65% of Medicare reimbursement rate levels effective March 1, 
2015. 
SENATE AMENDMENT 
ROFS 
SENATE AMENDMENT 'f\" to COMMITTEE AMENDMENT "A" to S.P. 435, L.D. 1274 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
2013-14 
$0 
$0 
$0 
2014-15 
$60,000 
$60,000 
2014-15 
$96,047 
$96,047 
2014-15 
$60,000 
$96,047 
$156,047 
This amendment delays until March 1, 2015 increasing MaineCare reimbursement for 
ambulance services to 65% of the average allowable Medicare rate. 
FISCAL NOTE REQUIRED 
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SPONSORED BY: --"~lM ~ 
(Senator HILL) 
COUNTY: York 
SENATE AMENDMENT 
Approved: 06/25/13 
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LD 1274 
LR 1443(04) 
An Act To Sustain Emergency Medical Services throughout the State 
Fiscal Note for Senate Amendment 'ii' to Committee Amendment "A" 
Sponsor: Sen. Hill of York 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2013-14 
FY 2014-15 
Projections 
FY 2015-16 
Projections 
FY 2016-17 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
($120,130) 
($120,130) 
($192,302) 
($100,174) 
($100,174) 
($160,356) 
$0 
$0 
$0 
The amendment delays the effective date until March 1,2015, eliminates the fiscal year 2013-14 appropriation and 
reduces the fiscal year 2014-15 appropriation to $60,000, a decrease of$100,174. 
LR1443(04) - Fiscal Note - Page 1 of 1 
$0 
$0 
$0