Resolve, To Increase Access to Opiate Addiction Treatment in Maine
Maine Legislature, Session 127, LD 1473
Committee Amendment CA_A_S392 (Senate)

COMMITTEE AMENDMENT" A "to S.P. 571, L.D. 1473, "Resolve, To Increase 
Access to Opiate Addiction Treatment in Maine" 
Amend the resolve by striking out all of section 1 and inserting the following: 
'Sec. 1. MaineCare reimbursement rates for outpatient opioid treatment. 
Resolved: That the Department of Health and Human Services shall amend its rule 
Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health 
Services regarding the reimbursement rate paid to outpatient opioid treatment providers 
to increase the rate from $60 to $72 a week until December 31, 2017. The reimbursement 
rate must be reduced to $60 a week beginning January 1, 2018. The department may 
amend its rules to increase the rates above the reimbursement rates specified in this 
section at any time. The department shall take all necessary actions to implement the 
reimbursement increase under this section; and be it further 
Sec. 2. Rate study. Resolved: 
That the Department of Health and Human 
Services shall contract with a 3rd-party consultant to conduct a rate study regarding the 
reimbursement rate paid to outpatient opioid treatment providers under its rule Chapter 
101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services. 
The rate study must account for provider costs related to outpatient opioid treatment 
services. The Department of Health and Human Services shall ensure that the 3rd-party 
consultant conducting the study under this section invites the participation of stakeholders 
providing outpatient opioid treatment services. The Department of Health and Human 
Services shall report its progress and findings under this section to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
no later than December 30, 2016. The committee may report out a bill related to the 
report to the First Regular Session of the 128th Legislature; and be it further 
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 
COMMITTEE AMENDMENT 
ttOfS 
COMMITIEE AMENDMENT ",A" to S.P. 571, L.D. 1473 
I 
Initiative: Provides funding to increase the reimbursement rate paid to outpatient opioid 
treatment providers from $60 to $72 a week. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$568,471 
$568,471 
2016-17 
$1,008,425 
$1,008,425 
This amendment requires the Department of Health and Human Services to amend its 
rules to increase the reimbursement rate paid to outpatient opioid treatment providers to 
$72 a week, rather than $80 as provided in the resolve. The amended rule must increase 
the reimbursement rate to $72 until December 31, 2017. 
On January 1, 2018, the 
reimbursement rate must return to $60 a week. The department may choose to amend its 
rules to increase the reimbursement rates above the specified amounts at any time. The 
amendment also requires the Department of Health and Human Services to contract with 
a 3rd-party consultant to conduct a rate study of outpatient opioid treatment services that 
must be reported to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters no later than December 30, 2016. The committee 
may report out a bill related to the report to the First Regular Session of the 128th 
Legislature. If the Legislature does not amend the reimbursement rate in response to the 
rate study, the reimbursement rate will return to $60 per week on January 1, 2018. The 
amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQillRED 
(See attached) 
COMMITTEE AMENDMENT 
"'111.,i.i:,o-F"' 
Revised: 03/07116 
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LD 1473 
LR2407(02) 
Resolve, To Increase Access to Opiate Addiction Treatment in Maine 
Fiscal Note for Bill as Amended by Committee Amendment "A' S- 3qz. 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
$0 
$0 
$0 
$0 
FY 2016-17 
$568,471 
$568,471 
$1,008,425 
$1,008,425 
Projections 
FY 2017-18 
$284,236 
$284,236 
$504,212 
$504,212 
Projections 
FY 2018-19 
$0 
$0 
$0 
$0 
The bill includes a General Fund appropriation to the Department of Health and Human Services of$568,471 in fiscal 
year 2016-1 7 to increase the reimbursement rate paid to outpatient opioid treatment providers from $60 to $72 a week. 
Federal Expenditures Fund allocations will also be required for the FMAP match. 
LR2407(02) - Fiscal Note - Page 1 of 1