An Act To IO Provide an Annual Cost-of-living Adjustment to Nursing Facilities To Further Implement the Recommendations of the Commission To Study Long-term Care Facilities
Maine Legislature, Session 127, LD 1533
Committee Amendment CA_A_S381 (Senate)

COMMITTEE AMENDMENT "A " to S.P. 595, L.D. 1533, Bill, "An Act To 
IO 
Provide an Annual Cost-of-living Adjustment to Nursing Facilities To Further Implement 
the Recommendations of the Commission To Study Long-term Care Facilities" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. Department of Health and Human Services to amend rules. The 
Department of Health and Human Services shall amend its rules in Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for 
Nursing Facilities to remove the requirement that cost-of-living adjustments received by 
nursing facilities must be applied to the wages and benefits of front line employees. 
Sec. 2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Initiative: Provides funding in the Nursing Facilities program to provide an annual 
cost-of-living adjustment required by Chapter IO I: MaineCare Benefits Manual, Chapter 
III, Section 67, Principles of Reimbursement for Nursing Facilities. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$0 
$0 
COMMITTEE AMENDMENT 
2016-17 
$3,211,505 
$3,211,505 
COMMITTEE AMENDMENT" A" to S.P. 595, L.D. 1533 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOT AL 
SUMMARY 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$6,834,467 
$6,834,467 
2016-17 
$641,232 
$641,232 
This amendment adjusts the funding amounts in the bill to reflect more accurate 
estimates. It also directs the Department of Health and Human Services to amend its 
rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of 
Reimbursement for Nursing Facilities to remove the requirement that cost-of-living 
adjustments received by nursing facilities must be applied to the wages and benefits of 
front line employees. 
FISCAL NOTE REQlJi&v 
(Seeattadled) 
COMMITTEE AMENDMENT 
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Approved: 03/01/16 feac.. 
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LD 1533 
LR 2293(02) 
An Act To Provide an Annual Cost-of-living Adjustment to Nursing Facilities To Further Implement 
the Recommendations of the Commission To Study Long-term Care Facilities 
Fiscal Note for Bill as Amended by Committee Amendment 'il-" ~-'?>SI 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
$0 
$0 
$0 
$0 
$0 
$0 
FY 2016-17 
$3,211,505 
$3,211,505 
$6,834,467 
$641,232 
$6,834,467 
$641,232 
Projections 
FY 2017-18 
$5,552,060 
$5,552,060 
$12,067 ,576 
$1, 124,658 
$12,067,576 
$1,124,658 
Projections 
FY 2018-19 
$8,007,779 
$8,007,779 
$17,405,159 
$1,622,102 
$17,405,159 
$1,622,102 
The bill includes a General Fund appropriation to the Department of Health and Human Services of $3,211,505 in 
fiscal year 2016-17 to provide an annual cost-of-living adjustment required by Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities. This bill also includes a Federal 
Expenditures Fund allocation for the FMAP match and an Other Special Revenue Funds allocation for the Nursing 
Facility tax. 
LR2293(02) - Fiscal Note - Page 1 of 1