Resolve, To Support and Encourage the Expansion of Adult Family Care Services at Residential Care Facilities
Maine Legislature, Session 127, LD 1079
Committee Amendment CA_A_S166 (Senate)

COMMITTEE AMENDMENT" A "to S.P. 381, L.D. 1079, "Resolve, To Support 
and Encourage the Expansion of Adult Family Care Services at Residential Care 
Facilities" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Support and Encourage the Development of an Adult Family Care 
Demonstration Project in Washington County' 
Amend the resolve by striking out everything after the preamble and before the 
summary and inserting the following: 
'Sec. 1. 
Department of Health and Human Services to review 
reimbursement levels at residential care facilities. 
Resolved: 
That the 
Department of Health and Human Services shall review the reimbursement levels at 
residential care facilities and create a new level of reimbursement that takes into account 
the greater levels of care required by residents in those facilities who choose to age in 
place. The review must take into account the financial position of facilities in those areas 
of the State that have recently lost a significant number of nursing facility beds. The 
review may include other reviews that the department is currently undertaking with 
respect to the continuum of care, including, but not limited to, home-based and 
community-based services and residential care and future projections of need for nursing 
facility beds; and be it further 
Sec. 2. 
Department of Health and Human Services to develop a 
demonstration project. 
Resolved: 
That the Department of Health and Human 
Services shall develop a plan for a demonstration project in Washington County to 
establish facilities with suite-type settings. The demonstration project must take into 
account the needs of couples in which one or both spouses have a diagnosis of dementia; 
and be it further 
Sec. 3. Report. Resolved: That the Department of Health and Human Services 
shall submit a report regarding its findings, pursuant to this resolve, to the Joint Standing 
Committee on Health and Human Services no later than January 15, 2016. The Joint 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" f\ "to S.P. 381, L.D. 1079 
Standing Committee on Health and Human Services may report out legislation related to 
the report to the Second Regular Session of the 127th Legislature.' 
SUMMARY 
This amendment removes the section increasing the number of residential care 
facility beds from the resolve. It retains the requirement for the Department of Health 
and Human Services to review reimbursement levels at residential care facilities but 
allows current reviews of continuum of care to be included. Like the resolve, it requires 
the department to develop a demonstration project in Washington County with suite-type 
settings but clarifies that the project does not apply only to couples. It authorizes the 
Joint Standing Committee on Health and Human Services to report out legislation related 
to the demonstration project and the review to the Second Regular Session of the 127th 
Legislature. The amendment also changes the title. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: OS/29/15 
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LD 1079 
LR 1257(02) 
Resolve, To Support and Encourage the Expansion of Adult Family Care Services at Residential Care 
Facilities 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment ''Pr,(~-)(,plP-) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Department of Health and Human Services from the provisions of this bill are expected to 
be minor and can be absorbed within existing budgeted resources. 
LR1257(02) - Fiscal Note - Page 1 of 1