Resolve, To Increase MaineCare Services for Certain Recipients To Allow Them To Remain at Home
Maine Legislature, Session 127, LD 0475
Committee Amendment CA_A-HA_C_H669 (House)

HOUSE AMENDMENT .. c_.,, to COMMITTEE AMENDMENT "A" to H.P. 314, 
L.D. 475, "Resolve, To Increase MaineCare Services for Certain Recipients To Allow 
Them To Remain at Home" 
Amend the amendment by striking out the first 2 indented paragraphs after the 
substitute title (page 1, lines 14 to 17 in amendment) and inserting the following: 
'Amend the resolve by striking out all of the emergency preamble (page 1, lines 1 to 
in L.D.). 
Amend the resolve by striking out all of section 1 and inserting the following: 
'Sec. 1. Increasing reimbursement for support services for adults with 
intellectual disabilities or autistic disorder. Resolved: That, by August 1, 2016, 
the Department of Health and Human Services shall amend its rules in rule Chapter 101: 
MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with 
Intellectual Disabilities or Autistic Disorder to increase the combined annual limit for 
reimbursement for home support, community support, work support-individual or work 
support-group, assistive technology and career planning to $47,550. The department 
shall determine the number of hours of specific support services on the basis of the 
increased combined annual limit. Rules adopted pursuant to this section are routine 
technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 
2-A; and be it further' ' 
Amend the amendment by striking out all of sections 3 and 4 and inserting the 
following: 
'Sec. 3. Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BOS) 
Developmental Services Waiver - Supports Z006 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
Page I - 127LR1371(09)-1 
HOUSE AMENDMENT 
~'b 
~~ 
HOUSE AMENDMENT ,6 to COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medicaid Services - Developmental Services 0705 
2015-16 
$0 
$0 
2016-17 
$3,004,750 
$3,004,750 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL -ALL FUNDS 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
2016-17 
$600,000 
$600,000 
2016-17 
$3,004,750 
$600,000 
$3,604,750 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2015-16 
$0 
$0 
2016-17 
$6,395,250 
$6,395,250 
Initiative: Adjusts funding as a result of the increase in the Federal Medical Assistance 
Percentage for federal fiscal year 2017. 
HOUSE AMENDMENT 
'• 
.r oi <::, 
HOUSE AMENDMENT "&to COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DRS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
SECTION TOTAL - ALL FUNDS 
2015-16 
2016-17 
$0 
($3,004,750) 
$0 
($3,004,750) 
2015-16 
2016-17 
$0 
$3,004,750 
$0 
$3,004,750 
2015-16 
2016-17 
$0 
($3,004,750) 
$0 
$9,400,000 
$0 
$6,395,250 
2015-16 
2016-17 
$0 
$0 
$0 
$9,400,000 
$0 
$600,000 
$0 
$10,000,000 
Amend the resolve by striking out all of the emergency clause.' 
SUMMARY 
This amendment strikes the emergency preamble and emergency clause, changes the 
date by which the Department of Health and Human Services is required to amend its 
rules accordingly and removes appropriations and allocations for fiscal year 2015-16 for 
so-called "Section 29" services, and removes appropriations and allocations for fiscal 
year 2015-16 and fiscal year 2016-17 for so-called "Section 21" services. 
This 
amendment also reduces the General Fund appropriation by $3,004,750 in fiscal year 
HOUSE AMENDMENT 
~i <::, 
~ 
HOUSE AMENDMENT ·&to COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475 
2016-17 as a result of the ability to use increased funding available in the Federal 
Medical Assistance Percentage in fiscal year 2016-17. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSORED BY: ~ 
~~/ 
(Representative STUCKEY) 
( 
TOWN: Portland 
HOUSE AMENDMENT 
"""" 
Approved: 04/13/16 
feac 
LD475 
LR 1371(09) 
Resolve, To Increase MaineCare Services for Adults with Intellectual Disabilities or Autistic Disorder 
Fiscal Note for House Amendment~o Committee Amendment "A" 
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 
Sponsor: Rep. Stuckey of Portland 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
($412,856) 
($412,856) 
($825,843) 
($79,066) 
FY-2016-17 
($9,559,063) 
($9,559,063) 
($10,945,320) 
($1,308, 790) 
Projections 
FY 2017-18 
($9,534,212) 
($9,534,212) 
($10,970,171) 
($1,~08,790) 
Projections 
FY 2018-19 
($9,534,212) 
($9,534,212) 
($10,970,171) 
($1,308, 790) 
($825,843) 
($13,950,070) 
($13,974,921) 
($13,974,921) 
($79,066) 
($1,308,790) 
($1,308,790) 
($1,308,790) 
This amendment removes the emergency preamble and emergency clause from the bill and adjusts the total funding to 
$10,000,000 for the services provided under Section 29: Home and Community Benefits for Members with 
Intellectual Disabilities or Autistic Disorder. In accord with a later start date, this amendment removes the General 
Fund appropriation to the Department of Health and Human Services (DHHS) of $412,856 in fiscal year 2015-16. 
Federal Expenditures Fund and Other Special Revenue Funds allocations in fiscal year 2015-16 are also removed. To 
adjust total funding for Section 29 services, this amendment also reduces the General Fund appropriation to DHHS by 
$1,746,713 in fiscal year 2016-17. Federal Expenditures Fund and Other Special Revenue Funds allocations in fiscal 
year 2016-17 are also reduced. Furthermore, this amendment reduces the General Fund appropriation by $4,807,600 
for the removal of the funding for the services provided under Section 21: Home and Community Benefits for 
Members with Intellectual Disabilities or Autistic Disorder. Federal Expenditures Fund and Other Special Revenue 
Funds allocations in fiscal year 2016-17 are also reduced for the removal of Section 21 services funding. Finally, this 
amendment reduces the General Fund appropriation to Medical Care - Payments to Providers by $3,004,750 in fiscal 
year 2016-17 as a result of the ability to use increased funding available in the Federal Medical Assistance Percentage 
in fiscal year 2016-17. As amended, the bill has no net General Fund cost in the 2016-2017 biennium. 
LR1371(09) - Fiscal Note - Page 1 of 1