An Act To Require the State To Adequately Pay for Emergency Medical Services
Maine Legislature, Session 127, LD 1465
Committee Amendment CA_A-SA_A_S496 (Senate)

SENATE AMENDMENT "A " to COMMITTEE AMENDMENT "A" to H.P. 
1006, L.D. 1465, Bill, "An Act To Require the State To Adequately Pay for Emergency 
Medical Services" 
Amend the amendment by inserting after the title the following: 
'Amend the bill by striking out the title and substituting the following: 
'Resolve, To Require the Department of Health and Human Services To Conduct a 
Study of Ambulance Services' ' 
Amend the amendment in the first indented paragraph after the title in the first line 
(page 1, line 11 in amendment) by striking out the following: "enacting clause" and 
inserting the following: 'title' 
Amend the amendment by striking out all of section 1. 
Amend the amendment in section 2 in the first line (page 1, line 24 in amendment) by 
striking out the following: "The" and inserting the following: 'Resolved: That the' 
Amend the amendment in section 2 in the last line (page 1, line 30 in amendment) by 
striking out the following: "services." and inserting the following: 'services; and be it 
further' 
Amend the amendment in section 3 in the first line (page 1, line 31 in amendment) by 
striking out the following: "The" and inserting the following: 'Resolved: That the' 
Amend the amendment in section 3 in the last line (page 1, line 35 in amendment) by 
striking out the following: "2" and inserting the following: '1' 
Amend the amendment by striking out all of section 4. 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment amends Committee Amendment "A," changes the title and makes 
the bill a resolve. The amendment removes the requirement that the Department of 
SENATE AMENDMENT 
~<b 
~~ 
SENA TE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 1006, L.D. 1465 
Health and Human Services increase the reimbursement rate for ambulance services 
under MaineCare to no less than 70% and remove:s the funding related to that increase. 
SPONSORED BY:~ 
(Senator HAM 
) 
COUNTY: Oxford 
FISCAL NOTE REQVIREJ> 
(See 1ttKbed) 
SENA TE AMENDMENT 
Approved: 04/07 /16 
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LD 1465 
LR2354(05) 
An Act To Require the State To Adequately Pay for Emergency Medical Services 
Fiscal Note for Senate Amendment 'A'' to Committee Amendment "A" 
Sponsor: Sen. Hamper of Oxford 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
(S-41~) 
Fiscal Note 
FY 2015-16 
$0 
$0 
$0 
$0 
FY 2016-17 
($443,329) 
($443,329) 
($786,433) 
($786,433) 
Projections 
FY 2017-18 
($438,041) 
($438,041) 
($791,721) 
($791,721) 
Projections 
FY 2018-19 
($438,041) 
($438,041) 
($791,721) 
($791,721) 
This amendment removes the General Fund appropriation to the Department of Health and Human Services of 
$443,329 in fiscal year 2016-17 and it removes the requirement to increase reimbursement for ambulance services to 
70% of the Medicare allowable rate. Federal Expenditures Fund allocations required for the FMAP match are also 
removed. 
LR2354(05) - Fiscal Note - Page 1 of 1