Resolve, To Reduce MaineCare Spending through Targeted Prevention Services
Maine Legislature, Session 127, LD 0831
Committee Amendment CA_A_H281 (House)

COMMITTEE AMENDMENT "A" to H.P. 565, L.D. 831, "Resolve, To Reduce 
MaineCare Spending through Targeted Prevention Services" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Home-delivered meals. Resolved: That the Department of Health and 
Human Services shall file an application with the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services to request that home-
delivered meals be a reimbursable covered service under Rule Chapter 101, MaineCare 
Benefits Manual, Chapter II, Section 19. Individuals receiving the home-delivered meal 
services under the waiver must both qualify for Section 19 services and be experiencing a 
transition of care, have a debilitating or acute illness or be primarily homebound and 
unable to prepare nutritious meals. 
Sec. 2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DDS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for prepared meals to be delivered to individuals who qualify 
for services under the MaineCare Benefits Manual, Chapter II, Section 19, Home and 
Community Benefits for the Elderly and for Adults with Disabilities, and who are also 
experiencing transitions of care, have debilitating or acute illnesses or are primarily 
homebound. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$14,477 
$14,477 
COMMITTEE AMENDMENT 
2016-17 
$19,303 
$19,303 
COMMITTEE AMENDMENT" A" to H.P. 565, L.D. 831 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of MaineCare Services 0129 
2015-16 
$24,304 
$24,304 
2016-17 
$32,406 
$32,406 
fuitiative: Provides funding for technology changes and testing to the Maine futegrated 
Health Management Solution computer system. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SU~y 
2015-16 
$41,046 
$41,046 
2015-16 
$123,139 
$123,139 
2015-16 
$55,523 
$147,443 
$202,966 
2016-17 
$0 
$0 
2016-17 
$0 
$0 
2016-17 
$19,303 
$32,406 
$51,709 
This amendment limits the proposal for home-delivered meals in the resolve to 
individuals qualified for services under Rule Chapter 101, MaineCare Benefits Manual, 
Chapter II, Section 19 who also are experiencing transitions of care, have debilitating or 
acute illnesses or are primarily homebound and unable to prepare nutritious meals. The 
amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/31/15 
~ac. 
LD831 
LR 791(02) 
Resolve, To Reduce MaineCare Spending through Targeted Prevention Services 
Fisc~l Note for Bill as Amended by Committee Amendment '~' 0-1-281) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriatio nsf Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
$55,523 
$55,523 
$147,443 
$147,443 
FY 2016-17 
$19,303 
$19,303 
$32,406 
$32,406 
Projections 
FY 2017-18 
$19,303 
$19,303 
$32,406 
$32,406 
Projections 
FY 2018-19 
$19,303 . 
$19,303 
$32,406 
$32,406 
The bill includes General Fund appropriations to the Department of Health and Human Services of $55,523 in fiscal 
year 2015-16 and $19,303 in fiscal year 2016-17 for prepared meals to be delivered to individuals in the MaineCare 
Benefits Manual, Section 19 Home and Community Benefits for the Elderly and for Adults with Disabilities program 
and are also experiencing transitions of care, having debilitating or acute illnesses or are primarily homebound. 
Funding is also required for technology changes and testing to the Maine Integrated Health Management Solution. 
Federal Expenditures Fund allocations are also included in this bill for the FMAP match. 
LR0791(02) - Fiscal Note - Page 1 of 1