Resolve, To Increasi; the Reimbursement Rate for Direct-care Workers Serving Adults with Long-term Care Needs
Maine Legislature, Session 127, LD 1350
Committee Amendment CA_A-SA_A_S317 (Senate)

SENATE AMENDMENT" A "to COMMITTEE AMENDMENT "A" to H.P. 920, 
L.D. 1350, "Resolve, To Increasi; the Reimbursement Rate for Direct-care Workers 
Serving Adults with Long-term Care Needs" 
Amend the amendment by striking out all of sections 1 and 2 and inserting the 
following: 
'Sec. 1. Reimbursement. Resolved: That the Department of Health and Human 
Services shall amend its mles to increase reimbursement rates for home-based and 
community-based services in accordance with this section. The department shall raise the 
hourly reimbursement rate for the following services: 
I. Attendant Care Services provided under the provisions of Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 12, Consumer Directed Attendant Services; and be 
it further 
Sec. 2. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DBS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding to increase the reimbursement rates for Attendant Care 
Services provided under Chapter 101: MaineCare Benefits Manual, Chapter III, Section 
12, Consumer Directed Attendant Services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$125,000 
$125,000 
SENA TE AMENDMENT 
2016-17 
$125,000 
$125,000 
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FEDERAL EXPENDlTU!<,ES FDrW 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
201:5-16 
$208,067 
$208,067 
2016-1'1 
$209,85 I 
$209,851 
This an:cndment removes the fixed percentage by which the Department of Health 
and Human Services must raise the hourly reimbursement for home-based and 
community-based services, It also restricts the raise to Attendant Care Services provided 
under Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 12, Consumer 
Directed Attendant Services, 
FISCAL NOTE REQUIRED 
SPONSORED 
~b'ID 
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SENA TE AMENDMENT 
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LD 1350 
LR 156(04) 
Resolve, To Inercasc the Reimbursement Rate for Direct-care '\-Vorkers Scrviut; Adults with Long-· 
term Care Needs 
Fiscal Note for Senate Amendment 'fV' to Committee Amendment "A" (5-51-7) 
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 
Fiscal Note 
FY 2015-16 
FY 2016-17 
Projections 
FY 2017-18 
Projections 
FY 2018-19 
($12,673,769) 
($16,940,023) 
($16,940,023) 
($16,940,023) 
($12,673,769) 
($16,940,023) 
($14,859,985) 
($19,880,883) 
($14,859,985) 
($19,880,883) 
($16,940,023) 
($16,940,023) 
($19,880,883) 
($19,880,883) 
($19,880,883) 
($19,880,883) 
This amendment changes the General Fund appropriations to the Department of Health and Human Services from 
$12,798,769 in fiscal year 2015-16 and $17,065,023 in fiscal year 2016-17 to $125,000 in each year by limiting the 
rate increase in the bill to a single type of provider. Federal Expenditures Fund allocations were also adjusted to 
match the FMAP. 
LR0156(04) - Fiscal Not~ .. Pa"? 1 '1[1