Resolve, To Require the . Department of Health and Human Services To Provide Supplemental Reimbursement to Adult Family Care Homes and Residential Care Facilities in Remote Island Locations
Maine Legislature, Session 127, LD 0063
Committee Amendment CA_A_H49 (House)

COMMITTEE AMENDMENT "A " 
to H.P. 57, L.D. 63, "Resolve, To Require the 
. Department of Health and Human Services To Provide Supplemental Reimbursement to 
Adult Family Care Homes and Residential Care Facilities in Remote Island Locations" 
Amend the resolve by inserting before section 1 the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, residents of adult family care homes and residential care facilities in 
remote island locations should be allowed to age in place with familiar caregivers; and 
Whereas, current MaineCare reimbursement to adult family care homes and 
residential care facilities in remote island locations does not take into account higher 
prices on islands compared to the mainland; and 
Whereas, this legislation must take effect before the expiration of the 90-day period 
in order to preserve existing caregiver arrangements; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it' 
Amend the resolve in section 1 in the 2nd line (page 1, line 2 in L.D.) by inserting 
after the following: "That" the following: " by October 1,2015,' 
Amend the resolve in section I in the last line (page 1, line 13 in L.D.) by inserting 
after the following: "rules." the following: 'The Department of Health and Human 
Services is authorized to adopt emergency rules under the Maine Revised Statutes, Title 
5, section 8054 as necessary to implement this section without the necessity of 
demonstrating that immediate adoption is necessary to avoid a threat to public health, 
safety or general welfare; and be it further' 
Amend the resolve by adding before the summary the following: 
COMMITTEE AMENDMENT 
R.ofa 
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COMMITTEE A~ENDMENT ,A" to H.P. 57, L.D. 63 
'Sec. 2. Medicaid state plan amendment. Resolved: That the Department of 
Health and Human Services shall prepare and submit a Medicaid state plan amendment to 
the United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services that provides for supplemental reimbursement to adult family care 
homes and residential care facilities in remote island locations pursuant to section 1. 
Sec. 3. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers OJl47 
Initiative: Allocates the service provider tax received due to the 15% supplemental 
MaineCare reimbursement for both adult family care services and private nonmedical 
institution services in remote island locations and deappropriates a corresponding amount 
from the General Fund. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2015-16 
($2,240) 
($2,240) 
2015-16 
$2,240 
$2,240 
2016-17 
($3,361) 
($3,361) 
2016-17 
$3,361 
$3,361 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates funds and allocates federal matching money to the Department of 
Health and Human Services to increase MaineCare reimbursement by an additional 15% 
to adult family care homes and residential care facilities in remote island locations. 
26, 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
]>NMI Room and Board Z009 
2015-16 
$14,922 
$14,922 
2015-16 
$25,051 
$25,051 
COMMITTEE AMENDMENT 
2016-17 
$22,382 
$22,382 
2016-17 
$37,576 
$37,576 
,
R. o! S. 
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COMMITTEE AMENDMENT" A 
.. to H.P. 57, L.D. 63 
Initiative: Provides funds to the Department of Health and Human Services to increase 
MaineCare reimbursement by an additional 15% to adult family care homes and 
residential care facilities in remote island locations. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
2015-16 
$4,837 
$4,837 
2015-16 
$17,519 
$25,051 
$2,240 
$44,809 
2016-17 
$7,256 
$7,256 
2016-17 
$26,277 
$37,576 
$3,361 
$67,214 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment makes the following changes to the resolve. 
1. It adds an emergency preamble and emergency clause. 
2. It requires the Department of Health and Human Services to amend its rules to 
provide supplemental reimbursement to adult family care homes and residential care 
facilities in remote island locations in the resolve by October 1,2015. 
3. It allows the Department of Health and Human Services to adopt the rules as an 
emergency without the necessity of demonstrating that immediate adoption is necessary 
to avoid a threat to public health, safety or general welfare. 
4. It requires the Department of Health and Human Services to submit a state plan 
amendment to the United States Department of Health and Human Services, Centers for 
Medicare and Medicaid Services to allow for the supplemental reimbursement. . 
5. It also adds an appropriations and allocations section to the resolve. 
FISCAL NOTE REQUIRED 
(See Attached) 
COMMITTEE AMENDMENT 
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Approved: 03/29115 
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LD63 
LR809(02) 
Resolve, To Require the Department of Health and Human Services To Provide Supplemental 
Reimbursement to Adult Family Care Homes and Residential Care Facilities in Remote Island 
. 
Locations 
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Fiscal Note for Bill as Amended by Committee Amendment '~{H -'-Iq) 
Committee: Health and Human Services 
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 
Fiscal Note Required: Yes 
Fiscal Note 
FY2015-16 
$17,519 
$17,519 
$25,051 
$2,240 
$25,051 
. $2,240 
FY 2016-17 
$26,277 
$26,277 
$37,576 
$3,361 
$37,576 
$3,361 
Projections 
FY 2017-18 
$26,277 
$26,277 
$37,576 
$3,361 
$37,576 
$3,361 
Projections 
FY2018-19 
$26,277 
$26,277 
$37,576 
$3,361 
$37,576 
$3,361 
This bill includes General Fund appropriations for the Department of Health and Human Services of $17,519 in fiscal 
year 2015-16 and $26,277 begining in fiscal year 2016-17 to amend its rules governing MaineCare reimbursement for 
both adult family care services and private nonmedical institution services to provide supplemental MaineCare 
reimbursement of an additional 15% to adult family care homes and residential care facilities in remote island 
locations. 
LR0809(02) - Fiscal Note - Page 1 of 1