Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates for Home-based and Community-based Services
Maine Legislature, Session 127, LD 0886
Committee Amendment CA_A-SA_A_S520 (Senate)

SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 605, 
L.D. 886, "Resolve, Directing the Department of Health and Human Services To Increase 
Reimbursement Rates for Home-based and Community-based Services" 
Amend the amendment in section 1 in the 5th line (page 1, line 18 in amendment) by 
inserting after the following: "reflect" the following: '50% of the increase in rates noted 
in' 
Amend the amendment by striking out all of section 2. 
Amend the amendment by striking out all of sections 4 and 5 and inserting the 
following: 
'Sec. 4. Rate study. Resolved: That the Department of Health and Human 
Services shall conduct a rate study of the services in rule Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 40, Home Health Services. The rate study must be 
conducted by a 3rd party, account for provider costs related to the services in Section 40 
and include stakeholders for all services included in Section 40; and be it further 
Sec. 5. Report. Resolved: That the Department of Health and Human Services 
shall provide a report to the joint standing committee of the Legislature having 
jurisdiction over health and human services matters with findings and recommendations 
for changes to the rates identified in section 4 no later than January 1, 2017; and be it 
further 
Sec. 6. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEAL TH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds for a rate increase for personal care and related services. 
GENERAL FUND 
All Other 
2015-16 
$0 
SENATE AMENDMENT 
2016-17 
$2,773,600 
~ 
<::,, 
~· 
SENATE AMENDMENT" A 
"to COMMITTEE AMENDMENT "A" to H.P. 605, L.D. 886 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
Office of Aging and Disability Services Central Office 0140 
$0 
2015-16 
$0 
$0 
$2,773,600 
2016-17 
$4,920,692 
$4,920,692 
Initiative: Provides funds for a rate increase for personal care and related services. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
Temporary Assistance for Needy Families 0138 
2015-16 
$0 
$0 
2016-17 
$1,226,400 
$1,226,400 
Initiative: Provides for a one-time reduction of funding for projected savings in the 
Temporary Assistance for Needy Families program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEAL TH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
2016-17 
($4,000,000) 
($4,000,000) 
2016-17 
$0 
$4,920,692 
$4,920,692 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively.' 
SUMMARY 
This amendment strikes language from Committee Amendment "A" regarding the 
reimbursement for home health services and requires rulemaking for reimbursement rates 
SENATE AMENDMENT 
.... 
~-
~~· 
SENATE AMENDMENT" A 
"to COMMITTEE AMENDMENT "A" to H.P. 605, L.D. 886 
that reflect 50% of the increase, instead of 100% of the increase as in the committee 
amendment, in rates in the report prepared by Burns & Associates, Inc. 
This amendment also requires the Department of Health and Human Services to 
conduct a rate study of services in rule Chapter 101: MaineCare Benefits Manual, 
Chapter III, Section 40, Home Health Services. The department is required to provide a 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters with findings and recommendations for changes to the rates 
no later than January 1, 2017. 
FISCAL NOTE REQUIRED 
~
. (See attached) 
SPONSOREDBY:_ ~ 
(Senator ~r-?R,...,)~-......_---,,,-,r=~---==:::----
COUNTY: Oxford 
SENATE AMENDMENT 
Approved: 04/12/16 
feac: 
LD886 
LR204(07) 
Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates 
for Home-based and Community-based Services 
Fiscal Note for Senate Amendment 'A" to Committee Amendment "A" 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Sponsor: Sen. Hamper of Oxford 
/', 
Fiscal Note Required: Yes 
\. 5- 5"Z 6) 
Fiscal Note 
FY 2015-16 
$0 
$0 
$0 
so 
FY 2016-17 
($8,591,829) 
($8,591,829) 
($5,957,118) 
($5,957,118) 
Projections 
FY 2017-18 
($4,519,115) 
($4,519,115) 
($5,937,487) 
($5,937,487) 
Projections 
FY 2018-19 
($4,519,115) 
($4,519,115) 
($5,937,487) 
($5,93 7 ,487) 
This amendment reduces the General Fund appropriation by $8,591,829 in fiscal year 2016-17 to the Department of 
Health and Human Services (DHHS) by funding only 50% of the rate increases for personal support and related 
services, by removing the 33% rate increase for certain home health services and by a one-time reduction of 
$4,000,000 in fiscal year 2016-17 to the Temporary Assistance for Needy Families program. Federal Expenditures 
Fund allocations will also be reduced for these changes that impact the FMAP match. As amended, the bill has no net 
General Fund cost in the 2016-2017 biennium. 
This amendment also requires the Department of Health and Human Services to conduct a rate study of services in 
Section 40 Home Health Services and report back to the legislature by January 1, 2017. Any additional costs to the 
DHHS to perform a rate study and report back to the legislature are expected to be minor and can be absorbed within 
existing budgeted resources. 
LR0204(07) - Fiscal Note - Page 1 of 1