An Act To Provide Funding to the Maine Budget Stabilization Fund
Maine Legislature, Session 127, LD 1606
Committee Amendment CA_A-HA_B_H642 (House)

HOUSE AMENDMENT "b" to COMMITTEE AMENDMENT "A" to S.P. 647, 
L.D. 1606, Bill, "An Act To Provide Funding to the Maine Budget Stabilization Fund" 
Amend the amendment in Part I in section 1 in the 2nd line (page 14, line 38 in 
amendment) by striking out the following: "$44,500,000" and inserting the following: 
'$39,994,433' 
Amend the amendment by inserting after Part I the following: 
'PARTJ 
Sec. J-1. Increasing reimbursement for support services for adults with 
intellectual disabilities or autistic disorder. By July 1, 2016, the Department of 
Health and Human Services shall amend its rules in rule Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 29: Support Services for Adults with Intellectual 
Disabilities or Autistic Disorder to increase the combined annual limit for reimbursement 
for home support, community support, work support-individual or work support-group, 
assistive technology and career planning to $47,550. The department shall determine the 
number of hours of specific support services on the basis of the increased combined 
annual limit. Rules adopted pursuant to this section are routine technical rules pursuant 
to the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Sec. J-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BOS) 
Developmental Services Waiver - Supports Z006 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter IO 1: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
Page I -127LR2716(13)-1 
HOUSE AMENDMENT 
HOUSE AMENDMENT ·:fl to COMMITTEE AMENDMENT "A" to S.P. 647, L.D. 1606 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
· Medicaid Services - Developmental Services 0705 
2015-16 
$0 
$0 
2016-17 
$3,004,750 
$3,004,750 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2015-16 
$0 
$0 
2016-17 
$600,000 
$600,000 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOT AL - ALL FUNDS 
PARTK 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
$0 
2016-17 
$6,395,250 
$6,395,250 
2016-17 
$3,004,750 
$6,395,250 
$600,000 
$10,000,000 
Sec. K-1. Personal needs allowance for residents of nursing facilities. By 
July 1, 2016, the Department of Health and Human Services shall amend the rules for the 
MaineCare program to increase the personal needs allowance for persons residing in 
nursing facilities. The rules must provide for an increase in the personal needs allowance 
from $40 per month to $50 per month. Rules adopted pursuant to this section are routine 
HOUSE AMENDMENT 
. -~ 
. ---· .. I 
II 
HOUSE AMENDMENT "6' to COMMITTEE AMENDMENT "A" to S.P. 647, LD. 1606 
technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 
2-A. 
Sec. K-2. 
Personal needs allowance for residents of residential care 
facilities. By July I, 2016, the Department of Health and Human Services shall amend 
the rules for the MaineCare program to increase the personal needs allowance for persons 
residing in residential care facilities. 
The rules must provide for an increase in the 
personal needs allowance from $70 per month to $90 per month. Rules adopted pursuant 
to this section are routine technical rules as defined in the Maine Revised Statutes, Title 
5, chapter 375, subchapter 2-A. 
Sec. K-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Medicaid Services - Developmental Services 0705 
Initiative: Provides funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $90. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
Mental Health Services - Child Medicaid 0731 
2015-16 
$0 
$0 
2016-17 
$187,648 
$187,648 
Initiative: Provides funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $90. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Medicaid 0732 
2015-16 
$0 
$0 
2016-17 
$179,922 
$179,922 
Initiative: Provides funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $90. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
2015-16 
$0 
$0 
HOUSE AMENDMENT 
2016-17 
$293,021 
$293,021 
HOUSE AMENDMENT,{!;,, to COMMITTEE AMENDMENT "A" to S.P. 647, L.D. 1606 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$0 
$0 
2016-17 
$660,591 
$660,591 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY OHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $90. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Nursing Facilities 0148 
2015-16 
$0 
$0 
2016-17 
$598,089 
$598,089 
Initiative: Provides funds to increase the personal needs allowances of residents in 
nursing facilities from $40 to $50. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY OHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL -ALL FUNDS 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
HOUSE AMENDMENT 
2016-17 
$242,137 
$242,137 
2016-17 
$406,503 
$406,503 
2016-17 
$840,226 
$406,503 
-$1,246,729 
~-4>'j,.-' 
HOUSE AMENDMENT ·h· to COMMITTEE AMENDMENT "A" to S.P. 647, L.D. 1606 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
SECTION TOT AL - ALL FUNDS 
2015-16 
$0 
$0 
$0 
2016-17 
$1,500,817 
$406,503 
$1,907,320 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
Part J requires the Department of Health and Human Services to amend its rules to 
increase the combined annual limit for reimbursement for home support, community 
support, work support-individual or work support-group, assistive technology and career 
planning to $47,550. The department is required to determine the number of hours of 
specific support services on the basis of the increased combined annual limit. 
Part K directs the Department of Health and Human Services to amend its rules to 
provide for increases in the personal needs allowances of residents in nursing facilities 
and residential care facilities. The rules are designated as routine technical rules. 
This amendment provides funding for the initiatives in this amendment by reducing 
the amount transferred to the Maine Budget Stabilization Fund by $4,505,567 to 
$39,994,433. 
FISCAL NOTE REQUIRED 
ree attached) 
SPONSOREDB~--1-~~___,,___---=~~~~~~~~~-
(Representative STUCKEY) 
TOWN: Portland 
HOUSE AMENDMENT 
Approved: 04/05/16 
;:Wac 
LD 1606 
LR2716(13) 
An Act To Provide Funding to the Maine Budget Stabilization Fund 
Fiscal Note for House Amendment {!J to Committee Amendment "A" 
Sponsor: Rep. Stuckey of Portland 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Transfers 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
($4,505,567) 
$0 
$0 
$0 
$0 
$0 
$4,505,567 
FY 2016-17 
$4,505,567 
$4,505,567 
$6,801,753 
$600,000 
$6,801,753 
$600,000 
$0 
Projections 
FY 2017-18 
$4,462,817 
$4,462,817 
$6,844,503 
$600,000 
$6,844,503 
$600,000 
$0 
Projections 
FY 2018-19 
$4,462,817 
$4,462,817 
$6,844,503 
$600,000 
$6,844,503 
$600,000 
$0 
Part J of this amendment includes a General Fund appropriation of $3,004,750 in fiscal year 2016-17 for the services 
provided under Section 29: Home and Community Benefits for Members with Intellectual Disabilities or Autistic 
Disorder. Part J also includes Federal Expenditures Fund allocations required for the FMAP match. 
Part K of this amendment includes a General Fund appropriation of$1,500,817 in fiscal year 2016-17 to amend 
Department of Health and Human Services rules to provide for increases in the personal needs allowances of residents 
in residential care facilities from $70 to $90 and for residents in nursing facilities from $40 to $50. Part K also 
includes Federal Expenditures Fund allocations required for the FMAP match. 
It also reduces the amount transferred from the unappropriated surplus of the General Fund to the Maine Budget 
Stabilization Fund by $4,505,567 in fiscal year 2015-16 to pay for the new General Fund appropriations in fiscal year 
2016-17. 
LR2716(13)- Fiscal Note - Page 1 of 1