An Act To Increase Payments to MaineCare Providers That Are Subject to Maine's Service Provider Tax
Maine Legislature, Session 127, LD 1638
Committee Amendment CA_A_H623 (House)

COMMITTEE AMENDMENT "A" to H.P. 1115, L.D. 1638, Bill, "An Act To 
Increase Payments to MaineCare Providers That Are Subject to Maine's Service Provider 
Tax" 
Amend the bill by striking out everything after the title and before the summary and 
inserting 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, the State's MaineCare providers that are subject to the service provider tax 
have experienced an increase in the tax since January 1, 2016; and 
Whereas, MaineCare providers have insufficient reserves to withstand cost 
increases; and 
Whereas, private nonmedical institutions and other facilities provide services to 
Maine's vulnerable citizens, including children, individuals with substance use disorders, 
and adults with intellectual disabilities and autistic disorder; and 
Whereas, private nonmedical institutions and other facilities that provide such 
services need increased funding to continue providing those services; 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 enacted by the People of the State of Maine as follows: 
Sec. 1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Developmental Services Waiver - MaineCare 0987 
COMMITTEE AMENDMENT 
~~· 
~' 
COMMIITEE AMENDMENT ·A "to H.P. 1115, L.D. 1638 
Initiative: Provides funding for additional payments to providers. 
GENERAL FUND 
2015-16 
All Other 
$261,418 
GENERAL FUND TOTAL 
$261,418 
Medicaid Services - Developmental Services 0705 
Initiative: Provides funding for additional payments to providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOT AL 
Mental Health Services - Community Medicaid 0732 
Initiative: Provides funding for additional payments to providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOT AL 
2015-16 
$5,843 
$5,843 
2015-16 
$51,183 
$51,183 
2015-16 
$70,040 
$70,040 
2015-16 
$13,413 
$13,413 
2016-17 
$1,002,949 
$1,002,949 
2016-17 
$22,415 
$22,415 
2016-17 
$204,732 
$204,732 
2016-17 
$268,714 
$268,714 
2016-17 
$53,653 
$53,653 
Office of Substance Abuse and Mental Health Services - Medicaid Seed 0844 
Initiative: Provides funding for additional payments to providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$6,260 
$6,260 
COMMITTEE AMENDMENT 
2016-17 
$24,019 
$24,019 
~· 1.'i>· 
COMMITTEE AMENDMENT ·A" to H.P. 1115, L.D. 1638 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BOS) 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL -ALL FUNDS 
2015-16 
$1,199 
$1,199 
2015-16 
$343,561 
$65,795 
$409,356 
2016-17 
$4,796 
$4,796 
2016-17 
$1,318,097 
$263,181 
$1,581,278 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DUS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for additional payments to providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOT AL 
2015-16 
$139,442 
$139,442 
2015-16 
$966,158 
$966,158 
2015-16 
$26,704 
$26,704 
COMMITTEE AMENDMENT 
2016-17 
$534,978 
$534,978 
2016-17 
$3,943,566 
$3,943,566 
2016-17 
$106,818 
$106,818 
y\. t'~ n-
... l 
COMMITTEE AMENDMENT "A" to H.P. 1115, L.D. 1638 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
SECTION TOTAL - ALL FUNDS 
2015-16 
$139,442 
$966,158 
$26,704 
$1,132,304 
2015-16 
$483,003 
$966,158 
$92,499 
$1,541,660 
2016-17 
$534,978 
$3,943,566 
$106,818 
-$4,585,362 
2016-17 
$1,853,075 
$3,943,566 
$369,999 
$6,166,640 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment strikes the bill and instead provides an appropnat10ns and 
allocations section that adds funding for an increase in reimbursement rates to eligible 
MaineCare providers for the last 3 months of fiscal year 2015-16 and for fiscal year 
2016-17. The purpose of the additional funding is to offset the imposition of the service 
provider tax, which took effect January 1, 2016. 
This amendment also adds an 
emergency preamble and emergency clause. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/25/16 feac 
LD 1638 
LR 2384(02) 
An Act To Increase Payments to MaineCare Providers That Are Subject to Maine's Service Provider 
Tax 
Fiscal Note for Bill as Amended by Committee Amendment '/i' (rl-v,:J...3) 
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 
FY 2015-16 
$483,003 
$483,003 
$966,158 
$92,499 
$966,158 
$92,499 
FY 2016-17 
$1,853,075 
$1,853,075 
$3,943,566 
$369,999 
$3,943,566 
$369,999 
Projections 
FY 2017-18 
$1,826,559 
$1,826,559 
$3,970,083 
$369,999 
$3,970,083 
$369,999 
Projections 
FY 2018-19 
$1,826,559 
$1,826,559 
$3,970,083 
$369,999 
$3,970,083 
$369,999 
The bill includes General Fund appropriations to the Department of Health and Human Services of $483,003 in fiscal 
year 2015-16 and $1,853,075 in fiscal year 2016-17 and Other Special Revenue Funds allocations of $92,499 in 
fiscal year 2015-16 and $369,999 in fiscal year 2016-17 for additional payments to MaineCare providers who are 
subject to Maine's Service Provider Tax. Federal Expenditures Fund allocations are also included for the FMAP 
match. 
This estimate includes funds for payments begining April 1,.2016. The amendment calls for payments beginning 
January 1, 2016, but due to federal rules, the State would only be able to get federal match for payments beginning on 
April 1, 2016. 
LR2384(02) - Fiscal Note - Page 1 of 1