Resolve, To Increase MaineCar~ Services for Certain Recipients To Allow Them To Remain at Home
Maine Legislature, Session 127, LD 0475
Committee Amendment CA_A_H608 (House)

COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475, "Resolve, To Increase 
MaineCar~ Services for Certain Recipients To Allow Them To Remain at Home" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Increase MaineCare Services for Adults with Intellectual Disabilities or 
Autistic Disorder' 
Amend the resolve in section 1 in the 2nd line (page 1, line 15 in L.D.) by striking out 
the following: "April 1, 2015" and inserting the following: 'May 1, 2016' 
Amend the resolve in section 1 in the last line (page 1, line 24 in L.D.) by striking out 
the following: "2-A." and inserting the following: '2-A; and be it further' 
Amend the resolve by inserting after section 1 the following: 
'Sec. 2. Provide funding for community-based services for adults with 
intellectual disabilities or autistic disorder. 
Resolved: 
That, with an 
appropriation of funding provided in section 4, the Department of Health and Human 
Services shall reduce the waiting list for community-based services provided under 
Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21: Home and Community 
Benefits for Members with Intellectual Disabilities or Autistic Disorder and Chapter III, 
Section 21: Allowances for Home and Community Benefits for Members with 
Intellectual Disabilities or Autistic Disorder; and be it further 
Sec. 3. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Developmental Services Waiver - Supports Z006 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: Support 
Services for Adults with Intellectual Disabilities or Autistic Disorder. 
Page I - 127LR1371(02)-1 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medicaid Services - Developmental Services 0705 
2015-16 
$412,856 
$412,856 
2016-17 
$4,751,463 
$4,751,463 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in 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 
$79,066 
$79,066 
2016-17 
$948,790 
$948,790 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in 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 BOS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$825,843 
$825,843 
2015-16 
$412,856 
$825,843 
$79,066 
$1,317,765 
2016-17 
$10,112,920 
$10,112,920 
2016-17 
$4,751,463 
$10,112,920 
$948,790 
$15,813,173 
; and be it further 
Sec. 4. Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BOS) 
Developmental Services Waiver - MaineCare 0987 
COMMITTEE AMENDMENT 
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COMMIITEE AMENDMENT "A" to H.P. 314, L.D. 475 
Initiative: Provides funding to reduce the wa1tmg list for community-based services 
provided under Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 21: 
Home and Community Benefits for Members with Intellectual Disabilities or Autistic 
Disorder. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$0 
$0 
2016-17 
$4,807,600 
$4,807,600 
Medicaid Services - Developmental Services 0705 
Initiative: Provides funding to reduce the waiting list for community-based services 
provided under Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 21: 
Home and Community Benefits for Members 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 
$960,000 
$960,000 
Initiative: Provides funding to reduce the waiting list for community-based services 
provided under Chapter 10 I : MaineCare Benefits Manual, Chapters II and III, Section 21: 
Home and Community Benefits for Members with Intellectual Disabilities or Autistic 
Disorder. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BOS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
$0 
COMMITTEE AMENDMENT 
2016-17 
$10,232,400 
$10,232,400 
2016-17 
$4,807,600 
$10,232,400 
$960,000 
$16,000,000 
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COMMITTEE AMENDMENT"~ "to H.P. 314, L.D. 475 
SUMMARY 
This amendment, which is the majority report of the committee, adds appropriations 
and allocations of $16,000,000 in all funds to reduce the number of people on the waiting 
list for community-based services provided under Chapter 101: MaineCare Benefits 
Manual, Chapter II, Section 21: Home and Community Benefits for Members with 
Intellectual Disabilities or Autistic Disorder and Chapter III, Section 21: Allowances for 
Home and Community Benefits for Members with Intellectual Disabilities or Autistic 
Disorder. It adds another appropriations and allocations section to provide funding to 
increase the combined annual limit for certain MaineCare Services. 
FISCAL NOTE REQUIRED 
(See attached) 
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COMMITTEE AMENDMENT 
Revised: 03/21/16 feac 
LD475 
LR 1371(02) 
Resolve, To Increase MaineCare Services for Certain Recipients To Allow Them To Remain at Home 
Fiscal Note for Bill as Amended by Committee Amendment 'ff {H- bO 8, \ 
Committee: Health and Human Services 
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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 
$412,856 
$412,856 
$825,843 
$79,066 
$825,843 
$79,066 
FY 2016-17 
$9,559,063 
$9,559,063 
$20,345,320 
$1,908,790 
$20,345,320 
$1,908,790 
Projections 
FY 2017-18 
$9,491,462 
$9,491,462 
$20,412,921 
$1,908,790 
$20,412,921 
$1,908,790 
Projections 
FY 2018-19 
$9,491,462 
$9,491,462 
$20,412,921 
$1,908,790 
$20,412,921 
$1,908,790 
The bill includes a General Fund appropriation to the Department of Health and Human Services of $412,856 and an 
Other Special Revenue Funds allocation of $79,066 in fiscal year 2015-16 and a General Fund appropriation of 
$9,559,063 and an Other Special Revenue Funds allocation of$1,908,790 in fiscal year 2016-17 to increase the 
combined annual limit for reimbursement of services provided under Section 29: Home and Community Benefits for 
Members with Intellectual Disabilities or Autistic Disorder and reduce the waiting list for community-based services 
provided under Section 21: Ho,me and Community Benefits for Members with Intellectual Disabilities or Autistic 
Disorder. Federal Expenditures Fund allocations are also included for the FMAP match. 
LR1371(02) - Fiscal Note - Page 1 of 1