Resolve, To Implement the Recommendations of the Commission To Continue the Study of Long-term Care Facilities
Maine Legislature, Session 127, LD 0087
Committee Amendment CA_A_H77 (House)

COMMITTEE AMENDMENT "A" to H.P. 70, L.D. 87, "Resolve, To Implement 
the Recommendations of the Commission To Continue the Study of Long-term Care 
Facilities" 
Amend the resolve by striking out all of the emergency preamble. 
Amend the resolve in section I in the 2nd line (page 1, line 16 in L.D.) by inserting 
after the following: "That" the following; " by January 1, 2016,' 
Amend the resolve in section 1 by striking out all of subsection 3 (page 1, lines 25 to 
in L.D.) 
Amend the resolve in section 1 in subsection 4 in the last line (page 1, line 35 in 
L.D.) by striking out the following: "April 15, 2015." and inserting the following: 
'January 1,2016; and be it further' 
Amend the resolve in section 1 by renumbering the subsections to read consecutively. 
Amend the resolve by adding after section 1 the following: 
'Sec. 2. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Initiative: Provides funding to restore crossover payments to nursing facilities related to 
the nondual Qualified Medicare Beneficiary program population of the Medicare Savings 
Program for whom coverage was eliminated in Public Law 2013, chapter 368. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$200,641 
$200,641 
COMMITTEE AMENDMENT 
2016-17 
$601,923 
$601,923 
~~ 
~~ 
COMMIITEE AMENDMENT "A .. to H.P. 70, L.D. 87 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
2015-16 
$336,838 
$336,838 
2016-17 
$1,010,515 
$1,010,515 
Initiative: Provides funding to decrease the occupancy percentage threshold required for a 
nursing facility with more than 60 beds from 90% to 80% and for a nursing facility with 
beds or fewer from 85% to 75%. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
2015-16 
$63,187 
$63,187 
2015-16 
$106,078 
$106,078 
2016-17 
$84,249 
$84,249 
2016-17 
$141,438 
$141,438 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the 
decrease of the occupancy percentage threshold required for a nursing facility with more 
than 60 beds from 90% to 80% and for a nursing facility with 60 beds or fewer from 85% 
to 75%. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Nursing Facilities 0148 
2015-16 
($10,156) 
($10,156) 
2015-16 
$10,156 
$10,156 
2016-17 
($13,541) 
($13,541) 
2016-17 
$13,541 
$13,541 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the 
restoration of crossover payments to nursing facilities related to the nondual Qualified 
COMMITTEE AMENDMENT 
, 
., 
"'~~ 
~ 
CQMMmEE AMENDMENT "fl., to H.P. 70, CD. 87 
Medicare Beneficiary program population of the Medicare Savings Program for whom 
coverage was eliminated in Public Law 2013, chapter 368. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Nursing Facilities 0148 
2015-16 
($26,874) 
($26,874) 
2015-16 
$26,874 
$26,874 
2016-17 
($80,622) 
($80,622) 
2016-17 
$80,622 
$80,622 
Initiative: Provides funding to create a critical access nursing facility designation using 
criteria that are sensitive to the unique access challenges in remote areas of the State and 
provide that a critical access nursing facility designation qualifies as an allowable 
exception to MaineCare budget neutrality. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Nursing Facilities 0148 
2015-16 
$1,760,713 
$1,760,713 
2016-17 
$2,347,617 
$2,347,617 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the creation 
of a critical access nursing facility designation using criteria that are sensitive to the 
unique access challenges in remote areas of the State and provide that a critical access 
nursing facility designation qualifies as an allowable exception to MaineCare budget 
neutrality. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2015-16 
($105,643) 
($105,643) 
2015-16 
$105,643 
$105,643 
COMMITTEE AMENDMENT 
2016-17 
($140,857) 
($140,857) 
2016-17 
$140,857 
$140,857 
~~ 
~o 
COMMITTEE AMENDMENT "P" to H.P. 70, L.D. 87 
Office of MaineCare Services 0129 
Initiative: Provides funding for the technology-related costs, including system changes, 
testing and oversight, to implement the recommendations of the Commission To 
Continue the Study of Long-term Care Facilities. 
1 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES 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 
$44,674 
$44,674 
2015-16 
$44,674 
$44,674 
2015-16 
$1,926,542 
$487,590 
$142,673 
$2,556,805 
Amend the resolve by striking out all of the emergency clause. 
SUMMARY 
2016-17 
$0 
$0 
2016-17 
$0 
$0 
2016-17 
$2,798,769 
$1,151,953 
$235,020 
$4,185,742 
This amendment, which is the majority report of the committee, strikes the 
emergency preamble and emergency clause. It requires the Department of Health and 
Human Services to amend the rules on principles of reimbursement for nursing facilities 
in the MaineCare Benefits Manual by January 1, 2016. The amendment removes the 
provision of the resolve that requires the rules to be amended to restore the crossover 
payments to nursing facilities related to nondual qualified Medicare beneficiaries because 
the crossover payments are not part of the principles of reimbursement. The amendment 
also adds an appropriations and allocations section. The appropriations and allocations 
section includes an appropriation and an allocation to restore the crossover payments. 
FISCAL ~O"E REQ11RED 
(See attached) 
COMMITTEE AMENDMENT 
'" 
.. 
Approved: 03/2711 5 
;:Wac.. 
LD87 
LR432(02) 
Resolve, To Iniplement the Recommendations of the Commission To Continue the Study of Long-term 
Care Facilities 
Fiscal Note for Bill as Amended by Committee Amendment '4 (J/-77' 
Committee: Health and Human Services 
I) 
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 
$1,926,542 
$1,926,542 
$487,590 
$142,673 
$487,590 
$142,673 
FY 2016-17 
$2,798,769 
$2,798,769 
$1,151,953 
$235,020 
$1,151,953 
$235,020 
Projections 
FY 2017-18 
$2,798,769 
$2,798,769 
$1,151,953 
$235,020 
$1,151,953 
$235,020 
Projections 
. FY 2018-19 
$2,798,769 
$2,798,769 
$1,151,953 
$235,020 
$1,151,953 
$235,020 
The bill includes General Fund appropriations to the Department of Health and Human Services of$I,926,541 in 
fiscal year 2015-16 and $2,-798,769 annually beginning in fiscal year 2016-17 to implement the recommendations of 
the Commission to Continue the Study of Long-term Care Facilities. 
LR0432(02) - Fiscal Note - Page 1 of 1