Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care Facilities
Maine Legislature, Session 127, LD 0090
Committee Amendment CA_A-SA_A_S488 (Senate)

SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 73, 
L.D. 90, "Resolve, To Ensure Appropriate Personal Needs Allowances for Persons 
Residing in Long-term Care Facilities" 
Amend the amendment in the 2nd paragraph after the title in the 2nd line (page 1, line 
in amendment) by striking out the following: "January 1, 2016" and inserting the 
following: 'August 1, 2016' 
Amend the amendment by inserting after the 2nd paragraph after the title the 
following: 
'Amend the resolve in section 1 in the 5th line (page 1, line 19 in L.D.) by striking out 
the following: "$50 per month" and inserting the following: '$45 per month beginning 
July 1, 2016' I 
Amend the amendment in the 3rd paragraph after the title in the 2nd line (page 1, line 
in amendment) by striking out the following: "January 1, 2016" and inserting the 
following: 'August 1, 2016' 
Amend the amendment by inserting after the 3rd paragraph after the title the 
following: 
'Amend the resolve in section 2 in the 5th line (page 1, line 26 in L.D.) by striking out 
the following: "$90 per month" and inserting the following: '$80 per month beginning 
July 1, 2016" 
Amend the amendment by striking out all of section 3 and inserting the following: 
'Sec. 3. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Medicaid Services - Developmental Services 0705 
Initiative: Appropriates funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $80. 
SENATE AMENDMENT 
~o~~ 
SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 73, L.D. 90 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Child Medicaid 0731 
2015-16 
$0 
$0 
2016-17 
$93,824 
$93,824 
Initiative: Appropriates funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $80. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Medicaid 0732 
2015-16 
$0 
$0 
2016-17 
$89,961 
$89,961 
Initiative: Appropriates funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $80. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$146,510 
$146,510 
2016-17 
$330,295 
$330,295 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates funds to increase the personal needs allowances of residents in 
residential care facilities from $70 to $80. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$0 
$0 
SENA TE AMENDMENT 
2016-17 
$299,045 
$299,045 
~ors 
SENA TE AMENDMENT ",4 "to COMMITTEE AMENDMENT "A" to H.P. 73, L.D. 90 
Nursing Facilities 0148 
Initiative: Appropriates and allocates funds to increase the personal needs allowances of 
residents in nursing facilities from $40 to $45. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL - ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
SECTION TOT AL - ALL FUNDS 
SUMMARY 
This amendment: 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
2015-16 
$0 
$0 
$0 
2016-17 
$116,909 
$116,909 
2016-17 
$207,411 
$207,411 
2016-17 
$415,954 
$207,411 
$623,365 
2016-17 
$746,249 
$207,411 
$953,660 
1. Changes the date by which the Department of Health and Human Services is 
required to amend its rules to increase the personal needs allowance to August 1, 2016; 
2. Reduces the amount of the proposed personal needs allowance for persons in 
nursing facilities from $50 to $45 per month and for those in residential care facilities 
from $90 to $80 per month, beginning July 1, 2016; and 
SENATE AMENDMENT 
~or<; 
SENA TE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 73, L.D. 90 
3. Decreases the funds appropriated and allocated for the increases. 
FISCAL NOTE REQUIRED 
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SPONSOREDBY:~ .· 
· 
(Senator HAMFE 
COUNTY: Oxford 
SENATE AMENDMENT 
Approved: 04/07 /16 ;Wac 
LD90 
LR430(04) 
Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care 
Facilities 
Fiscal Note for Senate Amendment';\" 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 
l_S'-4fS8J 
Fiscal Note 
FY 2015-16 
($625,341) 
($625,341) 
($169,376) 
($169,376) 
FY 2016-17 
($754,568) 
($754,568) 
($199,092) 
($199,092) 
Projections 
FY 2017-18 
($754,568) 
($754,568) 
($199,092) 
($199,092) 
Projections 
FY 2018-19 
($754,568) 
($754,568) 
($199,092) 
($199,092) 
The amendment removes the appropriations and allocations to the Department of Health and Human Services in fiscal 
year 2015-16 due to a new effective date for the rule change. It also reduces the General Fund appropriation by 
$754,568 in fiscal year 2016-17 by cutting in half the increases in the original bill for the personal needs allowances 
of residents in residential care facilities from a $20 increase to a $10 increase (for a new total of $80) and for residents 
in nursing facilities from a $10 increase to a $5 increase (for a new total of $45). Federal Expenditures Fund 
allocations are also reduced for the lower additional matching federal revenue expected. 
LR0430(04) - Fiscal Note - Page I of I