An Act To Preserve MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes
Maine Legislature, Session 127, LD 1078
Committee Amendment CA_A_S168 (Senate)

COMMITTEE AMENDMENT " A " to S.P. 380, L.D. 1078, Bill, "An Act To 
Preserve MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private 
Nonmedical Institutions and Adult Family Care Homes" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Preserve MaineCare Assisted Living by Providing a 4% Rate Increase to 
Private Nonmedical Institutions and Adult Family Care Homes' 
Amend the biII by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds to give residential care facilities and MaineCare Appendix C 
private nonmedical institutions a 4% rate increase. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2015-16 
$1,517,225 
$1,517,225 
2015-16 
$2,939,876 
$2,939,876 
COMMITTEE AMENDMENT 
2016-17 
$3,075,939 
$3,075,939 
2016-17 
$6,016,548 
$6,016,548 
COMMITTEE AMENDMENT" A" to S.P. 380, L.D. 1078 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PNMI Room and Board Z009 
2015-16 
$248,959 
$248,959 
2016-17 
$507,877 
$507,877 
Initiative: Provides funds to give residential care facilities and MaineCare Appendix C 
private nonmedical institutions a 4% rate increase. 
GENERAL FUND 
All Other 
GENERAL 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 
$465,435 
$465,435 
2015-16 
$1,982,660 
$2,939,876 
$248,959 
$5,171,495 
2016-17 
$949,487 
$949,487 
2016-17 
$4,025,426 
$6,016,548 
$507,877 
$10,549,851 
Sec. 2. Rate adjustment. The Department of Health and Human Services shall 
amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2, 
Adult Family Care Services and Chapter III, Section 97, Appendix C: 
Principles of 
Reimbursement for Medical and Remedial Service Facilities and Rule Chapter 115: 
Principles of Reimbursement for Residential Care Facilities - Room and Board Costs to 
provide for a 4% increase in rates for each of the state fiscal years ending July 1, 2016 
and July 1, 2017. 
The rate change for fiscal year 2015-16 must be implemented 
beginning July 1, 2015.' 
SUMMARY 
This amendment, which is the minority report of the committee, makes the following 
changes to the bill. 
1. It provides that adult family care homes and Appendix C private nonmedical 
institutions receive a 4% rate increase in funding in each of the next 2 fiscal years, rather 
than a cost-of-living rate increase. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" A .. to S.P. 380, L.D. 1078 
2. 
It strikes the requirement that an inflation adjustment be set for fiscal years 
beginning 2017-18. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/24/15 
;1;Pac:.. 
LD 1078 
LR 763(03) 
An Act To Preserve MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private 
Nonmedical Institutions and Adult Family Care Homes 
Fiscal Note for Bill as Amended by Committee Amendment '~·JI(.s-/19'8") 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
FY 2016-17 
Projections 
FY 2017-18 
Projections 
FY 2018-19 
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 
$1,982,660 
$1,982,660 
$2,939,876 
$248,959 
$2,939,876 
$248,959 
$4,025,426 
$4,025,426 
$6,016,548 
$507,877 
$6,016,548 
$507,877 
$0 
$0 
$0 
$0 
$0 
$0 
The bill includes General Fund appropriations to the Department of Health and Human Services (DHHS) of 
$1,982,660 in fiscal year 2015-16 and $4,025,426 in fiscal year 2016-17 to give Residential Care Facilities and 
Appendix C Private Non Medical institutions a 4% rate increase in each fiscal year. Federal Expenditures Fund 
allocations are also included in this bill for the FMAP match. 
LR0763(03) - Fiscal Note - Page 1 of 1 
$0 
$0 
$0 
$0 
$0 
$0