Resolve, Establishing the Commission To Study Ways To Support and Strengthen the Direct Care Workforce across the Long-term Care Continuum
Maine Legislature, Session 127, LD 1644
Committee Amendment CA_A_H606 (House)

COMMITTEE AMENDMENT .. A" to H.P. 1119, L.D. 1644, "Resolve, 
Establishing the Commission To Study Ways To Support and Strengthen the Direct Care 
Workforce across the Long-term Care Continuum" 
Amend the resolve by striking out all of section 2 and inserting the following: 
'Sec. 2. Commission membership. Resolved: That, notwithstanding Joint Rule 
353, the commission consists ofup to 18 members as follows: 
1. Two members of the Senate appointed by the President of the Senate, including a 
member from each of the 2 parties holding the largest number of seats in the Legislature; 
2. Three members of the House of Representatives appointed by the Speaker of the 
House, including members from each of the 2 parties holding the largest number of seats 
in the Legislature; and 
3. Up to thirteen members who possess expertise in the subject matter of the study as 
follows: 
A. A direct care worker appointed by the President of the Senate; 
B. A provider of home-based long-term care who is a member of a statewide 
association representing home-based long-term care providers appointed by the 
President of the Senate; 
C. A representative of a statewide association representing nonprofit housing and 
senior service programming appointed by the President of the Senate; 
D. 
A representative of an organization providing services to individuals with 
intellectual disabilities and autism including employment services and long-term 
home supports appointed by the President of the Senate; 
E. A provider of facility-based long-term care who is a member of a statewide 
association representing facility-based long-term care providers appointed by the 
Speaker of the House; 
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COMMITTEE AMENDMENT" A" to H.P. 1119, L.D. 1644 
F. 
A representative of an organization providing statewide homemaker services 
through the state-funded independent support services program within the 
Department of Health and Human Services appointed by the Speaker of the House; 
G. 
A representative of an institution of higher education engaged in workforce 
development appointed by the Speaker of the House; 
H. A representative of a service coordination agency providing service coordination 
to people receiving home-based and community-based long-term care appointed by 
the Speaker of the House; 
I. A representative of an organization promoting independent living for individuals 
with disabilities appointed by the Speaker of the House; 
J. 
A representative of a business that acts as a labor intermediary helping the 
unemployed and underemployed populations obtain employment appointed by the 
Speaker of the House; 
K. The executive director of the long-term care ombudsman program described 
under the Maine Revised Statutes, Title 22, section 5106, subsection 11-C; 
L. 
The Commissioner of Health and Human Services, or the commissioner's 
designee, who may be invited to participate; and 
M. The Commissioner of Labor, or the commissioner's designee, who may be invited 
to participate.' 
Amend the resolve in section 5 in subsection 7 in the 2nd line (page 3, line 9 in L.D.) 
by striking out the following: "and" 
Amend the resolve in section 5 in subsection 8 in the second line (page 3, line 11 in 
L.D) by striking out the following: "and be it further" 
Amend the resolve in section 5 by inserting at the end the following: 
'9. Examine technological advances and adaptive equipment that provide innovative 
ways to help people living in their homes remain independent; and 
10. Examine the potential for removing the barriers to employment as direct care 
workers experienced by populations who may lack credentials, transportation or English 
proficiency or other relevant factors; and be it further' 
Amend the resolve in section 7 in the first line (page 3, line 15 in L.D.) by striking 
out the following: "notwithstanding Joint Rule 353," 
Amend the resolve in section 7 in the 2nd line (page 3, line 16 in L.D.) by striking out 
the following: "December" and inserting the following: 'November' 
SUMMARY 
This amendment, which is the majority report of the committee, makes the following 
changes to the Commission To Study Ways To Support and Strengthen the Direct Care 
Workforce across the Long-term Care Continuum. 
1. 
It adds 3 members, including a representative of a labor intermediary, a 
representative of an organization providing services to individuals with intellectual 
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COMMITTEE AMENDMENT .p .. to H.P. 1119, L.D. 1644 
disabilities and autism and a representative of an organization promoting independent 
living for individuals with disabilities. 
2. 
It clarifies that the Commissioner of Health and Human Services and the 
Commissioner of Labor may be invited to participate. 
3. It adds to the duties of the commission an examination of technological advances 
to help individuals living in their homes remain independent and an examination of the 
barriers to employment as direct care workers for populations who may lack credentials, 
transportation or English proficiency or other relevant factors. 
4. 
It changes the date for the commission's report from December 2, 2016 to 
November 2, 2016. 
FISCAL NOTE REQUIRED 
(See attached} 
COMMITTEE AMENDMENT 
Approved: 03/23/16 feac 
LD 1644 
LR2523(02) 
Resolve, Establishing the Commission To Study Ways To Support and Strengthen the Direct Care 
Workforce across the Long-term Care Continuum 
Fiscal Note for Bill as Amended by Committee Amendment 'A' [M-1£;D{p) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Legislative Cost/Study 
Legislative Cost/Study 
The general operating expenses of this study are projected to be $625 infiscal year 2015-16 and $2,125 in fiscal year 
2016-17. The Legislature's budget includes $10,000 in fiscal year 2015-16 and $10,000 in fiscal year 2016-17 for 
legislative studies. Whether the amounts are sufficient to fund all studies will depend on the number of studies 
authorized by the Legislative Council and the Legislature. The additional costs of providing staffing assistance to the 
study during the interim can be absorbed utilizing existing budgeted staff resources. 
Fiscal Detail and Notes 
Additional costs to the Department of Labor and the Department of Health and Human Services associated with the 
Commissioner or the commissioner's designee serving on the commission can be absorbed within existing budgeted 
resources. 
LR2523(02) - Fiscal Note - Page 1 of 1