Resolve, To Increase MaineCare Services for Certain Recipients To Allow Them To Remain at Home
Maine Legislature, Session 127, LD 0475
Committee Amendment CA_A-HA_A_H639 (House)

HOUSE AMENDMENT "Pt" to COMMITTEE AMENDMENT "A" to H.P. 314, 
L.D. 475, "Resolve, To Increase MaineCare Services for Certain Recipients To Allow 
Them To Remain at Home" 
Amend the amendment by striking out the first 2 indented paragraphs after the 
substitute title (page 1, lines 14 to 17 in amendment) and inserting the following: 
'Amend the resolve by striking out all of the emergency preamble (page 1, lines 1 to 
in L.D.). 
Amend the resolve by striking out all of section 1 and inserting the following: 
'Sec. 1. Increasing reimbursement for support services for adults with 
intellectual disabilities or autistic disorder. Resolved: That, by August 1, 2016, 
the Department of Health and Human Services shall amend its rules in rule Chapter 101: 
MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with 
Intellectual Disabilities or Autistic Disorder to increase the combined annual limit for 
reimbursement for home support, community support, work support-individual or work 
support-group, assistive technology and career planning to $47,550. The department 
shall determine the number of hours of specific support services on the basis of the 
increased combined annual limit. Rules adopted pursuant to this section are routine 
technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 
2-A; and be it further' ' 
Amend the amendment by striking out all of sections 3 and 4 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) 
Developmental Services Waiver - Supports Z006 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: 
Support Services for Adults with Intellectual Disabilities or Autistic Disorder. 
HOUSE AMENDMENT 
. 
HOUSE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to H.P. 314, L.D. 475 
GENERAL FUND 
All Other 
GENERALFUNDTOTAL 
Medicaid Services - Developmental Services 0705 
2015-16 
$0 
$0 
2016-17 
$3,004,750 
$3,004,750 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule 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 TOT AL 
Medical Care - Payments to Providers 0147 
2015-16 
$0 
$0 
2016-17 
$600,000 
$600,000 
Initiative: Provides funding to increase the combined annual limit for reimbursement of 
services in rule 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 
HEAL TH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2015-16 
$0 
$0 
2016-17 
$6,395,250 
$6,395,250 
2015-16 
2016-17 
$0 
$3,004,750 
$0 
$6,395,250 
$0 
$600,000 
$0 
$10,000,000 
Amend the resolve by striking out all of the emergency clause.' 
SUMMARY 
This amendment strikes the emergency preamble and emergency clause, changes the 
date by which the Department of Health and Human Services is required to amend its 
rules accordingly and removes appropriations and allocations for fiscal year 2015-16 for 
HOUSE A-MENDMENT 
·~Jiijll']'::, 
HOUSEAMENDMENT"ft' to COMMITTEEAMENDMENT"A"to H.P. 314, L.D. 475 
so-called "Section 29" services, and removes appropriations and allocations for fiscal 
year 2015-16 and fiscal year 2016-17 for so-called "Section 21" services. 
FISCAL NOTE RE,QUIRED 
(See attached) 
SPONSOREDBY: (ii:.z._ ~~F~ 
(Representative STUCKEY) 
TOWN: Portland 
, 
HOUSE AMENDMENT 
Approved: 04/05/16 
;:Wac 
LD475 
LR 1371(07) 
Resolve, To Increase MaineCare Services for Adults with Intellectual Disabilities or Autistic Disorder 
Fiscal Note for House Amendment'~" to Committee Amendment "A" 
Sponsor: Rep. Stuik.ey of Portland 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
FY 2015-16 
FY 2016-17 
FY2017-18 
Net Cost (Savings) 
General Fund 
($412,856) 
($6,554,313) 
($6,529,462) 
Appropriations/ Allocations 
General Fund 
($412,856) 
($6,554,313) 
($6,529,462) 
Federal Expenditures Fund 
($825,843) 
($13,950,070) 
($13,974,921) 
Other Special Revenue Funds 
($79,066) 
($1,308, 790) 
($1,308, 790) 
Revenue· 
Federal Expenditures Fund 
($825,843) 
($13,950,070) 
($13,974,921) 
Other Special Revenue Funds 
($79,066) 
($1,308, 790) 
($1,308, 790) 
Fiscal Detail and Notes 
Projections 
FY 2018-19 
($6,529,462) 
($6,529,462) 
($13,974,921) 
($1,308,790) 
($13,974,921) 
($1,308, 790) 
This amendment removes the emergency preamble and emergency clause from the bill and adjusts the total funding to 
$10,000,000 for the services provided under Section 29: Home and Community Benefits for Members with 
Intellectual Disabilities or Autistic Disorder. In accord with a later start date, this amendment removes the General 
Fund appropriation to the Department of Health and Human Services (DHHS) of $412,856 in fiscal year 2015-16. 
Federal Expenditures Fund and Other Special Revenue Funds allocations in fiscal year 2015-16 are also removed. To 
adjust total funding for Section 29 services, this amendment also reduces the General Fund appropriation to DHHS by 
$1,746,713 in fiscal year 2016-17. Federal Expenditures Fund and Other Special Revenue Funds allocations in fiscal 
year 2016-17 are also reduced. 
Furthermore, this amendment reduces the General Fund appropriation by $4,807,600 for the removal of the funding 
for the services provided under Section 21: Home and Community Benefits for Members with Intellectual Disabilities 
or Autistic Disorder. Federal Expenditures Fund and Other Special Revenue Funds allocations in fiscal year 2016-17 
are also reduced for the removal of Section 21 services funding. 
LR1371(07) - Fiscal Note - Page 1 of 1