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: Health and Human Services
Sponsors: BURNS, SANDERSON, BAKER, CUSHING, CYRWAY, ROSEN, WOODSOME, BLACK, GILBERT, MARTIN

Legislative Document 
No. 1078 
S.P. 380 
In Senate, March 24, 2015 
An Act To Preserve MaineCare Assisted Living by Providing a 
Cost-of-living Adjustment to Private Nonmedical Institutions and 
Adult Family Care Homes 
Reference to the Committee on Health and Human Services suggested and ordered printed. 
HEATHER J.R. PRIEST 
Secretary of the Senate 
Presented by Senator BURNS of Washington. 
Cosponsored by Representative SANDERSON of Chelsea and 
Senators: BAKER of Sagadahoc, CUSHING of Penobscot, CYRWAY of Kennebec, ROSEN 
of Hancock, WOODSOME of York, Representatives: BLACK of Wilton, GILBERT of Jay, 
MARTIN of Eagle Lake. 
Be it enacted by the People of the State of Maine as follows: 
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 for a 4% cost-of-living rate increase for adult family care 
homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, 
Chapter II, Section 2. 
Medical Care - Payments to Providers 0147 
Initiative:  Provides funds for a 4% cost-of-living rate increase for MaineCare Appendix 
C private nonmedical institutions. 
PNMI Room and Board Z009 
Initiative:  Provides funds for a 4% cost-of-living rate increase for MaineCare Appendix 
C private nonmedical institutions. 
GENERAL FUND 
2015-16
2016-17
All Other 
$80,000
$164,444
GENERAL FUND TOTAL 
$80,000
$164,444
FEDERAL EXPENDITURES FUND 
2015-16
2016-17
All Other 
$128,889
$263,333
FEDERAL EXPENDITURES FUND TOTAL 
$128,889
$263,333
GENERAL FUND 
2015-16
2016-17
All Other 
$1,445,000
$2,962,000
GENERAL FUND TOTAL 
$1,445,000
$2,962,000
FEDERAL EXPENDITURES FUND 
2015-16
2016-17
All Other 
$2,312,000
$4,740,000
FEDERAL EXPENDITURES FUND TOTAL 
$2,312,000
$4,740,000
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Sec. 2.  Annual cost-of-living 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; Chapter III, Section 2, Section 97, 
Appendix C: Principles of Reimbursement for Medical and Remedial Service Facilities; 
and Chapter 115, Principles of Reimbursement for Residential Care Facilities - Room and 
Board Costs, to provide for ongoing, annual rate changes beginning July 1, 2015 to adjust 
for inflation.  For each of the state fiscal years ending July 1, 2016 and July 1, 2017, the 
amount of the adjustment is 4%.  For each year thereafter, the department shall set the 
inflation adjustment cost-of-living percentage change in reimbursement each year in 
accordance with the United States Department of Labor, Bureau of Labor Statistics 
Consumer Price Index medical care services index. 
SUMMARY 
This bill provides funds to give adult family care homes and Appendix C private 
nonmedical institutions a 4% cost-of-living rate increase in funding in each of the next 2 
fiscal years.  Annual cost-of-living adjustments are provided by rule for each fiscal year 
thereafter in accordance with the United States Department of Labor, Bureau of Labor 
Statistics Consumer Price Index medical care services index. 
GENERAL FUND 
2015-16
2016-17
All Other 
$630,000
$1,292,000
GENERAL FUND TOTAL 
$630,000
$1,292,000
DEPARTMENT TOTALS 
2015-16
2016-17
GENERAL FUND 
$2,147,000
$4,402,000
FEDERAL EXPENDITURES FUND 
$2,428,000
$4,977,000
DEPARTMENT TOTAL - ALL FUNDS 
$4,575,000
$9,379,000