An Act To Facilitate MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes
Maine Legislature, Session 127, LD 1527
Committee Amendment CA_A_S402 (Senate)

COMMITTEE AMENDMENT "A" to S.P. 589, L.D. 1527, Bill, "An Act To 
Facilitate 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 everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 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 and Chapter III, Section 97, Appendix C: 
Principles of Reimbursement for Medical and Remedial Service Facilities - Room and 
Board Costs to provide for 2 annual rate adjustments to adjust for inflation. For the fiscal 
year ending June 30, 2017, the amount of adjustment is 4%. For the fiscal year ending 
June 30, 2018, the department shall set the amount of the inflation adjustment in 
accordance with the United States Department of Labor, Bureau of Labor Statistics 
Consumer Price Index medical care services index. 
Sec. 2. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEAL TH 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 MaineCare Appendix C 
private nonmedical institutions. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Page I -127LR2294(02)-1 
2015-16 
$0 
$0 
COMMITTEE AMENDMENT 
2016-17 
$1,409,644 
$1,409,644 
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·;_t, if. •,,!.' 
COMMITfEE AMENDMENT" /Jr" to S.P. 589, L.D. 1527 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$3,051,764 
$3,051,764 
2016-17 
$310,701 
$310,701 
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. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
PNMI Room and Board Z009 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$65,773 
$65,773 
2016-17 
$116,677 
$116,677 
Initiative: Provides funds for a 4% cost-of-living rate increase for MaineCare Appendix C 
private nonmedical institutions. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
PNMI Room and Board Z009 
2015-16 
$0 
$0 
2016-17 
$406,241 
$406,241 
Initiative: Provides funds for a 4% cost-of-living rate increase for adult family care 
homes that are providing service pursuant to Chapter 10 I: MaineCare Benefits Manual, 
Chapter II, Section 2. 
COMMITTEE AMENDMENT 
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t; ... 
COMMITTEE AMENDMENT"A"to S.P. 589, L.D. 1527 
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 
SUMMARY 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
$0 
$0 
2016-17 
$15,532 
$15,532 
2016-17 
$1,897,190 
$3,168,441 
$310,701 
$5,376,332 
This amendment provides for 2 cost-of-living rate increases in funding rather than an 
annual ongoing increase. The 4% cost-of-living rate increase in funding in the fiscal year 
beginning July 1, 2016 remains the same as in the bill but with updated appropriation and 
allocation amounts. The 2nd rate increase, for fiscal year 2017 -18, is based on the 
Consumer Price Index medical care services index. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/08/16 
;b/ac:. 
LD 1527 
LR2294(02) 
An Act To Facilitate 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"~'~- l{C>l.,) 
Committee: Health and Human Services 
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 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
$0 
$0 
$0 
$0 
$0 
$0 
FY 2016-17 
$1,897,190 
$1,897,190 
$3,168,441 
$310,701 
$3,168,441 
$310,701 
Projections 
FY 2017-18 
$3,290,304 
$3,290,304 
$5,594,813 
$544,970 
$5,594,813 
$544,970 
Projections 
FY 2018-19 
$3,290,304 
$3,290,304 
$5,594,813 
$544,970 
$5,594,813 
$544,970 
The bill includes a General Fund appropriation to the Department of Health and Human Services of $1,897, 190 in 
fiscal year 2016-17 for a 4% cost-of-living rate increase for MaineCare Appendix C private nonmedical institutions 
and adult family care homes. This bill also includes a Federal Expenditures Fund allocation for the FMAP match and 
an Other Special Revenue Funds allocation for the service provider Tax. 
LR2294(02) - Fiscal Note - Page 1 of 1