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: Health and Human Services
Sponsors: BURNS, POULIOT, ALFOND, BLUME, DEVIN, FREDETTE, HAMANN, MAKER, TUELL

Legislative Document 
No. 1527 
S.P. 589 
In Senate, January 6, 2016 
An Act To Facilitate MaineCare Assisted Living by Providing a 
Cost-of-living Adjustment to Private Nonmedical Institutions and 
Adult Family Care Homes 
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 
203. 
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 POULIOT of Augusta and 
Senator: ALFOND of Cumberland, Representatives: BLUME of York, DEVIN of Newcastle, 
FREDETTE of Newport, HAMANN of South Portland, MAKER of Calais, McCABE of 
Skowhegan, TUELL of East Machias. 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1.  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 and Chapter III, Section 97, Appendix 
C:  Principles of Reimbursement for Medical and Remedial Service Facilities and in the 
department's Chapter 115:  Principles of Reimbursement for Residential Care Facilities - 
Room and Board Costs to provide for ongoing, annual rate changes beginning July 1, 
2016 to adjust for inflation.  For the state fiscal year ending June 30, 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 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. 
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 residential care 
facilities and MaineCare Appendix C private nonmedical institutions. 
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 III, Section 2. 
GENERAL FUND 
2015-16
2016-17
All Other 
$0
$1,558,714
GENERAL FUND TOTAL 
$0
$1,558,714
FEDERAL EXPENDITURES FUND 
2015-16
2016-17
All Other 
$0
$3,076,672
FEDERAL EXPENDITURES FUND TOTAL 
$0
$3,076,672
OTHER SPECIAL REVENUE FUNDS 
2015-16
2016-17
All Other 
$0
$258,918
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0
$258,918
PNMI Room and Board Z009 
Initiative: Provides funds for a 4% cost-of-living rate increase for residential care 
facilities and MaineCare Appendix C private nonmedical institutions. 
SUMMARY 
This bill provides funds to give adult family care homes, residential care facilities and 
Appendix C private nonmedical institutions a 4% cost-of-living rate increase in funding 
in the fiscal year beginning July 1, 2016.  Annual cost-of-living adjustments are to be 
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 
$0
$84,444
GENERAL FUND TOTAL 
$0
$84,444
FEDERAL EXPENDITURES FUND 
2015-16
2016-17
All Other 
$0
$134,444
FEDERAL EXPENDITURES FUND TOTAL 
$0
$134,444
GENERAL FUND 
2015-16
2016-17
All Other 
$0
$484,052
GENERAL FUND TOTAL 
$0
$484,052
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
2015-16
2016-17
GENERAL FUND 
$0
$2,127,210
FEDERAL EXPENDITURES FUND 
$0
$3,211,116
OTHER SPECIAL REVENUE FUNDS 
$0
$258,918
DEPARTMENT TOTAL - ALL FUNDS 
$0
$5,597,244