An Act To Adequately Pay for Emergency Medical Services
Maine Legislature, Session 128, LD 0998
Committee Amendment CA_A_H296 (House)
Amends: 22 MRSA §3174-J

COMMITTEE AMENDMENT " A 
' to H.P. 699, L.D. 998, Bill, "An Act To 
Adequately Pay for Emergency Medical Services" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3174-JJ, as amended by PL 2013, c. 441, §1, is further 
amended to read: 
§3174-JJ. MaineCare reimbursement for ambulance services 
The department shall reimburse for ambulance services under MaineCare at a level 
that is not less than the average allowable reimbursement rate under Medicare for such 
services or at the highest percent of that level that is possible within resources 
appropriated for those purposes. 
Beginning March 1, 2015, the department shall 
reimburse for ambulance services under MaineCare at a level that is not less than 65% of 
the average allowable reimbursement rate under Medicare for such services. Beginning 
March 1, 2018, the department shall reimburse for ambulance services under MaineCare 
at a level that is not less than 70% of the average allowable reimbursement rate under 
Medicare for such services. The department may not reduce any reimbursement rate in 
this section to a level that is less than the rate as of January 1, 2017. 
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 appropriations and allocations to increase the reimbursement rate for 
ambulance services to 70% of the average allowable reimbursement rate under Medicare. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" A" to H.P. 699, L.D. 998 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2017-18 
$231,334 
$231,334 
2017-18 
$417,570 
$417,570 
2018-19 
$694,198 
$694,198 
2018-19 
$1,252,515 
$1,252,515 
This amendment removes the provisions in the bill that relate to community 
paramedicine services. It increases beginning March 1, 2018 the reimbursement rate for 
ambulance services under the MaineCare program under current law from 65% to 70% of 
the average allowable reimbursement rate under Medicare. 
It provides that the 
Department of Health and Human Services may not lower any reimbursement rates for 
ambulance services below the rates as of January 1, 2017. The amendment also adds an 
appropriations and allocations section. 
FISCAL NOTE REQUmED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/20/17 ha<:! 
LD998 
LR 1834(02) 
An Act To Adequately Pay for Emergency Medical Services 
Fiscal Note for Bill as Amended by Committee Amendment ,f+{ H-- ~ ~ b) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$231,334 
$231,334 
$417,570 
$417,570 
FY 2018-19 
$694,198 
$694,198 
$1,252,515 
$1,252,515 
Projections 
FY2019-20 
$694,198 
$694,198 
$1,252,515 
$1,252,515 
Projections 
FY2020-21 
$694,198 
$694,198 
$1,252,515 
$1,252,515 
The bill includes General Fund appropriations to the Department of Health and Human Services of $231,3 3 4 in fiscal 
year 2017-18 and $694,198 in fiscal year 2018-19 to increase the reimbursement rate for ambulance services to 70% 
of the average allowable reimbursement rate under Medicare beginning March 1, 2018. Federal Expenditures Fund 
allocations are also included for the FMAP match. 
LRI 834(02) - Fiscal Note - Pae:e 1 of I