Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates for Home-based and Community-based Services
Maine Legislature, Session 128, LD 0643
Committee Amendment CA_A_H176 (House)

COMMITTEE AMENDMENT "M·" to H.P. 457, L.D. 643, "Resolve, Directing the 
Department of Health and Human Services To Increase Reimbursement Rates for Home-
based and Community-based Services" 
Amend the resolve by striking out all of section 1 and insetting the following: 
'Sec. 1. Reimbursement for personal care and related services. Resolved: 
That the Department of Health and Human Services shall amend its rules for 
reimbursement rates for personal care and related services provided under Chapter 101: 
MaineCare Benefits Manual, Sections 12, 19 and 96 and Chapter 5, Office of Elder 
Services Policy Manual, Section 63 to reflect the final rates modeled in the February 1, 
2016 repo1t "Rate Review for Personal Care and Related Services: Final Rate Models" 
prepared for the department by Burns & Associates, Inc. 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 resolve in section 2 in the last line (page 1, line 30 in L.D.) by striking out 
the following: "201 8." and inserting the following: '2018; and be it further' 
Amend the resolve by adding after section 2 the following: 
'Sec. 3. Adjustment of monetary caps. Resolved: That the Depaitment of 
Health and Human Services shall ensure that caps and limitations on home-based and 
community-based services are increased to reflect increases in reimbursement rates that 
result from this resolve. A recipient of services may not experience a reduction in hours 
solely as a result of increased reimbursement; and be it fmther 
Sec. 4. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Long Term Care - Office of Aging and Disability Services 0420 
Initiative: Provides funding to increase rates for certain services effective July 1, 2018. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" R" to H.P. 457, L.D. 643 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
Medical Care - Payments to Providers 0147 
2017-18 
$0 
$0 
2018-19 
$884,176 
$884,176 
Initiative: Provides funding to increase rates for certain services effective July 1, 2018. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOT AL - ALL FUNDS 
SUMMARY 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
2018-19 
$2,775,557 
$2,775,557 
2018-19 
$5,007,833 
$5,007,833 
2018-19 
$3,659,733 
$5,007,833 
$8,667,566 
This amendment clarifies that all home-based and community-based services that 
were included in the Burns & Associates, Inc. rate review are included in the resolve and 
that the reimbursement rates are to be increased to the levels recommended in the rate 
study. 
The amendment ensures that a recipient of services may not experience a 
reduction in hours solely as a result of increased reimbursement. The amendment also 
adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/11/17 feac 
LD 643 
LR 1606(02) 
Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates 
for Home-based and Community-based Services 
c 
H., , ·-z;) 
Fiscal Note for Bill as Amended by Committee Amendment 'H 
<..?' j 
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 
$0 
$0 
$0 
$0 
FY 2018-19 
$3,659,733 
$3,659,733 
$5,007,833 
$5,007,833 
Projections 
FY 2019-20 
$3,659,733 
$3,659,733 
$5,007,833 
$5,007,833 
Projections 
FY 2020-21 
$3,659,733 
$3,659,733 
$5,007,833 
$5,007,833 
The bill includes General Fund appropriations to the Department of Health and Human Services of $3,659,733 
beginning in fiscal year 2017-18 to increase rates for certain services to be effective July 1, 2018. Federal 
Expenditures Fund allocations will also be required for the FMAP match. 
LRl 606(02) - Fiscal Note - Page 1 of 1