An Act To Provide Supplemental Appropriations and Allocations for the Operations of State Government
Maine Legislature, Session 128, LD 0837
Committee Amendment CA_A-HA_A_H798 (House)

HOUSE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to H.P. 586, 
L.D. 837, Bill, "An Act To Provide Supplemental Appropriations and Allocations for the 
Operations of State Government'' 
Amend the amendment by inserting after the first paragraph and before section 1 the 
following: 
'Sec. 1. MaineCare Expansion Fund established. The MaineCare Expansion 
Fund, referred to in this section as "the fund, 
is established as an Other Special Revenue 
Funds account within the Department of Health and Human Services that, in combining 
funds transferred pursuant to section 2 with all funds appropriated and available in the 
Medical Care - Payments to Providers program in the General Fund, provides the funds 
estimated to be necessary for expanded coverage under the MaineCare program required 
by Initiated Bill 2017, chapter 1, "An Act To Enhance Access to Affordable Health 
Care." 
1. Exclusive use. Funds in the fund may be used only for the implementation and 
continuation of expanded access to health care as required by Initiated Bill 2017, chapter 
1. 
2. Lapse. Funds transferred from the General Fund pursuant to section 2 in excess 
of funds needed to carry out the purpose of the fund stated in subsection 1 lapse to the 
unappropriated surplus of the General Fund if not expended by June 30, 2019. 
3. Transfer from fund to Medical Care - Payments to Providers program 
authorized. Notwithstanding any provision of law to the contrary, the State Controller 
shall transfer funds from the fund to the Medical Care - Payments to Providers program if 
such a transfer is necessary to allocate federal funds. 
Sec. 2. Transfer of funds. Notwithstanding any provision of law to the contrary, 
the State Controller shall transfer $31,159,210 from the unappropriated surplus of the 
General Fund to the MaineCare Expansion Fund established in section 1 no later than 10 
days following the effective date of this Act. 
Sec. 3. Transfer from Maine Budget Stabilization Fund for MaineCare 
expansion costs authorized. Notwithstanding the Maine Revised Statutes, Title 5, 
section 1532, the Governor, on or before June 30, 2019 and upon the written request of 
HOUSE AMENDMENT 
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HOUSE AMENDMENT "A "to COMMITTEE AMENDMENT "A" to H.P. 586, L.D. 837 
the Commissioner of Health and Human Services in consultation with the State Budget 
Officer, may transfer up to $23,540,000 from the Maine Budget Stabilization Fund to the 
MaineCare Expansion Fund established in section 1 for medical costs of the MaineCare 
program incurred as a result of expansion of the MaineCare program pursuant to Title 22, 
section 317 4-G, subsection 1, paragraph H. The commissioner shall submit copies of the 
written request submitted to the Governor to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters and the joint 
standing committee of the Legislature having jurisdiction over appropriations and 
financial affairs. The State Controller shall report to the joint standing committee of the 
Legislature having jurisdiction over appropriations and financial affairs any transfers 
made pursuant to this section.' 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment: 
1. Establishes the MaineCare Expansion Fund within the Department of Health and 
Human Services to provide the funds estimated to be necessary for expanded coverage 
under the MaineCare program required by Initiated Bill 2017, chapter 1, "An Act To 
Enhance Access to Affordable Health Care"; 
2. 
Limits the use of the fund to funding needed for the implementation and 
continuation of expanded access to health care as required by Initiated Bill 2017, chapter 
1· ' 
3. Requires that funds in the fund lapse to the unappropriated surplus of the General 
Fund if not expended by June 30, 2019; 
4. 
Directs the State Controller to transfer $31,159,210 from the unappropriated 
surplus of the General Fund to the fund no later than 10 days following the effective date 
of this legislation; and 
5. Provides that the Governor, on or before June 30, 2019 and upon the written 
request of the Commissioner of Health and Human Services in consultation with the State 
Budget Officer, may transfer up to $23,540,000 from the Maine Budget Stabilization 
Fund to the fund for medical costs of the MaineCare program incurred as a result of 
expansion of the MaineCare program. 
FISCAL NOTE REQUIRED 
(See attached) 
SPONSOREDBY:~~~~~~~~~~~~-
(Representative GATTINE) 
TOWN: Westbrook 
HOUSE AMENDMENT 
A.pproved: 06/19/18 ;?.;/'£1:C: 
LD837 
LR 1499(09) 
An Act To Provide Supplemental Appropriations and Allocations for the Operations of State 
Government 
Fiscal Note for House Amendment tr to Committee Amendment "A" 
Sponsor: Rep. Gaftine of Westbrook 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
FY 2018-19 
Projections 
FY2019-20 
Projections 
FY 2020-21 
Net Cost (Savings) 
General Fund 
Transfers 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
$0 
$31,159,210 
$0 
($31,159,210) 
$0 
$31,159,210 
$0 
$0 
$0 
$0 
$0 
$0 
This amendment transfers $31,159,210 from the unappropriated surplus of the General Fund to the newly established 
MaineCare Expansion Fund for MaineCare services and payments to providers. Any unused balance in the fund as of 
June 30, 2019 will lapse back to the General Fund. This amendment also authorizes transfers from the Maine Budget 
Stabilization fund up to $23,540,000 for the same purposes in the event of a shortfall due to the expansion of 
eligibility for MaineCare.