An Act To Reimburse Nursing Homes for the Loss of Coinsurance and Deductibles for Skilled Nursing Beds under Rules Adopted by the Department of Health and Human Services
Maine Legislature, Session 128, LD 0020
Committee Amendment CA_A_H39 (House)

COMMITTEE AMENDMENT "fi " to H.P. 21, L.D. 20, Bill, "An Act To 
Reimburse Nursing Homes for the Loss of Coinsurance and Deductibles for Skilled 
Nursing Beds under Rules Adopted by the Department of Health and Human Services" 
Amend the bill by striking out all of section 1 and inserting the following: 
'Sec. 1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Nursing Facilities 0148 
Initiative: Appropriates and allocates funding to reimburse nursing homes for the losses 
of coinsurance and deductibles for nondual Qualified Medicare Beneficiary program 
members in skilled nursing beds. This funding was removed under rules adopted by the 
Department of Health and Human Services as required in Public Law 2013, chapter 368. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$477,162 
$477,162 
2017-18 
$1,001,325 
$1,001,325 
COMMITTEE AMENDMENT 
2018-19 
$636,217 
$636,217 
2018-19 
$1,335,101 
$1,335,101 
COMMITTEE AMENDMENT" A 
"to H.P. 21, L.D. 20 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Office of MaineCare Services 0129 
2017-18 
$77,815 
$77,815 
2018-19 
$103,754 
$103,754 
Initiative: Provides funding for Department of Administrative and Financial Services, 
Office of Information Technology development and testing of technological changes to 
the claims management system required under this Act. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DBS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
2017-18 
$15,648 
$15,648 
2017-18 
$46,945 
$46,945 
2017-18 
$492,810 
$1,048,270 
$77,815 
$1,618,895 
2018-19 
$0 
$0 
2018-19 
$0 
$0 
2018-19 
$636,217 
$1,335,101 
$103,754 
$2,075,072 
This amendment adjusts the funding for reimbursement for the losses of coinsurance 
and deductibles to reflect a more current estimate and includes additional funding for the 
Department of Administrative and Financial Services, Office of Information Technology 
for testing and development. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 02/28/17 .feac 
LD20 
LR 959(02) 
An Act To Reimburse Nursing Homes for the Loss of Coinsurance and Deductibles for Skilled 
Nursing Beds under Rules Adopted by the Department of Health and Human Services 
Fiscal Note for Bill as Amended by Committee Amendment ~" { // ~ 3 '1) 
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 2017-18 
$492,810 
$492,810 
$1,048,270 
$77,815 
$1,048,270 
$77,815 
FY 2018-19 
$636,217 
$636,217 
$1,335,101 
$103,754 
$1,335,101 
$103,754 
Projections 
FY 2019-20 
$636,217 
$636,217 
$1,335,101 
$103,754 
$1,335,101 
$103,754 
Projections 
FY2020-21 
$636,217 
$636,217 
$1,335,101 
$103,754 
$1,335,101 
$103,754 
The bill includes General Fund appropriations to the Department of Health and Human Services of $492,810 in fiscal 
year 2017-18 and $636,217 in fiscal year 2018-19 to reimburse nursing homes for the losses of coinsurance and 
deductibles for skilled nursing beds under rules adopted by the Department of Health and Human Services as required 
in Public Law 2013, chapter 368, including an additional cost for Office oflnformation Technology development and 
testing of technological changes required under this bill. Federal Expenditures Fund allocations are also included in 
this bill for the FMAP match and Other Special Revenue Funds allocations for the Service Provider Tax. 
LR0959(02) - Fiscal Note - Page 1 of 1