An Act To Facilitate MaineCare-Funded Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes
Maine Legislature, Session 128, LD 1188
Committee Amendment CA_A_H330 (House)

COMMITTEE AMENDMENT "A" to H.P. 825, L.D. 1188, Bill, "An Act To 
Facilitate MaineCare-Funded Assisted Living by Providing a Cost-of-living Adjustment 
to Private Nonmedical Institutions and Adult Family Care Homes" 
Amend the bill by striking out evetything after the enacting clause and before the 
summa1y and inserting the following: 
'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 rule Chapter 115: 
Principles of Reimbursement for Residential Care 
Facilities - Room and Board Costs to provide for ongoing, annual rate changes to adjust 
for inflation. For the state fiscal year ending June 30, 2019, the amount of the adjustment 
is 2.1 %. 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 Health and Human Services, Centers for Medicare and Medicaid Services, 
Long-Term Care Hospital Market Basket change as published in the Federal Register. 
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 2.1 % 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 for the state fiscal year ending June 3 0, 2019. 
COMMITTEE AMENDMENT 
COMMITIEE AMENDMENT "A" to H.P. 825, L.D. 1188 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$38,102 
$38,102 
2018-19 
$68,747 
$68,747 
Initiative: Provides funds for a 2.1 % cost-of-living rate increase for residential care 
facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal 
year ending June 30, 2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PNMI Room and Board Z009 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$791,503 
$791,503 
2018-19 
$1,747,713 
$1,747,713 
2018-19 
$177,155 
$177,155 
Initiative: Provides funds for a 2.1 % 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 for the state fiscal year ending June 30, 2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$9,291 
$9,291 
ROFS 
COMMITIEE AMENDMENT" fl., to H.P. 825, L.D. 1188 
PNMI Room and Board Z009 
In~tiative: Provides funds for a 2. 1 % cost-of-living rate increase for residential care 
facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal 
year ending June 30, 2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2017-18 
$0 
$0 
$0 
$0 
$0 
$0 
2018-19 
$236,206 
$236,206 
2018-19 
$1,075,102 
$1,816,460 
$177,155 
$3,068,717 
This amendment, which is the minority report of the committee, removes from the 
bill the 4% increase in fiscal year 2017-18 for reimbursement for adult family care 
hornes, residential care facilities and certain private nonmedical institutions. It includes a 
reimbursement increase of 2.1 % in fiscal year 2018-19. It establishes an annual increase 
beginning in fiscal year 2019-20 using the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services, Long-Term Care Hospital 
Market Basket change as published in the Federal Register. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/23/17 Wac 
LD 1188 
LR960(02) 
An Act To.Facilitate MaineCare-Funded Assisted Living by Providing a Cost-of-living Adjustment to 
Private Nonmedical Institutions and Adult Family Care Homes 
Fiscal Note for Bill as Amended by Committee Amendment ,{J,, ( M· 33 O) 
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 
$0 
$0 
$0 
$0 
$0 
$0 
FY 2018-19 
$1,075,102 
$1,075,102 
$1,816,460 
$177,155 
$1,816,460 
$177,155 
Projections 
FY 2019-20 
$2,643,217 
$2,643,217 
$4,465,895 
$435,547 
$4,465,895 
$435,547 
Projections 
FY 2020-21 
$4,258,375 
$4,258,375 
$7,194,814 
$701,692 
$7,194,814 
$701,692 
The bill includes General Fund appropriations to the Department of Health and Human Services of $1,075,102 in 
fiscal year 2018-19 for a 2. 1 % cost-of-living rate increase for adult family care homes and Appendix C private non-
medical institutions for the state fiscal year ending June 30, 2019. The bill also includes Federal Expenditures Fund 
for the FMAP and Other Special Revenue Funds allocations for the service provider tax. 
LR0960(02) - Fiscal Note - Page 1 of 1