An Act Making Certain Appropriations and Allocations and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government
Maine Legislature, Session 128, LD 0925
Committee Amendment CA_A_H791 (House)
Amends: 22 MRSA §1708, 15 MRSA §5826, 17-A MRSA §1105-A, 17-A MRSA §1105-B, 17-A MRSA §1105-C, 22 MRSA §7250, 5 MRSA §20003, 5 MRSA §20055, 5 MRSA §17852-A

COMMITTEE AMENDMENT "I/ " to H.P. 653, L.D. 925, Bill, "An Act Making 
Certain Appropriations and Allocations and Changing Certain Provisions of the Law 
Necessary to the Proper Operations of State Government" 
Amend the bill by strildng out everything after the title and inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, the 90-day period may not terminate until after the beginning of the next 
fiscal year; and 
Whereas, certain obligations and expenses incident to the operation of state 
departments and institutions will become due and payable immediately; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, 
Be it enacted by the People of the State of Maine as follows: 
PART A 
Sec. A-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Developmental Services - Community Z208 
Initiative: Provides funding for one Social Services Program Specialist II position to 
handle additional work required by an increase in members under a MaineCare Benefits 
Manual, Chapters II and III, Section 21 waiver. 
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GENERAL FUND 
POSITIONS-LEGISLATIVE COUNT 
Personal Services 
All Other 
GENERAL FUND TOTAL 
Developmental Services Waiver - MaineCare Z211 
2017-18 
0.000 
$0 
$0 
$0 
2018-19 
1.000 
$83,853 
$6,191 
$90,044 
Initiative: Provides funding for the Department of Health and Human Services, beginning 
October 1, 2018, to add 50 members a month from the waiting list for community-based 
services provided under the MaineCare Benefits Manual, Chapters II and III, Section 21 
relating to home and community benefits for members with intellectual disabilities or 
autism spectrum disorder until 300 new members in total have been added. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
2018-19 
$5,068,738 
$5,068,738 
Medicaid Services - Developmental Services Z210 
Initiative: Provides an allocation for the Department of Health and Human Services, 
beginning October 1, 2018, to add 50 members a month from the waiting list for 
community-based services provided under the MaineCare Benefits Manual, Chapters II 
and III, Section 21 relating to home and community benefits for members with 
intellectual disabilities or autism spectrum disorder until 300 new members in total have 
been added. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2017-18 
$0 
$0 
2018-19 
$1,025,369 
$1,025,369 
Initiative: Provides an allocation for the Department of Health and Human Services, 
beginning October 1, 2018, to add 50 members a month from the waiting list for 
community-based services provided under the MaineCare Benefits Manual, Chapters II 
and III, Section 21 relating to home and community benefits for members with 
intellectual disabilities or autism spectrum disorder until 300 new members in total have 
been added. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,.fr,, to H.P. 653, L.D. 925 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
PARTB 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
$0 
2018-19 
$10,995,368 
$10,995,368 
2018-19 
$5,158,782 
$10,995,368 
$1,025,369 
$17,179,519 
Sec. B-1. 22 MRSA §1708, sub-§3, ,iF, as enacted by PL 2013, c. 594, §1, is 
amended to read: 
F. Establish a nursing facility's base year every 2 years and increase the rate of 
reimbursement beginning July 1, 2014 and every year thereafter until June 30, 2018. 
For the state fiscal year beginning July 1, 2018, the base year for each facility is its 
fiscal year that ended in the calendar year 2016. For state fiscal years beginning on 
or after July 1, 2019, subsequent re basing must be based on the most recent cost 
report filings available. The department may provide a mechanism for subsequent 
adjustments to base year costs to reflect any material difference between as-filed cost 
reports used in rebasing and subsequent determinations of audited, allowable costs 
for the same fiscal period. The department's rules must provide that, beginning in the 
state fiscal year beginning July 1, 2018, the rates set for each rebasing year must 
include an inflation adjustment for a cost-of-living percentage change in nursing 
facility reimbursement each year in accordance with the United States Department of 
Labor, Bureau of Labor Statistics Consumer Price Index medical care services index. 
Any rebasing done pursuant to this paragraph may not result in a nursing facility 
receiving a reimbursement rate that is lower than the rate in effect on June 30, 2018. 
Sec. B-2. Rate increases for adult family care services, adult day services 
and homemaker services. The Department of Health and Human Services shall 
provide for rate increases for adult family care services, adult day services and 
5 
homemaker services pursuant to rule as provided in this section. 
1. Services provided pursuant to rules; rate increases for fiscal year 2018-19. 
The department shall amend its rules in 10-144, Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 2, Adult Family Care Services and Section 26, Day Health 
Services; and in 10-149, Chapter 5: Office of Aging and Disability Services Policy 
Manual, Section 61, Adult Day Services and Section 69, Independent Support Services 
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Program so that for the state fiscal year ending June 30, 2019 the MaineCare payment 
rates attributable to wages and salaries for personal care and related services provided 
pursuant to each of the rules are increased by 10%. 
2. Rate increases for fiscal year 2019-20 and thereafter until completion of rate 
study. For the state fiscal year ending June 30, 2020 and each year thereafter until the 
completion of the rate study under subsection 3, the MaineCare payment rates attributable 
to wages and salaries for personal care and related services under subsection 1 must be 
increased by an inflation adjustment cost-of-living percentage change in reimbursement 
in accordance with the United States Department of Labor, Bureau of Labor Statistics 
Consumer Price Index medical care services index. 
3. Rate study. Cost-of-living increases as described in subsection 2 must continue 
on an annual basis until the Department of Health and Human Services has completed a 
rate study conducted by a 3rd party, including participation of providers, for adult family 
care services, adult day services or homemaker services and the rates in the rate study 
have been implemented. 
Sec. B-3. Rate increases for nursing facilities. The Department of Health and 
Human Services shall amend its rule in 10-144, Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities to 
provide for the following. 
1. Special wage allowance for fiscal year 2018-19. For the state fiscal year ending 
June 30, 2019, a special supplemental allowance must be made to provide for increases in 
wages and wage-related benefits in both the direct care cost component and routine care 
cost component as follows. An amount equal to 10% of allowable wages and associated 
benefits and taxes as reported on each facility's as-filed cost report for its fiscal year 
ending in calendar year 2016 must be added to the cost per resident day in calculating 
each facility's prospective rate, notwithstanding any otherwise applicable caps or limits 
on reimbursement. This supplemental allowance must also be allowed and paid at final 
audit to the full extent that it does not cause reimbursement to exceed the facility's 
allowable costs in that fiscal year. 
2. Changes in occupancy penalty. For the state fiscal years ending June 30, 2019, 
June 30, 2020 and June 30, 2021, the reduction in allowable cost per day in the fixed 
costs component based on minimum occupancy standards applies only for an annual level 
of occupancy less than 70%. For fiscal years ending June 30, 2022 and thereafter, the 
reduction in allowable cost applies only for an annual level of occupancy less than 85% 
for facilities with 61 or more beds and 80% for facilities with 60 or fewer beds. 
3. Low-cost, high Medicaid nursing facilities. 
Beginning July 1, 2019, the 
supplemental payment established by Public Law 2013, chapter 594, section 3, subsection 
must be revised to provide that the supplemental payment increases to 60¢ per resident 
day, is not subject to cost settlement and must be retained by the facility in its entirety for 
any nursing facility whose MaineCare residents constitute more than 80% of the nursing 
facility's total number ofresidents and whose base year direct and routine aggregate costs 
per day are less than the median aggregate direct and routine allowable costs for the 
facility's peer group. The supplemental payment must continue to apply as provided in 
Public Law 2013, chapter 594, section 3, subsection 5 for facilities that do not meet the 
standard set forth in this subsection. 
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COMMITTEE AMENDMENT" f.: to H.P. 653, L.D. 925 
4. Hold harmless. The rate of reimbursement for nursing facilities for direct care 
and routine costs that results from amending the law or the mles to reflect the revised 
method of rebasing the nursing facility's base year pursuant to this section may not result 
for any nursing facility in a rate of reimbursement that is lower than the rate in effect on 
June 30, 2018. 
Sec. B-4. Rate increases for residential care facilities. The Department of 
Health and Human Services shall amend its mies in 10-144, Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 97, Appendix C, Principles of Reimbursement for 
Medical and Remedial Service Facilities; and 10-144, Chapter 115: Principles of 
Reimbursement for Residential Care Facilities - Room and Board Costs to provide for the 
following rate changes. 
1. Special wage allowance for fiscal year 2018-19. For the state fiscal year ending 
June 30, 2019, a special supplemental allowance must be made to provide for increases in 
wages and wage-related benefits in the direct care, personal care services and routine cost 
components as follows. An amount equal to 10% of wages and associated benefits and 
taxes as reported on each facility's as-filed cost report for its fiscal year ending in 
calendar year 2016 must be added to the cost per resident day in calculating each facility's 
prospective rate, notwithstanding any otherwise applicable caps or limits on 
reimbursement. This supplemental allowance must also be allowed and paid at final audit 
to the full extent that it does not cause reimbursement to exceed the facility's allowable 
costs in each component that is cost settled in that fiscal year. 
2. Adjustment for inflation for rates for fiscal year 2019-20 and thereafter. For 
the state fiscal year ending June 30, 2020 and each year thereafter, the MaineCare 
payment rates attributable to wages and salaries in each cost component specified in 
subsection 1 must be increased by an inflation factor in accordance with the United States 
Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care 
services index. 
Sec. B-5. 
Commission To Study Long-term Care Workforce Issues. 
Notwithstanding Joint Rule 353, the Commission To Study Long-te1m Care Workforce 
Issues, referred to in this section as "the commission," is established. 
1. Members. The commission consists ofup to 18 members as follows: 
A. Two members of the Senate appointed by the President of the Senate, including a 
member from each of the 2 parties holding the largest number of seats in the 
Legislature; 
B. Three members of the House of Representatives appointed by the Speaker of the 
House, including a member from each of the 2 parties holding the largest number of 
seats in the Legislature; and 
C. Up to 13 members who possess expertise in the subject matter of the study as 
follows: 
(1) A direct care worker appointed by the President of the Senate; 
(2) A provider of home-based long-term care who is a member of a statewide 
association representing home-based long-term care providers appointed by the 
President of the Senate; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·t 
to H.P. 653, L.D. 925 
(3) A representative of a statewide association representing nonprofit housing and 
senior service programming appointed by the President of the Senate; 
( 4) A representative of an organization providing services to individuals with 
intellectual disabilities and autism including employment services and long-term 
home supports appointed by the President of the Senate; 
(5) A provider of facility-based long-term care who is a member of a statewide 
association representing facility-based long-term care providers appointed by the 
Speaker of the House; 
( 6) A representative of an organization providing statewide homemaker services 
through the state-funded independent support services program within the 
Department of Health and Human Services appointed by the Speaker of the 
House; 
(7) A representative of an institution of higher education engaged in workforce 
development appointed by the Speaker of the House; 
(8) A representative of a service coordination agency providing service 
coordination to people receiving home-based and community-based long-term 
care appointed by the Speaker of the House; 
(9) A representative of an organization promoting independent living for 
individuals with disabilities appointed by the Speaker of the House; 
(10) A representative of a business that acts as a labor intermediary helping 
unemployed and underemployed people obtain employment appointed by the 
Speaker of the House; 
(11) The executive director of the long-term care ombudsman program described 
under the Maine Revised Statutes, Title 22, section 5106, subsection 11-C; 
(12) The Commissioner of Health and Human Services, or the commissioner's 
designee, who may be invited to participate; and 
(13) The Commissioner of Labor, or the commissioner's designee, who may be 
invited to participate. 
2. Chairs and subcommittees. The first-named Senate member is the Senate chair 
and the first-named House of Representatives member is the House chair of the 
commission. The chairs of the commission are authorized to establish subcommittees to 
work on the duties listed in subsection 4 and to assist the commission. The 
subcommittees must be composed of members of the commission and interested persons 
who are not members of the commission and who volunteer to serve on the 
subcommittees without reimbursement. 
3. Appointments. All appointments must be made no later than 30 days following 
the effective date of this Part. The appointing authorities shall notify the Executive 
Director of the Legislative Council once all appointments have been completed. After 
appointment of all members and after adjournment of the Second Special Session of the 
128th Legislature, the chairs shall call and convene the first meeting of the commission. 
If 30 days or more after the effective date of this Part a majority of but not all 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT .. ff., to H.P. 653, L.D. 925 
appointments have been made, the chairs may request authority and the Legislative 
Council may grant authority for the commission to meet and conduct its business. 
4. 
Directive of commission. The commission shall study and make policy 
recommendations in each of the following areas: 
A. Measuring current demand for direct care workers and projecting future needs; 
B. Developing a campaign and statewide recruitment strategies to encourage more 
people to work in facility-based and home-based long-term care; 
C. Supporting career ladders throughout various long-term care settings; 
D. Identifying education needs and methods to fill education needs for direct care 
workers; 
E. Identifying barriers to hiring and methods to overcome barriers to hiring; 
F. Developing strategies to improve the quality oflong-term care jobs; and 
G. Increasing opportunities for shared staffing among long-term care providers. 
The commission shall make policy recommendations for public and private funding 
mechanisms to implement the commission's recommendations. 
5. Program. The commission shall make recommendations for the establishment of a 
program that will contribute to long-term care direct care workers' postsecondary 
education in related fields. 
6. Pilot program. The commission shall make recommendations for the 
establishment of a pilot program to pool part-time home care workers' hours for purposes 
of providing greater employment opportunity and obtaining employee benefits. 
7. Staffing. The Legislative Council shall provide necessary staffing services to the 
commission. 
8. Administration. The Commissioner of Health and Human Services, the State 
Auditor and the State Budget Officer shall provide necessary information and assistance 
to the commission as required for the commission's duties. 
9. Report. No later than November 7, 2018, the commission shall submit a report 
that includes its findings and recommendations pursuant to subsections 4 to 6, including 
suggested legislation, to the joint standing committee of the Legislature having 
jurisdiction over health and human services matters. The joint standing committee of the 
Legislature having jurisdiction over health and human services matters may report out a 
bill regarding the subject matter of the report to the First Regular Session of the 129th 
Legislature. 
Sec. B-6. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Developmental Services - Community Z208 
Initiative: Provides appropriations for an increase to rates for certain services. 
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GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
Long Term Care - Office of Aging and Disability Services 0420 
Initiative: Provides appropriations for an increase to rates for certain services. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
Medical Care - Payments to Providers 0147 
2017-18 
$0 
$0 
2018-19 
$44,678 
$44,678 
2018-19 
$620,032 
$620,032 
Initiative: Provides appropriations and allocations for an increase to rates for certain 
services. 
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 
Nursing Facilities 0148 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$4,271,956 
$4,271,956 
2018-19 
$20,525,109 
$20,525,109 
2018-19 
$516,023 
$516,023 
Initiative: Provides appropriations and allocations for an increase to rates for certain 
services. 
GENERAL FUND 
All Other 
2017-18 
$0 
COMMITTEE AMENDMENT 
2018-19 
$5,475,685 
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COMMITTEE AMENDMENT ,If .. to H.P. 653, L.D. 925 
GENERAL FUND TOTAL 
$0 
$5,475,685 
OTHER SPECIAL REVENUE FUNDS 
2017-18 
2018-19 
All Other 
$0 
$1,108,680 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$1,108,680 
PNMI Room and Board Z009 
Initiative: Provides appropriations for an increase to rates for certain services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
PART C 
2017-18 
2018-19 
$0 
$687,649 
$0 
$687,649 
2017-18 
2018-19 
$0 
$11,100,000 
$0 
$20,525,109 
$0 
$1,624, 703 
$0 
$33,249,812 
Sec. C-1. Department of Health and Human Services to establish and 
increase MaineCare rates. Notwithstanding any other provision of law, no later than 
the effective date of this Part, the Department of Health and Human Services shall amend 
rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 28 to establish new 
reimbursement rates and increase existing reimbursement rates for children's habilitative 
services and specialized children's habilitative services in accordance with the April 24, 
2017 report "Rate Study for Behavioral Health and Targeted Case Management Services: 
Final Proposed Rates for Formal Rulemaking" prepared for the department by Burns & 
Associates, Inc. 
Rules adopted pursuant to this section are major substantive rules 
pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Sec. C-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
EDUCATION, DEPARTMENT OF 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT.;; "to H.P. 653, L.D. 925 
General Purpose Aid for Local Schools 0308 
Initiative: Provides funding for the additional costs associated with the establishment of 
reimbursement rates and the increase of existing reimbursement rates in the Department 
of Health and Human Services rule Chapter 101: MaineCare Benefits Manual, Chapter 
III, Section 28 for children's habilitative services and specialized children's habilitative 
services in accordance with the April 24, 2017 report "Rate Study for Behavioral Health 
and Targeted Case Management Services: Final Proposed Rates for Formal Rulemaking" 
prepared for the department by Burns & Associates, Inc. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
EDUCATION, DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOT AL - ALL FUNDS 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$568,421 
$568,421 
2018-19 
$568,421 
$568,421 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding to establish reimbursement rates and increase existing 
reimbursement rates in the Department of Health and Human Services rule Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 28 for children's habilitative services 
and specialized children's habilitative services in accordance with the April 24, 2017 
report "Rate Study for Behavioral Health and Targeted Case Management Services: Final 
Proposed Rates for Formal Rulemaking" prepared for the depaiiment by Burns & 
Associates, Inc. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$2,273,686 
$2,273,686 
2018-19 
$6,206,430 
$6,206,430 
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Mental Health Services - Community Medicaid Z201 
Initiative: Provides funding to establish reimbursement rates and increase existing 
reimbursement rates in the Department of Health and Human Services rule Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 28 for children's habilitative services 
and specialized children's habilitative services in accordance with the April 24, 2017 
report "Rate Study for Behavioral Health and Targeted Case Management Services: Final 
Proposed Rates for Formal Rulemaking" prepared for the department by Burns & 
Associates, Inc. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
SECTION TOTAL - ALL FUNDS 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
$0 
2017-18 
$0 
$0 
$0 
$0 
2018-19 
$577,566 
$577,566 
2018-19 
$2,273,686 
$6,206,430 
$577,566 
-$9,057,682 
2018-19 
$2,842,107 
· $6,206,430 
$577,566 
$9,626,103 
PARTD 
Sec. D-1. 
Department of Health and Human Services to increase 
MaineCare rates. The Department of Health and Human Services shall amend the 
rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 13, Targeted 
Case Management Services; Section 17, Allowances for Community Support Services; 
Section 23, Developmental and Behavioral Clinic Services; Section 28, Rehabilitative 
and Community Support Services for Children with Cognitive Impairments and 
Functional Limitations; Section 65, Behavioral Health Services; and Section 97, Private 
Non-Medical Institution Services, Appendix B and Appendix E to increase 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT • .fl< to H.P. 653, L.D. 925 
reimbursement rates, effective July 1, 2018, to ensure a net increase in funding from 
fiscal year 2008-09 to fiscal year 2018-19 of 2% as long as no rate for a service is lower 
than the rate reimbursed as of January 1, 2018. The rules must specify that the increase 
in reimbursement rates must be applied to wages and benefits for employees who provide 
direct services and not to administrators or managers. 
Sec. D-2. Increase to employee wages. To qualify for the rate increase pursuant 
to section 1 of this Part, an agency providing services must demonstrate, to the 
satisfaction of the Department of Health and Human Services, that an increase in wages 
and benefits for employees providing direct services has been granted that equals the 
amount of increase received as a result of the increased reimbursement. The increase 
must be granted or paid out retroactively from the date the department begins reimbursing 
at the increased rates. 
Sec. D-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides appropriations and allocations to increase certain reimbursement rates 
by July 1, 2018 to reflect a 2% increase over rates in fiscal year 2008-09. 
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 
$6,036,063 
$6,036,063 
2018-19 
$11,974,266 
$11,974,266 
2018-19 
$600,591 
$600,591 
Initiative: Provides appropriations to increase certain reimbursement rates, by July 1, 
2018, to reflect a 2% increase from rates in fiscal year 2008-09. 
COMMITTEE AMENDMENT 
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GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
PARTE 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
$0 
2018-19 
$17,135 
$17,135 
2018-19 
$6,053,198 
$11,974,266 
$600,591 
$18,628,055 
Sec. E-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for a 15% rate increase for the medication management 
services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 65: Behavioral Health Services, by July 1, 2018. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
State-funded Foster Care/Adoption Assistance 0139 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$552,527 
$552,527 
2018-19 
$1,003,012 
$1,003,012 
Initiative: Provides funding for a 15% rate increase for the medication management 
2 
services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 65: Behavioral Health Services, by July 1, 2018. 
COMMITTEE AMENDMENT 
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GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
PART F 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
2018-19 
$15,477 
$15,477 
2018-19 
$568,004 
$1,003,012 
$1,571,016 
Sec. F-1. 15 MRSA §5826, sub-§6, as amended by PL 1999, c. 408, §3, is 
further amended to read: 
6. Final order of disposition of property; public education campaign. Following 
the entry of a verdict of forfeiture of property pursuant to this section or the entry of a 
guilty plea in open court on the record and following the court's disposition of all 
petitions for hearing timely filed by 3rd parties, the State has clear title to property that is 
the subject of the indictment, information or complaint. The final order must provide for 
the deposit of the property or the proceeds from the disposition of the property, less the 
reasonable expenses of the forfeiture proceedings, seizure, storage, maintenance of 
custody, advertising and notice, in the General Fund, except that, to the extent that the 
court finds it reasonable, the court may order forfeiture of as much of the property as is 
appropriate, less the reasonable expenses of the forfeiture proceedings, seizure, storage, 
maintenance of custody, advertising and notice, to a municipality, county or state agency 
that has made a substantial contribution to the investigation or prosecution of a related 
criminal case or, upon request of the investigating agency or the prosecuting agency, to a 
law enforcement agency in this State that provides case management and other social 
services to persons with substance use disorders. 
Sec. F-2. 17-A MRSA §1105-A, sub-§1, 1~ and L, as enacted by PL 2003, c. 
476, §2, are amended to read: 
K. Death of another person is in fact caused by the use of that soheduled drug one or 
more scheduled drugs, the scheduled drug trafficked by the defendant is a 
5 
contributing factor to the death of the other person and the that drug is a schedule W 
drug. A violation of this paragraph is a Class A crime; eF 
L. Serious bodily injury of another person is in fact caused by the use of that 
8 
scheduled drug one or more scheduled drugs, the scheduled drug trafficked by the 
defendant is a contributing factor to the serious bodily injury of the other person and 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·Ir· to RP. 653, L.D. 925 
the that drug is a schedule W drug. A violation of this paragraph is a Class B crime.~ 
Q! 
Sec. F-3. 17-A MRSA §1105-A, sub-§1, ,rM is enacted to read: 
M. At the time of the offense, the person trafficks in fentanyl powder in a quantity of 
grams or more QT 270 or more individual bags, folds, packages, envelopes or 
containers. of any kind containing fent~nyl powder. A ~iolation of this paragraph is a 
Class A crime. 
Sec. F-4. 17-A MRSA §1105-B, sub-§1, ~' as enacted by PL 2003, c. 476, §5, 
is amended to read: 
D. Death or serious bodily injury of another person is in fact caused by the use of 
that eounterfeit drug one or more drugs and the drug furnished by the defendant is a 
contributing factor to the death or serious bodily inj:µry of the other person. 
Sec. F-5. 17-A MRSA §1105-C, sub-§1, 1K, as enacted by PL 2003, c. 476, §7, 
is amended to read: 
K. Death of another person is in fact caused by the use of that seheduled dtug one or 
more drugs and the drug is a sehedule '.¥ drug furnished by the defendant is a 
contributing factor to the death of the other person. A violation of this paragraph is a 
Class B crime. It is an affirmative defense to prosecution under this paragraph that 
the drug furnished was lawfully possessed by the defendant prior to furnishing and 
that the death was not a reasonably foreseeable consequence of the use of that 
scheduled drug. In determining whether the death was reasonably foreseeable, the 
jury shall consider: 
(1) The factual circumstances sunounding the furnishing of the drug; 
(2) The total quantity of the drug furnished; 
(3) The dosage of the units furnished; 
(4) The nature of the drug; 
( 5) The overdose risk presented by use of the drug; and 
( 6) Any safety warnings provided to the defendant at the time of dispensing the 
drug; or 
Sec. F-6. 22 MRSA §7250, sub-§8 is enacted to read: 
8. Report regarding program. The department shall provide to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
on or before January 15th of each year, and at such other times as the committee requests, 
data pertaining to the aggregate number of prescriptions of each drug required to be 
included in the program, the number of prescribers participating in the program 
categorized by specialty, any historical trends or patterns in prescribing practices within 
the State, any progress in the implementation of information sharing agreements 
authorized by subsection 4-A and any other information pertaining to the work of the 
program as requested by the committee that is reasonably available to the department, as 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT .. r,, to H.P. 653, L.D. 925 
long as all information reasonably likely to reveal the patient or the prescriber or other 
person who is the subject of the information has been removed. 
Sec. F-7. Appropriations and allocations. The following appropriations and 
allocations are made. 
INDIGENT LEGAL SERVICES, MAINE COMMISSION ON 
Maine Commission on Indigent Legal Services Z112 
Initiative: Provides funds for an anticipated increase in indigent legal services costs 
resulting from additional prosecutions involving death or serious bodily injury to a 
person. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
PART G 
2017-18 
$0 
$0 
Sec. G-1. 5 MRSA §20003, sub-§13-A is enacted to read: 
2018-19 
$11,000 
$11,000 
13-A. Hub. "Hub" means an organization licensed by the department that provides 
timely access to comprehensive, integrated assessment, treatment and recovery support 
for individuals with substance use disorder, including but not limited to opioid use 
disorders. Hub services may be provided by licensed behavioral health organizations, 
community mental health centers, methadone clinics, hospitals and federally qualified 
health centers. 
Sec. G-2. 5 MRSA §20003, sub-§15-A is enacted to read: 
15-A. Integrated medication-assisted treatment. "Integrated medication-assisted 
treatment" means a treatment method that combines medication approved by the federal 
Food and Drug Administration for the treatment of substance use disorder with 
counseling, urine drug screening and behavioral therapy that has proven effective in 
treating substance use disorder. 
Sec. G-3. 5 MRSA §20003, sub-§16-A is enacted to read: 
16-A. Levels of care. "Levels of care" means the continuum of recove1y-oriented 
services that reflect an individual's risks, needs, strengths, resources and skills as 
determined by an assessment with standardized placement criteria conducted by a 
qualified clinician. 
Sec. G-4. 5 MRSA §20003, sub-§19-A is enacted to read: 
19-A. Recovery support services. "Recovery support services" means services that 
recognize recovery is a process of change through which individuals improve their health 
and wellness, live self-directed lives and strive to reach their full potential, including, but 
not limited to, safe housing, transportation, peer mentoring and coaching and assistance 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "!f' to H.P. 653, L.D. 925 
with and access to employment services. 
"Recovery support services" may include 
services provided in an integrated medication-assisted treatment setting or in a separate 
facility that is staffed by individuals in recove1y and that provides services such as 
mentoring, education and resource provision. 
Sec. G-5. 5 MRSA §20003, sub-§19-B is enacted to read: 
19-B. 
Spoke. 
"Spoke" means a community-based provider, including, but not 
limited to, a primary care provider, that provides integrated medication-assisted treatment 
and behavioral health treatment and recovery support services to patients with substance 
use disorder, including, but not limited to, opioid use disorder, or refers those patients to 
such treatments or services. 
Sec. G-6. 5 MRSA §20055 is enacted to read: 
§20055. Hub-and-spoke model 
No later than October 1, 2018, the department shall ensure that a continuum of 
evidence-based treatment and recovery support services for opioid use disorder is 
accessible to all people in this State through contracts with hubs and spokes. 
Hub 
providers may refer patients to spokes when clinically appropriate, and spokes may refer 
patients to hubs when clinically appropriate. The department shall provide funds to hubs 
and spokes to supp01t the development of treatment capacity. The department shall also 
provide funds to hubs and spokes for treatment, including medication, for individuals 
who lack insurance or the ability to pay for treatment. The department shall provide 
funds to support recovery support services for individuals receiving treatment from hubs 
and spokes. The department shall ensure that individuals have access to the appropriate 
levels of care that meet the individuals' need, as determined by an assessment by a 
treating clinician. A hub is eligible to receive funding under this section only if the hub 
has the capacity to assess and treat or refer patients with multiple behavioral health 
diagnoses. 
A hub shall provide or contract for comprehensive services including 
intensive outpatient programs and integrated medication assisted treatment for individuals 
with acute needs. A hub shall provide or coordinate with recovery support services. 
Sec. G-7. Department of Health and Human Services; services for opioid 
and substance use disorder. 
The Department of Health and Human Services, 
referred to in this section as "the department," shall assess federal funding. opportunities 
to support integrated medication-assisted treatment and a hub-and-spoke model of 
delivery of services for opioid and substance use disorder as described in the Maine 
Revised Statutes, Title 5, section 20055 and distribute resources to hubs and spokes based 
on identified needs. 
1. Development of grant funding for education. The department shall provide 
grant funding, when available, to hubs or other qualified entities to provide assistance 
with the development of hub-and-spoke infrastructure, as well as initial training and 
ongoing education to hub-and-spoke providers across the State. Qualified entities may 
include providers that deliver health care services to meet the health needs of target 
populations. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT 'ff" to H.P. 653, L.D. 925 
2. 
Provide treatment to uninsured individuals seeking treatment. 
The 
department shall provide funds to support treatment for uninsured individuals seeldng 
integrated medication-assisted treatment. 
3. Evaluation and assessment. The department shall develop assessment measures 
for performance evaluation of the hub-and-spoke model. Assessment measures must 
include statistics regarding referrals of individuals seeking substance use disorder 
treatment; tr·eatment for substance use disorder; success rates, including recovery 
engagement, adherence to medication-assisted treatment protocols, stability and 
workplace participation; wait time for services; and any other relevant measures. 
4. 211 Maine information. The department shall support the development of a plan 
to create a statewide resource and referral center for substance use disorder treatment and 
recovery resources that uses the existing 211 Maine service and links it with 
comprehensive, statewide information on available treatment and recovery resources. 
The department shall work collaboratively with the United Ways of Maine to develop this 
plan, as well as with substance use disorder treatment providers and individuals from the 
substance use disorder recovery community. 
5. Report. No later than February 1, 2019, the department shall report to the joint 
standing committee of the Legislature having jurisdiction over health and human services 
matters on the progress and implementation of the hub-and-spoke model, federal funding, 
grants dispersed, evaluation and assessment measures and improvement of the 211 Maine 
service. The joint standing committee of the Legislature having jurisdiction over health 
and human services matters is authorized to report out legislation to the First Regular 
Session of the 129th Legislature related to the report. 
Sec. G-8. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Substance Abuse and Mental Health Services Z199 
Initiative: Provides funding beginning in fiscal year 2018-19 to hubs and spokes, as 
defined in the Maine Revised Statutes, Title 5, section 20003, to cover costs of intensive, 
intermediate and long-term treatment, including, but not limited to, the cost of 
medication, screening, behavioral health treatment, urine drug screens, office visits and 
recovery support services for individuals with opioid use disorder, including those who 
are uninsured. The department may use a portion of the funds to support training and 
education of hub-and-spoke providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$6,663,000 
$6,663,000 
COMMITTEE AMENDMENT •jr<.to H.P. 653, L.D. 925 
PARTH 
Sec. H-1. Sustainable funding review. The Department of Health and· Human 
Services shall conduct a review of possible ways to provide adequate sustainable funding 
for affordable assisted living facilities that hold a valid contract with the office of aging 
and disability services within the Department of Health and Human Services, including 
providing permanent increases to existing funding levels, paying the medical costs of 
certain residents until they are eligible for MaineCare coverage, a practice known as Rate 
Code 53 spending, and designating facilities as private nonmedical institutions. The 
department shall report back with its recommendations to the joint standing committee of 
the Legislature having jurisdiction over health and human services matters by January 11, 
2019. 
Sec. H-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Aging and Disability Services Central Office 0140 
Initiative: Provides one-time additional funding for the provision of assisted living 
services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
PARTI 
2017-18 
$0 
$0 
2018-19 
$500,000 
$500,000 
Sec. 1-1. 
Department of Health and Human Services to increase 
MaineCare reimbursement for outpatient psychosocial treatments for 
children. The Department of Health and Human Services shall increase reimbursement 
rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 
for multisystemic therapy, multisystemic therapy for problem sexualized behavior and 
functional family therapy by 20% for the period from the effective date of this Part to 
June 30, 2019. 
Sec. 1-2. Rate study. The Department of Health and Human Services shall 
contract with a 3rd party to conduct a rate study of reimbursement rates under rule 
Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 for 
multisystemic therapy, multisystemic therapy for problem sexualized behavior and 
functional family therapy. The rate study must develop a.rate that is set on a per case per 
week basis. 
The rate study must also take into account the costs to providers of 
delivering the services, including additional training, and maintenance of fidelity to the 
treatment models. The rate study must be completed no later than December 1, 2018. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT'~" to H.P. 653, L.D. 925 
Sec. 1-3. Report. The Department of Health and Human Services shall submit a 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters with the findings of the rate study conducted pursuant to 
section 2 of this Part no later than January 30, 2019. 
Sec. I-4. 
Rulemaldng. 
The Department of Health and Human Services is 
authorized to adopt rules to implement new rates developed pursuant to the rate study in 
section 2 of this Part as long as those rates are no lower than the rates of reimbursement 
that exist on April 1, 2018 and the federal Department of Health and Human Services, 
Centers for Medicare and Medicaid Services approves the reimbursement rates. Rules 
adopted pursuant to this section are routine technical rules as defined in the Maine 
Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Sec. I-5. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEAL TH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for a one-time increase to certain rates under rule Chapter 
101: MaineCare Benefits Manual, Chapters II and III, Section 65 by 20% until June 30, 
2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$212,306 
$212,306 
2018-19 
$385,318 
$385,318 
Office of MaineCare Services 0129 
Initiative: Provides funding to contract with a 3rd party to conduct a rate study of certain 
rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 
to be completed no later than December 1, 2018. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$50,000 
$50,000 
Qt" 
COMMITTEE AMENDMENT"'" to H.P. 653, L.D. 925 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
PARTJ 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
2018-19 
$50,000 
$50,000 
2018-19 
$262,306 
$435,318 
$697,624 
Sec. J-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEAL TH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Substance Abuse and Mental Health Services Z199 
Initiative: Provides funds for case management and other ancillary services provided by 
the office for drug courts established by the Judicial :Oepartment. These funds must be 
used to provide services for up to 30 new participants either at a new drug court in the 
State or in existing drug courts in the State. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
JUDICIAL DEPARTMENT 
Courts - Supreme, Superior and District 0063 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$150,000 
$150,000 
2018-19 
$150,000 
$150,000 
""" 
~ 
COMMITTEE AMENDMENT "Ir" to H.P. 653, L.D. 925 
Initiative: Provides funds for active retired judges to cover other court time of full-time 
sitting judges assigned either to a new drug court in the State or to existing drug courts in 
the State to allow for up to 30 new participants. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
JUDICIAL DEPARTMENT 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
SECTION TOTAL - ALL FUNDS 
PARTK 
Sec. K-1. 5 MRSA §17852-A is enacted to read: 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$10,800 
$10,800 
2018-19 
$10,800 
$10,800 
2018-19 
$160,800 
$160,800 
§17852-A. Computation of benefit for certain correctional facility employees 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Client" has the same meaning as in Title 34-A, section 1001, subsection 1-A. 
B. 
11Closure
means the removal of all clients from a conectional facility pursuant to 
legislation enacted into law approving the removal of all clients. 
C. 
"Correctional facility" has the same meaning as in Title 34-A, section 1001, 
subsection 6. 
2. Correctional facility employees. Notwithstanding section 17852 and any other 
provision of law, the service retirement benefit for a member for whom funding has been 
received under subsection 6 is computed as provided in subsection 3 if the member: 
A. Has creditable service of 25 years or more; 
B. Has not reached what would be the member's normal retirement age absent this 
section; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·f 
to H.P. 653, L.D. 925 
C. Was employed in a correctional facility at the time legislation approving the 
closure of that correctional facility was enacted and that correctional facility is 
located more than 100 miles from the nearest correctional facility; and 
D. Retires as a direct result of the closure of the correctional facility described in 
paragraph C. 
3. Benefit. The amount of the service retirement benefit for a member qualified 
under subsection 2 is 1/50 of the member's average final compensation multiplied by the 
number of years of creditable service. 
4. Certification and calculation of required funding. Within 5 days of a closure 
of a correctional facility, the Commissioner of Corrections shall provide certification of 
the closure and the date of enactment and the chapter of the law approving the closure to 
the retirement system. The retirement system sh.all determine the required funding for 
service retirement benefits under subsection 3 for all members who meet the conditions 
of subsection 2 and shall provide the determined amount to the Commissioner of 
Administrative and Financial Services, the Commissioner of Corrections and the joint 
standing committee of the Legislature having jurisdiction over retirement matters. 
5. Increase in employer contribution. Upon receipt of the determined required 
funding from the retirement system pursuant to subsection 4, the Department of 
Administrative and Financial Services shall assess a one-time increase in the Department 
of Corrections' employer contribution rate provided for in section 17253 to fully fund the 
determined amount. 
6. Receipt of funding. The service retirement benefit for a member who meets the 
conditions of subsection 2 is paid under subsection 3 only if the retirement system has 
received the funding from the additional assessment provided for in subsection 5 or 
received an appropriation from the Legislature for the required funding under subsection 
4. 
PARTL 
Sec. L-1. Task force established. The Task Force To Study and Plan for the 
Implementation of Maine's Early Childhood Special Education Services, referred to in 
this Part as "the task force, 
is established to study and plan for the implementation of 
Maine's early childhood special education programs and services provided for young 
children from 3 years of age to 5 years of age. 
Sec. L-2. Task force membership. Notwithstanding Joint Rule 353, the task 
force consists of 20 members appointed as follows: 
1. One member of the Senate appointed by the President of the Senate; 
2. One member of the House of Representatives appointed by the Speaker of the 
House; 
3. Sixteen members appointed as follows: 
A. Two members who are parents of children with a disability between 3 years of 
age and 5 years of age, one from an urban community and one from a rural 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ·f,, to H.P. 653, L.D. 925 
community, appointed by the President of the Senate. The 2 members must have 
knowledge of or experience with programs for children with disabilities; 
B. One member who is a contracted service provider of early intervention and free, 
appropriate public education services, representing the Maine Association for 
Community Service Providers, appointed by the Speaker of the House; 
C. Two members who are Child Development Services System staff members who 
provide direct services, appointed by the Speaker of the House; 
D. One member who is a representative of a Head Start agency or program in the 
State, representing Head Start programs in Maine, appointed by the President of the 
Senate; 
E. One member who is a representative of a child care program, appointed by the 
Speaker of the House; 
F. 
One member who is a teacher in an early childhood education program for 
children 4 years of age that includes coordination of programs and services for 
eligible children within a public elementary school from a large school administrative 
unit, representing the Maine Education Association, appointed by the President of the 
Senate; 
G. 
One member who is a special education director from a small school 
administrative unit, representing the Maine Administrators of Services for Children 
with Disabilities, appointed by the President of the Senate; 
H. One member who is a principal of a public elementary school of a small school 
administrative unit that has implemented an early childhood education program for 
children 4 years of age that includes coordination of programs and services for 
eligible children, representing the Maine Principals' Association, appointed by the 
Speaker of the House; 
I. One member who serves as a superintendent of a large school administrative unit 
that has implemented an early childhood education program for children 4 years of 
age that includes coordination of programs and services for eligible children, 
representing the Maine School Superintendents Association, appointed by the 
Speaker of the House; 
J. One member who serves as a school board member of a school administrative unit 
that has implemented an early childhood education program for children 4 years of 
age that includes coordination of programs and services for eligible children, 
appointed by the President of the Senate; 
K. 
One member representing the Maine Developmental Disabilities Council, 
appointed by the Speaker of the House; 
L. One member representing pediatricians, appointed by the President of the Senate; 
M. 
One member representing a statewide association of occupational therapists, 
appointed by the President of the Senate; and 
N. One member representing a statewide association of speech, language and hearing 
therapists, appointed by the Speaker of the House; 
4. The Commissioner of Education or the commissioner's designee; and 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT'!! " to H.P. 653, L.D. 925 
5. The Commissioner of Health and Human Services or the commissioner's designee. 
Sec. L-3. Chairs. The President of the Senate and the Speaker of the House shall 
each appoint one member of the task force to serve as cochair, except that, 
notwithstanding Joint Rule 353, the President of the Senate and the Speaker of the House 
may not appoint a Legislator to serve as a chair of the task force. Notwithstanding Joint 
Rule 353, the chairs may appoint, as nonvoting members of the task force, individuals 
with expertise in areas relevant to early childhood development services and systems. 
Sec. L-4. Appointments; convening of task force. All the appointments must 
be made no later than 30 days following the effective date of this Part. The appointing 
authorities shall notify the Executive Director of the Legislative Council once all 
appointments have been completed. Within 15 days after appointment of all members, 
the chairs shall call and convene the first meeting of the task force. If 30 days or more 
after enactment of this legislation a majority of but not all of the appointments have been 
made, the chairs may request authority and the Legislative Council may grant authority 
for the task force to meet and conduct its business. 
Sec. L-5. Duties. The task force shall examine: 
1. National trends and relevant models of governing and delivering early childhood 
special education systems in other states and jurisdictions that hold the potential for 
enhancing the effectiveness, efficiency or accountability of the early childhood special 
education system in the State; 
2. The short-term and long-term costs and benefits of the Department of Education's 
proposed plan to restructure the Child Development Services System as presented by the 
Commissioner of Education to the Legislature in Legislative Document 1870 in the 
3. 
The findings and recommendations of the Subcommittee To Study Early 
Childhood Special Education in its January 2007 report; 
4. 
The findings and recommendations of the Office of Program Evaluation and 
Government Accountability in its July 2012 report on child development services; and 
5. Any other issues the task force determines to be useful or necessary concerning 
early childhood special education systems matters. 
Sec. L-6. Development of recommendations; plan. 
The task force shall 
develop recommendations for an early childhood special education services program 
plan, which must include, but is not limited to: 
1. Models of best practices; 
2. Fiscally sound budget forecasting, including all possible revenue streams and 
updated costs; 
3. Transportation services; 
4. Data systems, including a billing system, a system that allows coordination with 
the MaineCare program and a case management documentation system; 
5. A time line for the implementation of the plan under this section; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT ,f,, to H.P. 653, L.D. 925 
6. A procedure for data collection and analysis conducted by the Maine Education 
Policy Research Institute; 
7. A method for assessing a school administrative unit's capacity for implementing 
early childhood special education programs; 
8. Training requirements for service providers and leaders; 
9. Public information communication strategy for implementation of the plan; and 
10. Identification of potential revisions to the Department of Health and Human 
Services' rule Chapter 101: MaineCare Benefits Manual. 
Sec. L-7. Authorized meetings. The task force may hold no more than 6 
meetings. 
Sec. L-8. Staff assistance. Notwithstanding Joint Rule 353, the Legislative 
Council shall contract for a facilitator for the task force using a request for proposals 
process. The Office of Policy and Legal Analysis shall provide drafting assistance to the 
task force. 
Sec. L-9. Compensation. Legislative members of the task force are entitled to 
receive the legislative per diem and reimbursement for travel and other necessary 
expenses related to their attendance at authorized meetings of the task force. 
Other 
members of the task force may not receive compensation for their participation on the 
task force. 
Sec. L-10. Report. No later than December 5, 2018, the task force shall submit a 
report containing its findings, recommendations and plan, including suggested legislation, 
for presentation to the Joint Standing Committee on Education and Cultural Affairs. The 
joint standing committee of the Legislature having jurisdiction over education matters 
may submit a bill to the First Regular Session of the 129th Legislature. 
Sec. L-11. Appropriations and allocations. The following appropriations and 
allocations are made. 
EDUCATION, DEPARTMENT OF 
Child Development Services 0449 
Initiative: Provides one-time funds to address the Child Development Services System 
0 
budgetary shortfall. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
PARTM 
2017-18 
$0 
$0 
Sec. M-1. 30-A MRSA c. 201, sub-c. 12-A is enacted to read: 
COMMITTEE AMENDMENT 
2018-19 
$3,700,000 
$3,700,000 
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COMMITTEE AMENDMENT "it" to H.P. 653, L.D. 925 
SUBCHAPTER 12-A 
LEAD ABATEMENT 
§4981. Lead abatement program 
1. Program. The Maine State Housing Authority shall establish and administer a 
program that provides assistance, including grants, for the abatement of lead paint 
hazards in residential housing, referred to in this subchapter as "the program. 
Program 
funds may be used to match federal funds available for lead abatement. The program is 
subject to the following conditions. 
A. 
The Maine State Housing Authority shall establish eligibility standards for 
participation in the program, including, but not limited to, the following, 
(1) Housing units or housing projects consisting of households with incomes up 
to 100% of the area median income as established by the United States 
Department of Housing and Urban Development, whether the housing is owned 
by an individual or a for-profit or nonprofit entity, are eligible. 
(2) Annual rent for a housing unit or housing project receiving project funds may 
not exceed 30% of the area median income as established by the United States 
Department of Housing and Urban Development for 4 years after completion of 
the abatement work. 
(3) Housing that serves as a child care location for children under 6 years of age 
is eligible as long as the owner has an annual'income at or below 100% of the 
area median income as established by the United States Department of Housing 
and Urban Development. 
The Maine State Housing Authority may adopt the eligibility standards pursuant to 
this paragraph by routine technical rule as described in Title 5, chapter 375, 
subchapter 2-A. 
B. All lead abatement performed pursuant to the program must comply with industry 
standards for lead abatement, including pre-abatement inspection and post-abatement 
inspection of the housing and , other standards established by the Department of 
Environmental Protection. If the pre-abatement inspection identifies the presence of 
lead in or on the windows, replacement of those windows must be recommended. 
C. An owner of housing that receives lead abatement assistance under the program 
shall pay a portion of the abatement costs as follows: 
( 1) At least 10% of the costs of abatement: or 
(2) At least 25% of the costs of abatement if a child who is a resident of, or who 
receives child care services in, the housing has been determined to have lead 
poisoning, as defined in Title 22, section 1315, subsection 5-C. 
Priority for program funds must be given to abatement projects for housing in which a 
child who has been determined to have lead poisoning, as defined in Title 22, section 
1315, subsection 5-C, resides. 
COMMITTEE AMENDMENT 
~ 
()t" 
COMMITTEE AMENDMENT "Ir" to H.P. 653, L.D. 925 
2. Lead Abatement Fund. The Lead Abatement Fund, referred to in this subchapter 
as "the fund, 
is established under the jurisdiction and control of the Maine State Housing 
Authority. The fund is nonlapsing and must be used to fund the program. The fund 
consists of funds appropri,ated or allocated by the Legislature for the purpose of this 
section and other funds acquired by the Maine State Housing Authority to accomplish the 
purpose of the program. 
Sec. M-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HOUSING AUTHORITY, MAINE STATE 
Lead Abatement Fund N261 
Initiative: Allocates one-time funds to provide grants for the abatement of lead paint 
hazards in residential housing and for the cost of establishing and administering the lead 
abatement program. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
2017-18 
$0 
$0 
2018-19 
$4,000,000 
$4,000,000 
PARTN 
Sec. N-1. Ongoing funding. 
During the First Regular Session of the 129th 
Legislature, the joint standing committee of the Legislature having jurisdiction over 
health and human services matters may report out legislation to provide ongoing funding 
for school-based health centers. 
Sec. N-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEAL TH AND HUMAN SERVICES, DEPARTMENT OF 
Maine Center for Disease Control and Prevention 0143 
Initiative: Restores funding on a one-time basis to the State1s school-based health centers 
to the level of funding provided in fiscal year 2016-17. 
FUND FOR A HEALTHY MAINE 
All Other 
FUND FOR A HEALTHY MAINE TOTAL 
2017-18 
$0 
$0 
2018-19 
' $600,000 
$600,000 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved. 1 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ;1,, to H.P. 653, L.D. 925 
SUMMARY 
This amendment replaces the bill, which was an emergency concept draft, to make 
various appropriations and allocations necessary for the proper operations of State 
Government. 
Part A provides funding to the Department of Health and Human Services to add 50 
members a month, beginning October 1, 2018, from the waiting list for community-based 
services provided under rule Chapter 101; Maine Care Benefits Manual, Chapters II and 
III, Section 21 relating to home and community benefits for members with intellectual 
disabilities or autism spectrum disorder until 300 new members in total have been added. 
Part B requires the Department of Health and Human Services to base a nursing 
facility's base year, for state fiscal years beginning on or after July 1, 2019, on the most 
recent cost reports available; any rebasing may not result in a reimbursement rate that is 
lower than that in effect on June 30, 2018. It also requires the department to amend its 
rules to increase rates for adult family care services, adult day services, homemaker 
services, nursing facilities and residential care facilities, specifies the amount of the rate 
increases, requires future cost-of-living increases and provides funding to the department 
for the rate increases. Part B requires the cost-of-living increases to continue for adult 
family care services, adult day services and homemaker services until the completion of a 
rate study conducted by a 3rd party. Part B also establishes the Commission To Study 
Long-term Care Workforce Issues. 
Part C provides funding to the Department of Health and Human Services and to the 
General Purpose Aid for Local Schools program within the Department of Education in 
fiscal year 2018-19 to establish reimbursement rates and increase existing reimbursement 
rates in the Department of Health and Human Services rule Chapter 101 : MaineCare 
Benefits Manual, Chapter III, Section 28 for children's habilitative services and 
specialized children's habilitative services in accordance with the Ap1il 24, 2017 report 
"Rate Study for Behavioral Health and Targeted Case Management Services: Final 
Proposed Rates for Formal Rulemaking" prepared for the Department of Health and 
Human Services by Burns & Associates, Inc. 
Part D provides funding to the Department of Health and Human Services to increase 
certain reimbursement rates effective July 1, 2018 to reflect a 2% increase over rates in 
fiscal year 2008-09. 
Part E provides funding to the Department of Health and Human Services for a 15% 
rate increase for the medication management services provided under rule Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 65: Behavioral Health Services. 
6 
Part F addresses the opiate crisis in Maine by: 
7 
1. Allowing funds from property forfeited pursuant to a criminal forfeiture action to 
be assigned by the court, upon the request of the investigating or prosecuting agency, to a 
law enforcement agency in this State that provides case management and other social 
services to persons with substance use disorders; 
2. Adding in the Maine Criminal Code new variants of aggravated trafficking of 
scheduled drugs that include trafficking in scheduled drugs when the trafficked scheduled 
COMMITTEE AMENDMENT 
.._~ 
O'r 
COMMITTEE AMENDMENT • .ft, to H.P. 653, L.D. 925 
drug was a contributing factor in the death of another person, a Class A crime, or serious 
bodily injury of another person, a Class B crime; 
3. Clarifying that the Class B crimes of aggravated furnishing of scheduled drugs and 
aggravated trafficking or furnishing of counterfeit drugs are for the death of another 
person, whose death was caused by a drug furnished by the defendant; 
4. Maldng aggravated trafficking in fentanyl powder a Class A crime; and 
5. Requiring the Department of Health and Human Services to provide an annual 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters regarding the Controlled Substances Prescription Monitoring 
Program, including the number of prescribers participating and trends in prescription 
practices. 
Part G requires the Department of Health and Human Services to support a hub-and-
spoke system for the treatment and recovery for those with substance use disorder. It 
requires that the department must assess opportunities for federal funding and provide 
grants for training when funding is available. It requires the department to support the 
development of a plan to create a statewide resource and referral center for substance use 
disorder treatment that uses the 211 Maine service and links it with comprehensive 
statewide information on available treatment and recovery resources. It requires a report 
from the department to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters by February 1, 2019. 
It includes an 
appropriations and allocations section. 
Part H provides one-time additional funding for the provision of assisted living 
services at facilities currently operating at a loss, including, but not limited to, facilities in 
Bangor, Millinocket, Camden and Sanford. It directs the Department of Health and 
Human Services to conduct a review of possible ways to stabilize funding for affordable 
assisted living facilities that contract with the office of aging and disability services 
within the Department of Health and Human Services, including permanent increases to 
existing funding levels, paying the medical costs of certain residents until they are 
eligible for MaineCare coverage, a practice known as Rate Code 53 spending, and 
designating facilities as private nonmedical institutions. It directs the department to report 
back with its recommendations to the joint standing committee of the Legislature having 
jurisdiction over health and human services matters by January 11, 2019. 
Part I requires the Department of Health and Human Services to increase 
reimbursement rntes for multisystemic therapy, multisystemic therapy for problem 
sexualized behavior and functional family therapy by 20% until June 30, 2019. It 
requires the department to contract for a 3rd-party rate study of the reimbursement rates 
for those therapies, including developing a rate set on a per case per week basis rather 
than the current 15-minute increments. The rate study must also take into account the 
costs to providers of delivering the services, including additional training, and 
maintenance of fidelity to the treatment models. The rate study must be completed no 
later than December 1, 2018. The department must submit a report on the results of the 
study to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters no later than Januaiy 30, 2019. The department is authorized 
to implement new rates through rulemaking as long as the rates are no lower than those 
that exist on April 1, 2018 and the rates are approved by the federal Department of Health 
COMMITTEE AMENDMENT 
~ C, 
,,.. t" .,JI 
{~U1 
·,. 
COMMITTEE AMENDMENT t· 
to H.P. 653, L.D. 925 
and Human Services, Centers for Medicare and Medicaid Services. It also adds an 
appropriations and allocations section. 
Part J provides additional funding for the Judicial Department to establish a new drug 
court in the State for up to 30 participants or to expand by up to 30 the number of 
participants served by existing chug courts in the State pursuant to the Maine Revised 
Statutes, Title 4, section 421. It also provides funding for the case management and 
ancillary services provided to drug court participants by the office of substance abuse and 
mental health services within the Department of Health and Human Services. 
Part K allows employees at state correctional facilities that close who have not 
reached their normal retirement age to retire and receive their full retirement benefit if 
certain conditions are met and funding is appropriated for the additional actuarial costs 
that result from the elimination of a reduction for retirement prior to no1mal retirement 
age. 
Part K also requires the Commissioner of Administrative and Financial Services to 
provide certification of the pending closure of a state correctional facility to the Maine 
Public Employees Retirement System. It requires the retirement system to calculate the 
amount of funding necessary to pay the actuarial costs and report that inf01mation to the 
joint standing committee of the Legislature having jurisdiction over retirement matters. It 
provides that the joint standing cqmmittee may report out legislation appropriating funds 
for the costs set forth in the report. 
Part L establishes the Task Force To Study and Plan for the Implementation of 
Maine's Early Childhood Special Education Services to examine the national trends and 
relevant models of governing and delivering early childhood special education systems 
and the short-term and long-term costs and benefits to the Department of Education's 
proposed plan to restructure the Child Development Services System and to make 
recommendations for an early childhood special education services program plan. An 
appropriations and allocations section is included to provide $3,700,000 in the 2nd year 
of the biennium to address the Child Development Services System budgetary shortfall. 
Part M establishes a residential housing lead abatement program administered by the 
Maine State Housing Authority. The purpose of the program is to provide grants to 
municipalities and to housing units and housing projects that meet specified eligibility 
standards. 
Priority for lead abatement projects funded by the program is given to 
residences occupied by children who have tested positive for lead poisoning. 
The 
program is funded by a one-time allocation of $4,000,000 from the Fund for a Healthy 
M~. 
.. 
Part N restores funding on a one-time basis to Maine's school-based health centers to 
the level of funding provided in fiscal year 2016-17 and allows the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
to report out legislation to the First Regular Session of the 129th Legislature providing 
ongoing funding to school-based health centers. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/15/18 ::Wa~ 
128th ·MAINE LEGISLATURE 
LD925 
LR 1296(02) 
An Act Malting Certain Appropriations and Allocations and Changing Certain Provisions of the Law Necessary 
to the Proper Operations of State Government 
Fiscal Note for Bill as Amended by Committee Amendment •/l (;/ ,1q I) 
Committee: Appropriations and Financial Affairs 
Fiscal Note Required: Yes 
Fiscal Note 
Legislative Cost/Study 
Projections FY Projections FY 
FY2017-18 
FY2018-19 
2019-20 
Net Cost (Savings) 
General Fund 
$0 
$37,019,197 
$51,638,173 
Fund for a Healthy Maine 
$0 
$4,600,000 
$0 
Appropriations/ Allocations 
General Fund 
$0 
$37,019,197 
$51,638,173 
Federal Expenditures Fund 
$0 
$51,139,503 
$87,559,826 
Fund for a Healthy Maine 
$0 
$4,600,000 
$0 
Other Special Revenue Funds 
$0 
$3,828,229 
$6,961,854 
Revenue 
Federal Expenditures Fund 
$0 
$51,139,503 
$87,559,826 
Other Special Revenue Funds 
$0 
$3,828,229 
$6,961,854 
Correctional and Judicial Impact Statements 
Part F of the bill increases the class of a crime from Class B to Class A; increases con-ectional costs. 
The collection of additional fines may also increase General Fund revenue by minor amounts. 
Legislative Cost/Study 
2020-21 
$61,929,622 
$0 
$61,929,622 
$100,366,108 
$0 
$8,163,823 
$100,366,108 
$8,163,823 
The general operating expenses of the study required in Part B of the bill are projected to be $2,750 in fiscal year 2018-19. The 
general operating expenses of the study required in Part L of the bill are projected to be $7,250 in fiscal year 2018-19. The 
Legislature's budget includes approximately $10,000 in fiscal year 2018-19 for legislative studies. Whether this amount is sufficient 
to fund all studies will depend on the number of studies authorized by the Legislative Council and the Legislature. 
Fiscal Detail and Notes 
Part A of the bill includes General Fund appropriations to the Department of Health and Human Services of $5,158,782 in fiscal 
year 2018-19 to begin serving 50 additional members each month, beginning October 1, 2018, from the waiting list for community-
based services provided under the MaineCare Benefits Manual, Chapters II and III, Section 21 relating to home and community 
benefits for members with intellectual disabilities or autistic disorder until a total of 300 new members have been added. Federal 
Expenditures Fund allocations are also included for the FMAP match and Other Special Revenue Funds allocations are also 
included for the service provider tax. 
· 
LR1296{02) - Fiscal Note - Page 1 of 3 
CJf'{}!r-7Cft) 
Part B of the bill includes General Fund appropriations to the Department of Health and Human Services of$11,100,000 in fiscal 
year 2018-19 for an increase to rates for certain services. Federal Expenditures Fund allocations are also included for the FMAP 
match and Other Special Revenue Funds allocations for the healthcare provider tax and the service provider tax. 
Additional costs to the Department of Labor related to the Commissioner or the commissioner's designee participating on the 
commission can be absorbed within existing budgeted resources. 
· 
· 
Part C of the bill includes General Fund appropriations of $2,273,686 to the Department of Health and Human Services (DHHS) 
and $568,421 to the General Purpose Aid for Local Schools program within the Department of Education in fiscal year 2018-19 to 
establish reimbursement rates and increase exisiting reimbursement rates in the Department of Health and Human Services rule 
Chapter 101: MaineCare Benefits Manual, Chapter III, Section 28 for children's habilitative services and specialized children's 
habilitative services in accordance with the April 24, 2017 report "Rate Study for Behavioral Health and Targeted Case 
Management Services: Final Proposed Rates for Formal Rulemaking" prepared for the department by Burns & Associates, Inc. 
Federal Expenditures Fund allocations are also included for the FMAP match and Other Special Revenue Funds allocations for the 
service provider tax. 
Part D of the bill includes General Fund appropriations to the Department of Health and Human Services of $6,053,198 in fiscal 
year 2018-19 to increase certain reimbursement rates by July 1, 2018 to reflect a 2% increase over rates in fiscal year 2008-09. 
Federal Expenditures Fund allocations are also included for the FMAP match and Other Special Revenue Funds allocations for the 
service provier tax. 
Part E of the bill includes General Fund appropriations to the Department of Health and Human Services of$568,004 in fiscal year 
2018-19 for a 15% rate increase for the medication management services provided under rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 65: Behavioral Health Services. Federal Expenditures Fund allocations are also included for the 
FMAPmatch. 
Part F of the bill includes a General Fund appropriation of $11,000 in fiscal year 2018-19 for the Maine Corruuission on Indigent 
Legal Services to support the anticipated increase in costs resulting from additional prosecutions involving death or serious bodily 
injury to a person. 
Part G of the bill includes an ongoing General Fund appropriation to the Department of Health and Human Services of $6,663,000 
beginning in fiscal year 2018-19 to hubs and spokes to cover costs of intensive, intermediate and long-term treatment, including, but 
not limited to, the cost of medication, screening, behavioral health treatment, urine drug screens, office visits and recovery support 
services for individuals with opioid use disorder, including those who are uninsured. The department may use a portion of these 
funds to support training and education of hubs and spokes. 
Part Hof the bill includes a one-time General Fund appropriation to the Department of Health and Human Services of$500,000 in 
fiscal year 2018-19 for increased funding over current levels for the provision of assisted living services. 
Part I of the bill includes one-time General Fund appropriations to the Department of Health and Human Services of $262,306 in 
fiscal year 2018-19 for a one-time increase to certain rates under rule Chapter 101, MaineCare Benefits Manual, Chapters II and III, 
Section 65 by 20% until June 30th, 2019 and to contract with a third party to conduct a rate study of those rates to be completed no 
later than December 1st, 2018. Federal Expenditures Fund allocations are also included for the FMAP match. 
Part J of the bill includes General Fund appropriations to the Department of Health and Human Services of $150,000 in fiscal year 
2018-19 for case management and other ancillary services provided by the Office of Substance Abuse and Mental Health Services, 
for a maximum of 30 participants, for drug courts established by the Judicial Department. These funds can be used either to provide 
services at a new drug court in the state or to provide services for an increased number of participants in existing drug courts in the 
State. 
Part J of the bill also includes General Fund appropriations to the Judicial Branch of $10,800 in fiscal year 2018-19 for active 
retired judges to cover other court time of full-time sitting judges assigned either to a new drug court in the State or to existing drug 
courts in the State that are expanded to allow for an increased number of participants up to a maximum of30. 
LR1296(02) - Fiscal Note - Page 2 of 3 
Cir(f/711) 
Part K of the bill requires the Department of Corrections to provide a one-time payment to the Maine Public Employees Retirement 
System (MainePERS) for the unfunded actuarial cost of allowing eligible employees at certain state correctional facilities that close 
as a result of legislative action who have not reached their normal retirement age to retire and receive their full retirement benefit. 
Funding for the one-time payment will be collected through a one-time increase in the percentage assessment of the department's 
employer share contribution rate for the unfunded actuarial liability. The cost to the Department of Corrections cannot be 
determined at this time and will depend on the actual closure of these state correctional facilities through legislative action, the 
timing of the closure and the number of employees that would be eligible for the benefit provision as a result of the closure. 
Part L of the bill includes a one-time General Fund appropriation of $3,700,000 in fiscal year 2018-19 to the Child Development 
Services Program within the Department of Education to address a budgetary shortfall. 
Part M of the bill includes a one-time Fund for a Healthy Maine allocation of $4,000,000 in fiscal year 2018-19 to a newly created 
Lead Abatement Fund within the Maine State Housing Authority to provide grants for the abatement of lead paint hazards in 
residential housing and for the cost of establishing and administering the program. Sufficient funds are available within the Fund for 
a Healthy Maine to cover the one-time allocation. 
Part N of the bill provides a Fund for a Healthy Maine allocation of $600,000 in fiscal year 2018-19 to restore funding on a one-
time basis to the State's school-based health centers to the level of funding provided in fiscal year 2016-17. 
LR1296{02) - Fiscal Note - Page 3 of 3