An Act To Require Reimbursement to Hospitals for Patients Awaiting Placement in Nursing Facilities
Maine Legislature, Session 128, LD 0401
Committee Amendment CA_A-SA_A_S508 (Senate)

SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 292, 
L.D. 401, Bill, "An Act To Require Reimbursement to Hospitals for Patients Awaiting 
Placement in Nursing Facilities" 
Amend the amendment by striking out all of section 1 and inserting the following: 
'Sec. 1. 22 MR.SA §3174-AAA is enacted to read: 
§3174-AAA. 
Reimbursement for days awaiting placement; reimbursement for 
hospitals other than critical access hospitals 
Beginning January 1, 2019, the department shall provide reimbursement to hospitals 
other than critical access hospitals for each day after the 10th day that a 
MaineCare-eligible individual is in the care of a hospital while awaiting placement in a 
nursing facility. The department shall reimburse hospitals prospectively at the statewide 
average rate per MaineCare member day for nursing facility services. The department 
shall compute the statewide average rate per MaineCare member day based on the simple 
average of the nursing facility rate per MaineCare member day for the applicable state 
fiscal year or years prorated for the hospital's fiscal year. 
Reimbursement for days 
awaiting placement pursuant to this section is limited to a maximum of $500,000 of 
combined General Fund funds and federal funds for each year. For purposes of this 
section, "critical access hospital" has the same meaning as in section 7932, subsection 10. 
This section is repealed December 31, 2023.' 
Amend the amendment by inserting after section I the following: 
'Amend the bill in section 2 in the 4th line by striking out the following: "3174-ZZ" 
and inserting the following: '3174-AAA" 
Amend the amendment by striking out all of section 3 and inserting the following: 
'Sec. 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
SENATE AMENDMENT 
SENATE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to H.P. 292, L.D. 401 
Initiative: Provides funds to provide reimbursement to hospitals other than critical access 
hospitals for each day after the 10th day that a MaineCare-eligible individual is in the 
care of a hospital while awaiting placement in a nursing facility. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMMARY 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$17,690 
$17,690 
2018-19 
$31,932 
$31,932 
This amendment delays, from January 1, 2018 to January 1, 2019, the date by which 
the Department of Health and Human Services must begin reimbursing a hospital for the 
days a MaineCare-eligible individual is in the care of the hospital while awaiting 
placement in a nursing facility. It also removes the amounts appropriated and allocated in 
fiscal year 2017-18 and revises the amounts appropriated and allocated in fiscal year 
2018-19. It also makes a technical change to a section number. 
FISCAL NOTE REQUIRED 
~=bed) 
SPONSORED BY: 
~ 
(Senator HAMP 
COUNTY: Oxford 
SENATE AMENDMENT 
Approved: 06/19/18 feac. 
LD401 
LR 1008(04) 
An Act To Require Reimbursement to Hospitals for Patients Awaiting Placement in Nursing Facilities 
Fiscal Note for Senate Amendment''./\' to Committee Amendment "A" 
Sponsor: Sen. Hamper of Oxford 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
FY 2018-19 
Projections 
FY 2019-20 
Projections 
FY 2020-21 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
($17,690) 
($17,690) 
($31,932) 
($31,932) 
($17,700) 
($17,700) 
($31,922) 
($31,922) 
$0 
$0 
$0 
$0 
This amendment eliminates the General Fund appropriation to the Department of Health and Human Services of 
$17 ,690 in fiscal year 2017-18 and reduces the appropriation by $17, 700 in fiscal year 2018-19 to delay the 
reimbursement to hospitals other than critical access hospitals for each day after the 10th day that a MaineCare-
eligible individual is in the care of a hospital while awaiting placement in a nursing facility, until January 1, 2019. 
Federal Expenditures Fund allocations are also reduced for the FMAP match. 
LRl 008(04) - Fiscal Note - Page 1 of 1 
$0 
$0 
$0 
$0