An Act To Ensure Access to Opiate Addiction Treatment in Maine
Maine Legislature, Session 128, LD 0952
Committee Amendment CA_A_S106 (Senate)

COMMITTEE AMENDMENT" A" to S.P. 307, L.D. 952, Bill, "An Act To Ensure 
Access to Opiate Addiction Treatment in Maine" 
Amend the bill by striking out all of section 3. 
Amend the bill by striking out all of section 4 and inserting the following: 
'Sec. 4. MaineCare reimbursement rates for outpatient opioid treatment. 
The Department of Health and Human Services shall amend its rule Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services 
regarding the reimbursement rate paid to outpatient opioid treatment providers to increase 
the rate from $60 to $72 a week.' 
Amend the bill by inserting after section 6 the following: 
'Sec. 7. 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 funding to increase the MaineCare reimbursement rate for outpatient 
opioid treatment to $72 per week. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2017-18 
$572,529 
$572,529 
COMMITTEE AMENDMENT 
2018-19 
$572,690 
$572,690 
COMMITTEE AMENDMENT" A" to S.P. 307, L.D. 952 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
Office of MaineCare Services 0129 
2017-18 
$1,033,443 
$1,033,443 
2018-19 
$1,033,282 
$1,033,282 
Initiative: Provides funding for a 3rd-party consultant to conduct a rate study regarding 
reimbursement to outpatient opioid treatment providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2017-18 
$62,500 
$62,500 
2017-18 
$62,500 
$62,500 
2017-18 
$635,029 
$1,095,943 
$1,730,972 
2018-19 
$0 
$0 
2018-19 
$0 
$0 
2018-19 
$572,690 
$1,033,282 
$1,605,972 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment removes the section from the bill that relates to pharmacy oversight. 
It changes the increase in reimbursement in the bill for methadone providers from $80 to 
0 
$72 a week. It removes the language that gives the Department of Health and Human 
Services the authority to increase reimbursement by rulemaking. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/14/17 haC!. 
LD952 
LR 1530(02) 
An Act To Ensure Access to Opiate Addiction Treatment in Maine 
Fiscal Note for Bill as Amended by Committee Amendment 'A ( s- I a Li) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2017-18 
$635,029 
$635,029 
$1,095,943 
$1,095,943 
FY 2018-19 
$572,690 
$572,690 
$1,033,282 
$1,033,282 
Projections 
FY2019-20 
$572,690 
$572,690 
$1,033,282 
$1,033,282 
Projections 
FY2020-21 
$572,690 
$572,690 
$1,033,282 
$1,033,282 
The bill includes General Fund appropriations to the Department of Health and Human Services of $635,029 in fiscal 
year 2017-18 and $572,690 in fiscal year 2018-19 to increase the MaineCare reimbursement rate for outpatient opioid 
treatment to $72 per week and for a 3rd-party consultant to conduct a rate study regarding reimbursement to outpatient 
opioid treatment providers. Federal Expenditures Fund allocations will also be required for the FMAP match. 
The bill also authorizes registered professional nurses, certified nurse practitioners and licensed practical nurses to 
dispense opioid medication for substance abuse treatment purposes to patients in an opioid treatment program. Any 
impact from these changes is unable to be determined at this time. 
LR1530(02) - Fiscal Note - Page 1 of 1