An Act To Facilitate MaineCare-Funded Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes
Maine Legislature, Session 128, LD 1188
Committee: Health and Human Services
Sponsors: MALABY, HAWKE, HERBIG, PARKER

Legislative Document
No. 1188
H.P. 825
House of Representatives, March 28, 2017
An Act To Facilitate MaineCare-Funded Assisted Living by 
Providing a Cost-of-living Adjustment to Private Nonmedical 
Institutions and Adult Family Care Homes
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative MALABY of Hancock.
Cosponsored by Representatives: HAWKE of Boothbay Harbor, HERBIG of Belfast, 
PARKER of South Berwick.
Be it enacted by the People of the State of Maine as follows: 
Sec. 1.  Annual cost-of-living adjustment.  The Department of Health and 
Human Services shall amend its rules in Chapter 101:  MaineCare Benefits Manual, 
Chapter III, Section 2, Adult Family Care Services and Chapter III, Section 97, Appendix 
C:  Principles of Reimbursement for Medical and Remedial Service Facilities and in the 
department's rule Chapter 115:  Principles of Reimbursement for Residential Care 
Facilities - Room and Board Costs to provide for ongoing, annual rate changes to adjust 
for inflation.  For the state fiscal year ending June 30, 2018, the amount of the adjustment 
is 4%.  For each year thereafter, the department shall set the inflation adjustment cost-of-
living percentage change in reimbursement in accordance with the United States 
Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care 
services index. 
Sec. 2.  Appropriations and allocations.  The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds for a 4% cost-of-living rate increase for residential care 
facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal 
year ending June 30, 2018 and a projected Consumer Price Index adjustment for the state 
fiscal year ending June 30, 2019. 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds for a 4% cost-of-living rate increase for adult family care 
homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, 
GENERAL FUND 
2017-18
2018-19
All Other 
$2,384,832
$3,434,159
GENERAL FUND TOTAL 
$2,384,832
$3,434,159
FEDERAL EXPENDITURES FUND 
2017-18
2018-19
All Other 
$5,353,409
$7,708,909
FEDERAL EXPENDITURES FUND TOTAL 
$5,353,409
$7,708,909
OTHER SPECIAL REVENUE FUNDS 
2017-18
2018-19
All Other 
$544,970
$786,032
OTHER SPECIAL REVENUE FUNDS TOTAL 
$544,970
$786,032
Chapter III, Section 2 for the state fiscal year ending June 30, 2018 and a projected 
Consumer Price Index adjustment for the state fiscal year ending June 30, 2019. 
PNMI Room and Board Z009 
Initiative: Provides funds for a 4% cost-of-living rate increase for residential care 
facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal 
year ending June 30, 2018 and a projected Consumer Price Index adjustment for the state 
fiscal year ending June 30, 2019. 
SUMMARY 
This bill provides funds to the Department of Health and Human Services to give 
adult family care homes, residential care facilities and certain private nonmedical 
institutions a 4% cost-of-living rate increase for the state fiscal year ending June 30, 2018 
and an additional cost-of-living increase for the state fiscal year ending June 30, 2019 
based on a projected increase in the United States Department of Labor, Bureau of Labor 
Statistics Consumer Price Index medical care services index.  Annual cost-of-living 
GENERAL FUND 
2017-18
2018-19
All Other 
$129,199
$186,047
GENERAL FUND TOTAL 
$129,199
$186,047
FEDERAL EXPENDITURES FUND 
2017-18
2018-19
All Other 
$233,933
$336,863
FEDERAL EXPENDITURES FUND TOTAL 
$233,933
$336,863
GENERAL FUND 
2017-18
2018-19
All Other 
$740,599
$1,066,463
GENERAL FUND TOTAL 
$740,599
$1,066,463
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
2017-18
2018-19
GENERAL FUND 
$3,254,630
$4,686,669
FEDERAL EXPENDITURES FUND 
$5,587,342
$8,045,772
OTHER SPECIAL REVENUE FUNDS 
$544,970
$786,032
DEPARTMENT TOTAL - ALL FUNDS 
$9,386,942
$13,518,473
adjustments are to be provided by rule for each fiscal year thereafter in accordance with 
the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index 
medical care services index.