An Act To Provide Supplemental Appropriations and Allocations for the Operations of State Government
Maine Legislature, Session 128, LD 0837
Committee Amendment CA_A-SA_A_S499 (Senate)

SENATE AMENDMENT "A "to COMMITTEE AMENDMENT "A" to H.P. 586, 
L.D. 837, Bill, "An Act To Provide Supplemental Appropriations and Allocations for the 
Operations of State Government" 
Amend the amendment by inserting after the first paragraph and before section 1 the 
following: 
'Sec. 1. MaineCare Expansion Fund established. The MaineCare Expansion 
Fund, referred to in this section as "the fund," is established as an Other Special Revenue 
Funds account within the Department of Health and Human Services that, in combining 
funds transferred pursuant to section 2 with all funds appropriated and available in the 
Medical Care - Payments to Providers program in the General Fund, provides the funds 
estimated to be necessary for expanded coverage under the MaineCare program required 
by Initiated Bill 2017, chapter 1, "An Act To Enhance Access to Affordable Health 
Care." 
1. Exclusive use. Funds in the fund may be used only for the implementation and 
continuation of expanded access to health care as required by Initiated Bill 2017, chapter 
1. 
2. Lapse. Funds transferred from the General Fund pursuant to section 2 in excess 
of funds needed to carry out the purpose of the fund stated in subsection 1 lapse to the 
unappropriated surplus of the General Fund if not expended by June 30, 2019. 
3. Transfer from fund to Medical Care - Payments to Providers program 
authorized. Notwithstanding any provision of law to the contrary, the State Controller 
shall transfer funds from the fund to the Medical Care - Payments to Providers program if 
such a transfer is necessary to allocate federal funds. 
Sec. 2. Transfer of funds. Notwithstanding any provision of law to the contrary, 
the State Controller shall transfer $31,159,210 from the unappropriated surplus of the 
General Fund to the MaineCare Expansion Fund established in section 1 no later than 10 
days following the effective date of this Act. 
Sec. 3. 
Transfer from Fund for a Healthy Maine for MaineCare 
expansion costs authorized. Notwithstanding any provision of law to the contrary, 
the Governor, on or before June 30, 2019 and upon the written request of the 
SENATE AMENDMENT 
SENATE AMENDMENT" f\" to COMMITTEE AMENDMENT "A" to H.P. 586, L.D. 837 
Commissioner of Health and Human Services in consultation with the State Budget 
Officer, may transfer up to $23,540,000 from the Fund for a Healthy Maine to the 
MaineCare Expansion Fund established in section 1 for the amount of medical costs of 
the MaineCare program that, as a result of expansion of the MaineCare program pursuant 
to Title 22, section 3174-G, subsection 1, paragraph H, will within the 15 days following 
the request exceed the sum of the total amount available in the Department of Health and 
Human Services, Medical Care - Payments to Providers program plus the total amount 
transferred pursuant to section 2. The commissioner shall submit copies of the written 
request submitted to the Governor to the joint standing committee of the Legislature 
having jurisdiction over health and human services matters and the joint standing 
committee of the Legislature having jurisdiction over appropriations and financial affairs. 
The State Controller shall report to the joint standing committee of the Legislature having 
jurisdiction over appropriations and financial affairs any transfers made pursuant to this 
section.' 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment: 
1. Establishes the MaineCare Expansion Fund within the Department of Health and 
Human Services to provide the funds estimated to be necessary for expanded coverage 
under the MaineCare program required by Initiated Bill 2017, chapter 1, "An Act To 
Enhance Access to Affordable Health Care"; 
2. 
Limits the use of the fund to funding needed for the implementation and 
continuation of expanded access to health care as required by Initiated Bill 2017, chapter 
I; 
3. Requires that funds in the fund lapse to the unappropriated surplus of the General 
Fund if not expended by June 30, 2019; 
4. Directs the State Controller to transfer $31,159,210 from the unappropriated 
surplus of the General Fund to the fund no later than 10 days following the effective date 
of this legislation; and 
5. Provides that the Governor, on or before June 30, 2019 and upon the written 
request of the Commissioner of Health and Human Services in consultation with the State 
Budget Officer, may transfer up to $23,540,000 from the Fund for a Healthy Maine to the 
fund for the amount of medical costs of the MaineCare program that, as a result of 
expansion of the MaineCare program, will within the 15 days following the request 
SENATE AMENDMENT 
SENATE AMENDMENT"(\' to COMMITTEE AMENDMENT "A" to H.P. 586, L.D. 837 
exceed the sum of the total amount available in the Department of Health and Human 
Services, Medical Care - Payments to Providers program plus the total amount transferred 
from the General Fund. 
FISCAL NOJEJEQUIRED 
SPONSORED BY: ~~~~~~-+---~~~~~~ 
(Senator BREEN) 
COUNTY: Cumberland 
SENATE AMENDMENT 
Approved: 06/19/18 feac 
LD837 
LR 1499(11) 
An Act To Provide Supplemental Appropriations and Allocations for the Operations of State 
Government 
Fiscal Note for Senate Amendment''/\' to Committee Amendment "A" 
Sponsor: Sen. Breen of Cumberland 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
FY 2018-19 
Projections 
FY 2019-20 
Projections 
FY2020-21 
Net Cost (Savings) 
General Fund 
Transfers 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
$0 
$31,159,210 
$0 
($31,159,210) 
$0 
$31,159,210 
$0 
$0 
$0 
$0 
$0 
$0 
This amendment transfers $31,159,210 from the unappropriated surplus of the General Fund to the newly established 
MaineCare Expansion Fund for MaineCare services and payments to providers. Any unused balance in the fund as of 
June 30, 2019 will lapse back to the General Fund. This amendment also authorizes transfers from the Fund for a 
Healthy Maine up to $23,540,000 for the same purposes in the event of a shortfall due to the expansion of eligibility 
for MaineCare. 
LR1499(11) - Fiscal Note - Page 1 of 1