An Act To Require Reimbursement to Hospitals for Patients Awaiting Placement in Nursing Facilities
Maine Legislature, Session 128, LD 0401
Committee Amendment CA_A_H109 (House)
Amends: 22 MRSA §3174-Z

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 bill by striking out all of section 1 and inserting the following: 
'Sec. 1. 22 MRSA §3174-ZZ is enacted to read: 
§3174-ZZ. 
Reimbursement for days awaiting placement; reimbursement for 
hospitals other than critical access hospitals 
Beginning Januaty 1, 2018, 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 depattment shall reimburse hospitals prospectively at the statewide 
average rate per MaineCare member day for nursing facility services. The depattment 
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This section is repealed December 31, 2023.'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 bill by adding after section 2 the following: 
'Sec. 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 292, L.D. 401 
Initiative: Provides funds t? 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 TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
SUMMARY 
2017-18 
$17,690 
$17,690 
2017-18 
$31,932 
$31,932 
2018-19 
$35,390 
$35,390 
2018-19 
$63,854 
$63,854 
This amendment, which is the majority report of the committee, adds a stmt date of 
January 1, 2018 for the depmtment to reimburse a hospital for the days a MaineCare-
eligible individual is in the care of the hospital while awaiting placement in a nursing 
facility and adds language repealing the provision 5 years later. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/21/17 feac.. 
LD401 
LR 1008(02) 
An Act To Require Reimbursement to Hospitals for Patients Awaiting Placement in Nursing Facilities 
. 
Fiscal Note for Bill as Amended by Committee Amendment ·~'(_rf- /Dq \ 
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 
FY 2017-18 
FY 2018-19 
$17,690 
$17,690 
$31,932 
$31,932 
$35,390 
$35,390 
$63,854 
$63,854 
Projections 
FY2019-20 
$35,390 
$35,390 
$63,854 
$63,854 
Projections 
FY 2020-21 
$35,390 
$35,390 
$63,854 
$63,854 
The bill includes General Fund appropriations to the Department of Health and Human Services of $17,690 in fiscal 
year 2017-18 and $35,390 in fiscal year 2018-19 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, beginning January 1, 2018 and ending December 31, 2023. Federal 
Expenditures Fund allocations are also included for the FMAP match. 
LRl 008(02) - Fiscal Note - Pa!le 1 of 1