Resolve, To Increase Funding for Evidence-based Therapies for Treating Emotional and Behavioral Problems in Children
Maine Legislature, Session 128, LD 1868
Committee Amendment CA_A_H729 (House)

COMMITTEE AMENDMENT "H" to H.P. 1304, L.D. 1868, "Resolve, To 
Increase Funding for Evidence-based Therapies for Treating Emotional and Behavioral 
Problems in Children" 
Amend the resolve by striking out everything after the emergency preamble and 
before the emergency clause and inserting the following: 
'Sec. 1. 
Department of Health and Human Services to increase 
MaineCare reimbursement for outpatient psychosocial treatments for 
children. Resolved: 
That the Department of Health and Human Services shall 
increase reimbursement rates under rule Chapter 101: MaineCare Benefits Manual, 
Chapters II and III, Section 65 for multisystemic therapy, multisystemic therapy for 
problem sexualized behavior and functional family therapy by 20% for the period from 
the effective date of this resolve to June 30, 2019; and be it further 
Sec. 2. Rate study. Resolved: That the Department of Health and Human 
Services shall contract with a 3rd party to conduct a rate study of reimbursement rates 
under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 for 
multisystemic therapy, multisystemic therapy for problem sexualized behavior and 
functional family therapy. The rate study must develop a rate that is set on a per case per 
week basis. 
The rate study must also take into account the costs to providers of 
delivering the services, including additional training, and maintenance of fidelity to the 
treatment models. The rate study must be completed no later than December 1, 2018; and 
be it further 
Sec. 3. Report. Resolved: That the Department of Health and Human Services 
shall submit a report to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters with the findings of the rate study conducted 
pursuant to section 2 no later than January 30, 2019; and be it further 
Sec. 4. Rulemaking. Resolved: That the Department of Health and Human 
Services is authorized to adopt rules to implement new rates developed pursuant to the 
rate study in section 2 as long as those rates are no lower than the rates of reimbursement 
COMMITTEE AMENDMENT 
i -,· .. 
COMMIITEEAMENDMENT'A"toH,P. 1304,L.D.1868 
that exist on April 1, 2018 and the federal Department of Health and Human Services, 
Centers for Medicare and Medicaid Services approves the reimbursement rates. Rules 
adopted pursuant to this section are routine technical rules as defined in the Maine 
Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further 
Sec. 5. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides :funding for a one-time increase to certain rates under rule Chapter 
101: MaineCare Benefits Manual, Chapters II and III, Section 65 by 20% until June 30, 
2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$212,306 
$212,306 
2018-19 
$385,318 
$385,318 
Office of MaineCare Services 0129 
Initiative: Provides :funding to contract with a 3rd party to conduct a rate study of certain 
rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 
to be completed no later than December 1, 2018. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
COMMITTEE AMENDMENT 
2018-19 
$50,000 
$50,000 
2018-19 
$50,000 
$50,000 
J ·y 
COMMITTEE AMENDMENT ..f+ .. to H.P. 1304, L.D. 1868 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
2017-18 
$0 
$0 
$0 
2018-19 
$262,306 
$435,318 
$697,624 
This amendment, which is the majority report of the committee, replaces the resolve. 
It requires the Department of Health and Human Services to increase reimbursement rates 
for multisystemic therapy, multisystemic therapy for problem sexualized behavior and 
functional family therapy by 20% until June 30, 2019. It requires the department to 
contract for a 3rd-party rate study of the reimbursement rates for those therapies, 
including developing a rate set on a per case per week basis rather than the current 
15-minute increments. The rate study must also take into account the costs to providers 
of delivering the services, including additional training, and maintenance of fidelity to the 
treatment models. The rate study must be completed no later than December 1, 2018. 
The department must submit a report on the results of the study to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
no later than January 30, 2019. The department is authorized to implement new rates 
through rulemaking as long as the rates are no lower than those that exist on April 1, 2018 
and the rates are approved by the federal Department of Health and Human Services, 
Centers for Medicare and Medicaid Services. 
It also adds an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/01/18 feac 
LD 1868 
LR 2909(02) 
Resolve, To Increase Funding for Evidence-based Therapies for Treating Emotional and Behavioral 
Problems in Children 
Fiscal Note for Bill as Amended by Committee Amendment ff [H-1.J. ~ 
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 
$0 
$0 
$0 
$0 
FY 2018-19 
$262,306 
$262,306 
$435,318 
$435,318 
Projections 
FY 2019-20 
$0 
$0 
$0 
$0 
Projections 
FY 2020-21 
$0 
$0 
$0 
$0 
The bill includes one-time General Fund appropriations to the Department of Health and Human Services of $262,306 
in fiscal year 2018-19 for a one-time increase to certain rates under rule Chapter 101, MaineCare Benefits Manual, 
Chapters II and III, Section 65 by 20% until June 30th, 2019 and to contract with a third party to conduct a rate study 
of those rates to be completed no later than December 1st, 2018. Federal Expenditures Fund allocations are also 
included for the FMAP match. 
LR2909(02) - Fiscal Note - Page 1 of 1