An Act To Ensure Access to Behavioral Health Services
Maine Legislature, Session 128, LD 1517
Committee Amendment CA_A_H491 (House)

COMMITTEE AMENDMENT" A" to H.P. 1041, L.D. 1517, Bill, "An Act To 
Ensure Access to Behavioral Health Services" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Ensure Access to Behavioral Health Services' 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Sec. 1. 
Department of Health and Human Services to increase 
MaineCare rates. Resolved: That, no later than June 1, 2018, the Department of 
Health and Human Services shall amend the rules in Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 13, Targeted Case Management Services; Section 17, 
Allowances for Community Support Services; Section 23, Developmental and Behavioral 
Clinic Services; Section 28, Rehabilitative and Community Support Services for Children 
with Cognitive Impairments and Functional Limitations; Section 65, Behavioral Health 
Services; and Section 97, Private Non-Medical Institution Services, Appendix B and 
Appendix E to increase reimbursement rates to ensure a net increase in funding from 
fiscal year 2008-09 to fiscal year 2018-19 of 2% as long as no rate for a service is lower 
than the rate reimbursed as of January 1, 2017. The rules must specify that the increase 
in reimbursement rates must be applied to wages and benefits for employees who provide 
direct services and not to administrators or managers; and be it further 
Sec. 2. Increase to employee wages. Resolved: That to qualify for the rate 
increase pursuant to section 1, a agency providing services must demonstrate, to the 
satisfaction of the Depaitment of Health and Human Services, that an increase in wages 
and benefits for employees providing direct services has been granted that equals the 
amount of increase received as a result of the increased reimbursement. The increase 
must be granted or paid out retroactively from the date the department begins reimbursing 
at the increased rates; and be it fmther 
Sec. 3. Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
Page I • 128LR1618(02)-l 
COMMITTEE AMENDMENT 
COMMITTEEAMENDMENT"A "to H.P. 1041,L.D.1517 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DRS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides appropriations and allocations to increase certain reimbursement rates 
by June 1, 2018 to reflect a 2% increase over rates in fiscal year 2008-09. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHERSPECIALREVENUEFUNDSTOTAL 
2017-18 
$349,890 
$349,890 
2017-18 
$631,294 
$631,294 
2017-18 
$0 
$0 
2018-19 
$6,036,063 
$6,036,063 
2018-19 
$11,974,266 
$11,974,266 
2018-19 
$600,591 
$600,591 
PNMI Room and Board Z009 
Initiative: Provides appropriations and allocations to increase certain reimbursement rates 
by June 1, 2018 to reflect a 2% increase from rates in fiscal year 2008-09. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2017-18 
$0 
$0 
2017-18 
$349,890 
$631,294 
$0 
$981,184 
COMMITTEE AMENDMENT 
2018-19 
$17,135 
$17,135 
2018-19 
$6,053,198 
$11,974,266 
$600,591 
$18,628,055 
COMMIITEE AMENDMENT" A" to H.P. 1041, L.D. 1517 
SUMMARY 
This amendment, which is the majority report of the committee, strikes the bill and 
makes it a resolve. 
The amendment retains the section in the bill that increases 
reimbursement rates by June 1, 2018. The increase in that section is changed from 20% 
to 2%, which must be applied to employee wages and benefits. The amendment specifies 
that increases to Section 97, Private Non-Medical Institution Services include only 
Appendix B and Appendix E. The amendment adds an appropriations and allocations 
section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/06/17 fea:c 
LD 1517 
LR 1618(02) 
An Act To Ensure Access to Behavioral Health Services 
Fiscal Note for Bill as Amended by Committee Amendment A{H ... '/"1~ 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$349,890 
$349,890 
$631,294 
$0 
$631,294 
$0 
FY 2018-19 
$6,053,198 
$6,053,198 
$11,974,266 
$600,591 
$11,974,266 
$600,591 
Projections 
FY 2019-20 
$6,319,876 
$6,319,876 
$12,572,979 
$666,603 
$12,572,979 
$666,603 
Projections 
FY 2020-21 
$6,618,870 
$6,618,870 
$13,201,628 
$699,933 
$13,201,628 
$699,933 
The bill includes General Fund appropriations to the Department of Health and Human Services of $349,890 in fiscal 
year 2017-18 and $6,053,198 in fiscal year 2018-19 to increase certain reimbursement rates by June 1, 2018 to reflect 
a 2% increase over rates in fiscal year 2008-09. Federal Expenditures Fund allocations will also be required for the 
FMAP match and Other Special Revenue Funds allocations for the service provier tax. 
LR1618(02) - Fiscal Note - Page 1 of 1