An Act To Strengthen Supports for Adults with Intellectual Disabilities or Autism in Crisis
Maine Legislature, Session 129, LD 1486
Committee Amendment CA_A_H411 (House)
Amends: 34-B MRSA §5206

COMMITTEE AMENDMENT "A " to H.P. 1088, L.D. 1486, Bill, "An Act To 
Strengthen Supports for Adults with Intellectual Disabilities or Autism in Crisis" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 34-B MRSA §5206, sub-§8 is enacted to read: 
8. Rules. The department shall adopt rules to implement this section. Rules adopted 
pursuant to this subsection are major substantive rules as defmed by Title 5, chapter 375, 
subchapter 2-A. 
Sec. 2. Department of Health and Human Services to study rate changes 
and rate structure for persons with intellectual disabilities or autism. The 
Department of Health and Human Services shall study the existing services for persons 
with intellectual disabilities or autism and determine the adequacy of the MaineCare 
reimbursement methodology and rates paid to providers for meeting the needs of persons 
with intellectual disabilities or autism at risk for out-of-home placement due to 
challenging behavior that affects health and safety. 
The department shall report its 
findings, along with recommendations and any suggested legislation, to the Joint 
Standing Committee on Health and Human Services no later than January 30, 2020. The 
committee is authorized to report out a bill to the Second Regular Session of the 129th 
Legislature. 
Sec. 3. Rulemaking. 
The Department of Health and Human Services shall 
provisionally adopt rules that are required pursuant to the Maine Revised Statutes, Title 
34-B, section 5206, subsection 8 no later than April 1, 2020.' 
SUMMARY 
This amendment replaces the bill. It amends the current law regarding crisis and 
respite services for persons with intellectual disabilities or autism by requiring the 
Department of Health and Human Services to provisionally adopt major substantive rules 
on crisis and respite services no later than April 1, 2020. It also requires the Department 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ·A-" to H.P. 1088, L.D. 1486 
of Health and Human Services to study the existing services for persons with intellectual 
disabilities or autism and determine the adequacy of the MaineCare reimbursement 
methodology and rates paid to providers for meeting the needs of persons at risk for out-
of-home placement due to challenging behavior that affects health and safety. 
The 
department is required to report its fmdings and recommendations to the Joint Standing 
Committee on Health and Human Services no later than January 30, 2020. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/19/19 feae 
LD 1486 
LR 1468(02) 
An Act To Strengthen Supports for Adults with Intellectual Disabilities or Autism in Crisis 
\ 
Fiscal Note for Bill as Amended by Committee Amendment 'A' f H-YJ/) 
Committee: Health and Human Services 
l 1 
, 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Any additional costs to the Department of Health and Human Services from the provisions of this bill are expected to 
be minor and can be absorbed within existing budgeted resources. 
LR1468(02) - Fiscal Note - Page I of 1