An Act To Clarify and Amend MaineCare Reimbursement Provisions for Nursing and Residential Care Facilities
Maine Legislature, Session 129, LD 1758
Committee Amendment CA_A-SA_B_S368 (Senate)

SENATE AMENDMENT '' {3, " to COMMITTEE AMENDMENT "A" to S.P. 588, 
L.D. 1758, Bill, "An Act To Clarify and Amend MaineCare Reimbursement Provisions 
for Nursing and Residential Care Facilities" 
Amend the amendment by striking out all of section 5 and inserting the following: 
'Sec. 5. Rulemaking. The Department of Health and Human Services shall amend 
its rule in 10-144 C.M.R. Chapter 101: MaineCare Benefits Manual, Chapter III, Section 
67, Principles of Reimbursement for Nursing Facilities and Section 97, Appendix C, 
Principles of Reimbursement for Medical and Remedial Service Facilities to determine, 
of the funds provided in section 6, the proportional amount to be distributed to each 
provider based on sections 1 to 4 of this Act. 
Sec. 6. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides one-time appropriations and allocations for residential care facility 
wage allowances. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2019-20 
$142,896 
$142,896 
2019-20 
$251,844 
$251,844 
SENATE AMENDMENT 
2020-21 
$187,720 
$187,720 
2020-21 
$330,844 
$330,844 
SENATE AMENDMENT" f;'to COMMITTEE AMENDMENT "A" to S.P. 588, L.D. 1758 (' · -:\(ci\ 
Initiative: Provides one-time appropriations and allocations for residential care facility 
supplemental wage allowance. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
2019-20 
$1,361,537 
$1,361,537 
2019-20 
$2,399,616 
$2,399,616 
2020-21 
$1,361,537 
$1,361,537 
2020-21 
$2,399,616 
$2,399,616 
Initiative: Provides one-time appropriations and allocations for nursing facility wage 
allowances. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
, 22 
Nursing Facilities 0148 
2019-20 
$377,104 
$377,104 
2019-20 
$664,620 
$664,620 
2020-21 
$332,280 
$332,280 
2020-21 
$585,621 
$585,621 
Initiative: Provides one-time appropriations and allocations for nursing facility 
supplemental wage allowance. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$3,637,102 
$3,637,102 
SENATE AMENDMENT 
2020-21 
$3,637,102 
$3,637,102 
SENATE AMENDMENT" B"to COMMITTEE AMENDMENT "A"to S.P. 588, L.D. 1758 Cs '3loB) 
FEDERAL EXPENDITURES FUND 
2019-20 
2020-21 
All Other 
$6,410,140 
$6,410,140 
FEDERAL EXPENDITURES FUND TOTAL 
Nursing Facilities 0148 
$6,410,140 
$6,410,140 
Initiative: Provides one-time deappropriations and deallocations for funding carried 
forward in the baseline for the nursing facility supplemental wage allowance. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
PNMI Room and Board Z009 
2019-20 
($5,400,000) 
($5,400,000) 
2019-20 
($9,517,127) 
2020-21 
($5,400,000) 
($5,400,000) 
2020-21 
($9,517,127) 
($9,517,127) 
($9,517,127) 
Initiative: Provides one-time appropriations and allocations for residential care facility 
supplemental wage allowance. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
2019-20 
$401,361 
$401,361 
2019-20 
$520,000 
$209,093 
$729,093 
2020-21 
$401,361 
$401,361 
2020-21 
$520,000 
$209,094 
$729,094 
This amendment directs the Department of Health and Human Services to amend its 
rules to determine, of the funds provided in section 6, the proportional amount to be 
SENATE AMENDMENT 
SENATE AMENDMENT" \~" to COMMITTEE AMENDMENT "A" to S.P. 588, L.D. 1758 ( '~, ,~llJ;( ) 
distributed to each provider based on the supplemental allowances and additional special 
wage allowances established in the bill as amended by Committee Amendment "A". This 
amendment also replaces the appropriations and allocations section. 
FISCAL NOTE REQUIRED 
-~ -
_, 
SPONSORED BY:'=7"/_..___ __ t----1r----------
(Senator BREEN) 
COUNTY: Cumberland 
SENATE AMENDMENT 
Approved: 06/19/19 frac 
LD 1758 
LR 1523(07) 
An Act To Clarify and Amend MaineCare Reimbursement Provisions for Nursing and Residential 
Care Facilities 
Fiscal Note for Senate Amendment" "to Committee Amendment "A" 
Sponsor: Sen. Breen of Cumberland 
Net Cost (Savings) 
General Fund 
\ppropriations/ 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 2019-20 
FY 2020-21 
Projections 
FY 2021-22 
($15,763,173) 
($12,220,825) 
($12,740,825) 
($15,763,173) 
($12,220,825) 
($12,740,825) 
($32,069,741) 
($24,303,574) 
($24,512,668) 
($3,099,703) 
($2,377,882) 
($2,377,882) 
($32,069,741) 
($24,303,574) 
($24,512,668) 
($3,099,703) 
($2,377,882) 
($2,377,882) 
Projections 
FY 2022-23 
($5,340,901) 
($5,340,901) 
($8,879,717) 
($907,699) 
($8,879,717) 
($907,699) 
This amendment makes the General Fund appropriations to the Department of Health and Human Services one-time 
and reduces the totals to $520,000 in fiscal year 2019-20 and $520,000 in fiscal year 2020-21 for residential care 
facility and nursing facility wage allowances. Federal Expenditure Fund allocations are also reduced for the FMAP 
match. 
LR1523(07) - Fiscal Note - Page 1 of 1