Resolve, To Support Individuals with Acute Mental Health Needs”
Maine Legislature, Session 129, LD 1856
Committee Amendment CA_B_H868 (House)

COMMITTEE AMENDMENT “      ” to H.P. 1327, L.D. 1856, “Resolve, To Support 
Individuals with Acute Mental Health Needs”
Amend the resolve by striking out everything after the title and inserting the following:
'Sec. 1. Department of Health and Human Services to increase MaineCare 
rates.  Resolved:  That the Department of Health and Human Services shall amend its 
rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45.03 to provide 
reimbursement for patients discharged from Southern Maine Health Care's psychiatric 
inpatient unit in the amount of $10,166 per distinct discharge for the period beginning with 
the effective date of this section and ending January 15, 2023.  No later than 30 days 
following the effective date of this section, the department shall amend its rule pursuant to 
this section and submit the amended rule to the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services.
Sec. 2.  Department of Health and Human Services to seek available funds 
for uninsured patients.  Resolved: That the Department of Health and Human Services 
shall seek and apply for available federal funds or funds from any other sources to pay the 
costs of providing inpatient psychiatric care to uninsured patients who are discharged from 
acute care hospitals.
Sec. 3.  Report. Resolved:  That, no later than January 15, 2022, 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 regarding the 
progress the department has made in developing a reimbursement rate to provide inpatient 
psychiatric care under its rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 45.03. The joint standing committee of the Legislature having jurisdiction over 
health and human services matters is authorized to report out legislation related to the report 
to the Second Regular Session of the 130th Legislature.
Sec. 4.  Appropriations and allocations. Resolved:  The following 
appropriations and allocations are made.
COMMITTEE AMENDMENT “      ” to H.P. 1327, L.D. 1856
COMMITTEE AMENDMENT
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Initiative: Provides one-time appropriation and allocation to the Department of Health and 
Human Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 45.03 to provide reimbursement for patients discharged from Southern Maine 
Health Care's psychiatric inpatient unit in the amount of $10,166 per distinct discharge.
GENERAL FUND
2019-20
2020-21
All Other
$0
$74,714
__________
__________
GENERAL FUND TOTAL
$0
$74,714
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$0
$220,984
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$0
$220,984
'
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively.
SUMMARY
This amendment, which is the minority report of the committee, reduces the 
reimbursement rate per discharge to cover the cost of providing care to MaineCare 
members in Southern Maine Health Care's psychiatric inpatient unit and limits the new 
reimbursement rate to the period beginning on the effective date of this legislation and 
ending January 15, 2022.  The amendment directs the Department of Health and Human 
Services to seek and apply for federal funds and funds from any other sources to pay the 
costs of providing psychiatric services to uninsured patients.  The amendment also directs 
the Department of Health and Human Services to submit a report to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters 
regarding the progress the department has made in developing a reimbursement rate to 
provide inpatient psychiatric care under its rule Chapter 101: MaineCare Benefits Manual, 
Chapter III, Section 45.03.  The committee is authorized to report out legislation related to 
the report to the Second Regular Session of the 130th Legislature.  This amendment 
includes a provision to repeal the resolve January 15, 2022.
This amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)
Revised: 07/14/20
LD 1856
LR 2928(03)
FY 2019-20
FY 2020-21
Projections 
FY 2021-22
Projections 
FY 2022-23
Net Cost (Savings)
General Fund
$0
$74,714
$64,081
$0
Appropriations/Allocations
General Fund
$0
$74,714
$64,081
$0
Federal Expenditures Fund
$0
$220,984
$189,374
$0
Revenue
Federal Expenditures Fund
$0
$220,984
$189,374
$0
Fiscal Detail and Notes
Fiscal Note
The bill includes a one-time General Fund appropriation to Department of Health and Human Services of  $74,714 in 
fiscal year 2020-21 to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45.03 to provide 
reimbursement for patients discharged from Southern Maine Health Care's psychiatric inpatient unit in the amount of 
$10,166 per distinct discharge. The increased rate is repealed on January 15, 2022. Federal Expenditures Fund 
allocation is also included for the FMAP match. 
Resolve, To Support Individuals with Acute Mental Health Needs
Fiscal Note for Bill as Amended by Committee Amendment " "
Committee: Health and Human Services
Fiscal Note Required: Yes
LR2928(03) - Fiscal Note - Page 1 of 1