An Act To Support Early Intervention and Treatment of Mental Health Disorders
Maine Legislature, Session 129, LD 1461
Committee Amendment CA_A_S244 (Senate)

FffiST REGULAR SESSION 
COMMITTEE AMENDMENT "~ " to S.P. 446, L.D. 1461, Bill, "An Act To 
Support Early Intervention and Treatment of Mental Health Disorders" 
Amend the bill in section 1 in § 16002 in the first paragraph in the 2nd line (page 1, 
line 27 in L.D.) by striking out the following: "funding mechanism" and inserting the 
following: 'bundled rate' 
Amend the bill in section 1 in §16002 by inserting after subsection 6 the following: 
'The bundled rate must take into account the services identified in this section that are 
provided to an individual in the coordinated specialty care model in order to ensure 
fidelity to the model. In establishing the bundled rate, the department must consider 
various structures of a bundled rate model, including, but not limited to, a day rate or a 
monthly rate. 
The department may review, develop or apply for any source of funds that may be 
available to implement reimbursement for the coordinated specialty care model.' 
Amend the bill by inserting after section 3 the following: 
'Sec. 4. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Z198 
Initiative: Provides appropriations to reimburse for the treatment of individuals showing 
early signs of a psychotic disorder using a coordinated specialty care model. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$1,210,798 
$1,210,798 
COMMITTEE AMENDMENT 
2020-21 
$1,210,798 
$1,210,798 
COMMITTEE AMENDMENT" /'t "to S.P. 446,L.D. 1461 ( 
· .J ·\ ~1. 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the unanimous report of the committee, clarifies that the 
department must establish a bundled rate for coordinated specialty care. It also provides 
that the department may review, develop or apply for any source of funds that may be 
available to implement reimbursement for the coordinated specialty care model. The 
amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/04/19 feac 
LD 1461 
LR 436(02) 
An Act To Support Early Intervention and Treatment of Mental Health Disorders 
Fiscal Note for Bill as Amended by Committee Amendment 'H'L :) ·:9-'--\l--t) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
FY2020-21 
$1,210,798 
$1,210,798 
$1,210,798 
$1,210,798 
Projections 
FY 2021-22 
$1,210,798 
$1,210,798 
Projections 
FY 2022-23 
$1,210,798 
$1,210,798 
The bill includes ongoing General Fund appropriations to the Depaiiment of Health and Human Services of 
$1,210,798 beginning in fiscal year 2019-20 to reimburse for the treatment of individuals showing early signs of a 
psychotic disorder using a coordinated specialty care model. 
Additional costs to the Department of Education and the Department of Labor associated with the requirements of this 
legislation can be absorbed within existing budgeted resources. 
LR0436(02) - Fiscal Note - Page 1 of 1