Resolve, To Support Individuals with Acute Mental Health Needs”
Maine Legislature, Session 129, LD 1856
Committee Amendment CA_A_H867 (House)

COMMITTEE AMENDMENT “      ” to H.P. 1327, L.D. 1856, “Resolve, To Support 
Individuals with Acute Mental Health Needs”
Amend the resolve in section 1 in the 5th line (page 1, line 5 in resolve) by striking 
out the following: "$13,396.47" and inserting the following: '$10,166'
Amend the resolve in section 1 in the last line (page 1, line 9 in resolve) by striking 
out the following: "July" and inserting the following: 'August'
Amend the resolve by adding after section 1 the following:
'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, 2021, 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 First Regular Session of the 130th Legislature.
Sec. 4.  Appropriations and allocations.  Resolved: That the following 
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147
Initiative: Provides appropriation and allocation to the Department of Health and Human 
Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 
Date: 
(Filing No. H-          )
COMMITTEE AMENDMENT “      ” to H.P. 1327, L.D. 1856
COMMITTEE AMENDMENT
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.
' 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively.
SUMMARY
This amendment, which is the majority report of the committee, amends the resolve 
by reducing 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 
changes the effective date of the new reimbursement rate.  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 also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)
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
Revised: 07/14/20
LD 1856
LR 2928(02)
FY 2019-20
FY 2020-21
Projections 
FY 2021-22
Projections 
FY 2022-23
Net Cost (Savings)
General Fund
$0
$74,714
$128,162
$128,162
Appropriations/Allocations
General Fund
$0
$74,714
$128,162
$128,162
Federal Expenditures Fund
$0
$220,984
$378,748
$378,748
Revenue
Federal Expenditures Fund
$0
$220,984
$378,748
$378,748
Fiscal Detail and Notes
Fiscal Note
The bill includes General Fund appropriations to the 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. Federal Expenditures Fund allocations will also be required 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(02) - Fiscal Note - Page 1 of 1