An Act To O Amend MaineCare Reimbursement Related to Bad Debt and Bed-hold Days
Maine Legislature, Session 129, LD 1125
Committee Amendment CA_A_S103 (Senate)

COMMITTEE AMENDMENT "ft" to S.P. 345, L.D. 1125, Bill, "An Act To 
O 
Amend MaineCare Reimbursement Related to Bad Debt and Bed-hold Days" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Require Reimbursement for Bed-hold Days in Adult Family Care 
Homes' 
Amend the bill by striking out everything after the title and inserting the following: 
'Sec. 1. 
Adult family care home reimbursement for bed-hold days. 
Resolved: 
That, no later than January 1, 2020, the Department of Health and Human 
Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 2, Adult Family Care Services to reimburse for days a resident is absent from a 
facility due to hospitalization, visits with family or friends or other appropriate causes 
determined by the department for up to 30 bed-hold days per calendar year. The rate of 
reimbursement must be at least equal to the rate for bed-hold days provided to residential 
care facilities under the department's rule Chapter 115: Principles of Reimbursement for 
Residential Care Facilities. 
Sec. 2. 
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 appropriations and allocations to reimburse adult family care homes 
for up to 30 bed-hold days per calendar year in the same manner as residential care 
facilities are reimbursed. 
COMMITTEE AMENDMENT 
COMMIITEE AMENDMENT "It "to S.P. 345, L.D. l125 (S-ID ~ 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of MaineCare Services 0129 
2019-20 
$16,414 
$16,414 
2019-20 
$29,155 
$29,155 
2020-21 
$33,056 
$33,056 
2020-21 
$58,082 
$58,082 
Initiative: Provides one-time appropriations and allocations for required technology 
updates. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2019-20 
$56,627 
$56,627 
2019-20 
$169,883 
$169,883 
2019-20 
$73,041 
$199,038 
$272,079 
2020-21 
$0 
$0 
2020-21 
$0 
$0 
2020-21 
$33,056 
$58,082 
$91,138 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SU1\11\1ARY 
This amendment removes the section of the bill that reimburses nursing homes for 
bad debt incurred and changes the bill to a resolve. It changes the title to reflect the 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" ~· to S.P. 345, L.D. 1125 ( S, I()~ 
remaining provision to provide for reimbursement for bed-hold days in adult family care 
homes. It also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/03/19 ;::t,/ac:. 
LD 1125 
LR2074(02) 
An Act To Amend MaineCare Reimbursement Related to Bad Debt and Bed-hold Days 
Fiscal Note for Bill as Amended by Committee Amendment ~ "l S- \ (:)~ 
Committee: Health and Human Services 
~ 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
$73,041 
$73,041 
$199,038 
$199,038 
FY 2020-21 
$33,056 
$33,056 
$58,082 
$58,082 
Projections 
FY 2021-22 
$33,074 
$33,074 
$58,064 
$58,064 
Projections 
FY 2022-23 
$33,074 
$33,074 
$58,064 
$58,064 
The bill includes General Fund appropriations to the Department of Health and Human Services of $73,041 in fiscal 
year 2019-20 and $33,056 in fiscal year 2020-21 to reimburse adult family care homes for up to 30 bed-hold days per 
calendar year in the same manner as residential care facilities are reimbursed and for required technology updates. 
Federal Expenditures Fund allocations will also be included for the FMAP match. 
LR2074(02) - Fiscal Note - Page 1 of 1