Resolve, To Increase Funding for Assertive Community Treatment
Maine Legislature, Session 129, LD 1135
Committee Amendment CA_A_H253 (House)

COMMITTEE AMENDMENT "A" to H.P. 824, L.D. 1135, "Resolve, To Increase 
Funding for Assertive Community Treatment" 
Amend the resolve in section 1 in the 5th line (page 1, line 15 in L.D.) by striking out 
the following: "for the period from" and inserting the following: 'beginning on' 
Amend the resolve in section 1 in.the last line (page 1, line 16 in L.D.) by striking out 
the following: "to June 30, 2020
Amend the resolve by striking out all of sections 2 to 5 and inserting the following: 
'Sec. 2. Rulemaldng. Resolved: That the Department of Health and Human 
Services is authorized to adopt rules to implement new rates established pursuant to this 
resolve. Rules adopted pursuant to this section are routine technical rules as defined in 
the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Sec. 3. 
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 funding for a one-time increase to certain rates under rule Chapter 
101: MaineCare Benefits Manual, Chapters II and III, Section 17 by 25%. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2018-19 
$476,389 
$476,389 
2019-20 
$1,905,557 
$1,905,557 
2020-21 
$11905,557 
$1,905,557 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
COMMITTEE AMENDMENT 
i, e:} ~-
COMMITTEE AMENDMENT ·A" to H.P. 824, L.D. 1135 
SUMMARY 
This amendment, which is the majority report of the committee, amends the resolve 
to provide that the 25% rate increase for assertive community treatment is ongoing. It 
removes the directive to the Department of Health and Human Services to contract with a 
3rd party to conduct a rate study. It also replaces the appropriations and allocations 
section to reflect a change in funding. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/28/19 feac 
LD 1135 
LR 1597(02) 
Resolve, To Increase Funding for Assertive Community Treatment 
Fiscal Note for Bill as Amended by Committee Amendment ,fJ-( Jf-)S,P 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2018-19 
FY 2019-20 
FY 2020-21 
$476,389 
$1,905,557 
$1,905,557 
$476,389 
$1,905,557 
$1,905,557 
Projections 
FY 2021-22 
$1,905,557 
$1,905,557 
Projections 
FY2022-23 
$1,905,557 
$1,905,557 
The bill includes General Fund appropriations to the Department of Health and Human Services (DHHS) of $476,389 
I 
in fiscal year 2018-19, $1,905,557 in fiscal year 2019-20 and $1,905,557 in fiscal year 2020-21 for an increase to 
certain rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 17 by 25% 
The funding provided for this bill is all General Fund. This was precipitated by PL 2017 c. 460 which increased rates 
for services in Sections 17, _23 and 65 which are included in the Clinic Upper Payment Limit calculations. The impact 
of those increases put the department at or slightly above the amount allowed to be paid by the Centers for Medicare 
and Medicaid Services. As a result, the rate increase in this bill will have to be paid with state general fund money 
only. 
LR1597(02) - Fiscal Note· Page I of 1