Resolve, To Ensure the Health and Wellness of Older Residents of the State
Maine Legislature, Session 129, LD 0474
Committee Amendment CA_A_S36 (Senate)

COMMITTEE AMENDMENT "A "to S.P. 138, L.D. 474, "Resolve, To Ensure the 
Health and Wellness of Older Residents of the State" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Establish a Medically Tailored Food Pilot Project' 
Amend the resolve by striking out all of section 1. 
Amend the resolve in section 2 in the 7th line (page 1, line 13 in L.D.) by striking out 
the following: "homebound or" and inserting the following: 'homebound and' 
Amend the resolve in section 2 in the 8th line (page 1, line 14 in L.D.) by striking out 
the following: "The program" and inserting the following: 'If the waiver is approved, the 
department shall implement the pilot project as soon as practically possible. The pilot 
project' 
Amend the resolve in section 2 in the 13th and 14th lines (page 1, lines 19 and 20 in 
L.D.) by striking out the following: "July 1, 2022" and inserting the following: 'January 1, 
2023' 
Amend the resolve by striking out all of section 3 and inserting the following: 
'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 one-time funding for Maine Integrated Health Management Solution 
technology changes required to process medically tailored meals claims. 
COMMITTEE AMENDMENT 
COMMITTEEAMENDMENT"A "to S.P. 138, L.D. 474 
( ';;,--:Sl4)) 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Medical Care - Payments to Providers 0147 
2019-20 
$40,332 
$40,332 
2019-20 
$120,997 
$120,997 
2020-21 
$0 
$0 
2020-21 
$0 
$0 
Initiative: Provides appropriations and allocations for reimbursement for 2 weeks of 
medically tailored food and nutrition interventions for certain inpatients at high risk of 
readmission. 
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 
$25,324 
$25,324 
2019-20 
$44,631 
$44,631 
2019-20 
$65,656 
$165,628 
$231,284 
2020-21 
$50,647 
$50,647 
2020-21 
$89,263 
$89,263 
2020-21 
$50,647 
$89,263 
$139,910 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment removes from the resolve the provisions relating to requesting a 
waiver from the asset test for the federal supplemental nutrition assistance program and 
providing additional funds to eliminate the waiting list for home-delivered meals to 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to S.P. 138, L.D. 474 
( ~ - ~0 
homebound individuals. The amendment also clarifies that the demonstration waiver for 
medically tailored foods applies to individuals who are 60 years of age or older, 
homebound and at risk for readmission to a health care facility. It changes the date for 
reporting on the 2-year pilot project to January 1, 2023 and clarifies that the pilot project 
goes forward only if the waiver is approved by the Federal Government. 
The amendment also includes an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/22/19 frac. 
LD474 
LR 1095(02) 
Resolve, To Ensure the Health and Wellness of Older Residents of the State 
Fiscal Note for Bill as Amended by Committee Amendment'~' 
{ c.__-3~ 
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 
FY2019-20 
$65,656 
$65,656 
$165,628 
$165,628 
FY2020-21 
$50,647 
$50,647 
$89,263 
$89,263 
Projections 
FY 2021-22 
$50,647 
$50,647 
$89,263 
$89,263 
Projections 
FY 2022-23 
$50,647 
$50,647 
$89,263 
$89,263 
The bill includes General Fund appropriations to the Depattment of Health and Human Services of $65,656 in fiscal 
year 2019-20 and $50,647 in fiscal year 2020-21 for reimbursement for 2 weeks of medically tailored food and 
nutrition interventions for certain inpatients at high risk of readmission and one-time funding for Maine Integrated 
Health Management System technology changes required to process medically tailored meals claims. Federal 
Expenditures Fund allocations are also included for the FMAP match. 
LR1095(02) - Fiscal Note - Page 1 of 1