Resolve, To Provide Sustainable Funding for Assisted Living Facilities
Maine Legislature, Session 129, LD 1839
Committee: Health and Human Services

Legislative Document
No. 1839
S.P. 623
In Senate, June 7, 2019
Resolve, To Provide Sustainable Funding for Assisted Living 
Facilities
(EMERGENCY)
Reported by Senator GRATWICK of Penobscot for the Joint Standing Committee on 
Health and Human Services pursuant to Joint Rule 353.
Reference to the Committee on Health and Human Services suggested and ordered printed 
pursuant to Joint Rule 218.
DAREK M. GRANT
Secretary of the Senate
Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and
Whereas, assisted living facilities received one-time funding in Public Law 2017, 
chapter 460 for the 2018-19 fiscal year and additional funding is immediately necessary; 
and
Whereas, almost 200 elderly residents of assisted living facilities in Sanford, Saco, 
Portland, Camden, Augusta, Bangor and Millinocket are vulnerable if additional funding 
is not immediately provided; and
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it
Sec. 1.  Department of Health and Human Services to increase 
reimbursement.  Resolved:  That, no later than July 1, 2019, the Department of 
Health and Human Services shall increase the total reimbursement paid to the 7 assisted 
living facilities that have contracts with the department by $569,111 in each year.
Sec. 2.  Increase to medication passes.  Resolved:  That the Department of 
Health and Human Services shall amend Section 63 of the Office of Elder Services Policy 
Manual, 10-149 C.M.R. Chapter 5, for residents who reside in one of the assisted living 
facilities that have contracts with the department to increase the number of medication 
passes from 3 medication passes per consumer per day to 6 medication passes per 
consumer per day.  Rules adopted pursuant to this section are routine technical rules as 
defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.  The rules 
must allow for reimbursement under this section beginning July 1, 2019.
Sec. 3.  Appropriations and allocations.  Resolved:  That the following 
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Long Term Care - Office of Aging and Disability Services 0420
Initiative: Provides funding to increase the contracts with the 7 assisted living facilities 
currently under contract.
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved.
GENERAL FUND
2019-20
2020-21
All Other
$569,111
$569,111
GENERAL FUND TOTAL
$569,111
$569,111
SUMMARY
This emergency bill includes the recommendations of the sustainable funding review 
conducted by the Department of Health and Human Services pursuant to Public Law 
2017, chapter 460, Part H.  The bill requires the Department of Health and Human 
Services, by July 1, 2019, to increase the total reimbursement amount by $569,111 in 
each year to the 7 assisted living facilities that have contracts with the department.  The 
Department of Health and Human Services shall also amend its Section 63 rules of the 
Office of Elderly Services Policy Manual, 10-149 C.M.R. Chapter 5, to increase the 
number of medication passes per consumer per day from 3 to 6.  The rules must allow for 
reimbursement for this service beginning July 1, 2019.
FISCAL NOTE REQUIRED
(See attached)
Revised: 06/06/19
LD 1839
LR 2552(01)
FY 2019-20
FY 2020-21
Projections 
FY 2021-22
Projections 
FY 2022-23
Net Cost (Savings)
General Fund
$569,111
$569,111
$569,111
$569,111
Appropriations/Allocations
General Fund
$569,111
$569,111
$569,111
$569,111
Fiscal Detail and Notes
The bill includes General Fund appropriations to the Department of Health and Human Services of $569,111 
beginning in fiscal year 2019-20 to increase the contracts with the 7 assisted living facilities.
Fiscal Note Required: Yes
Fiscal Note
Resolve, To Provide Sustainable Funding for Assisted Living Facilities
Fiscal Note for Original Bill
Committee: Health and Human Services
LR2552(01) - Fiscal Note - Page 1 of 1