Resolve, To Increase Access to Brain Injury Waiver Services
Maine Legislature, Session 129, LD 0972
Committee Amendment CA_A_H245 (House)

COMMITTEE AMENDMENT .. J)" to H.P. 727, L.D. 972, "Resolve, To Increase 
Access to Brain Injury Waiver Services" 
Amend the resolve in section 3 in the last line (page 1; line 22 in L.D.) by inserting 
after the following: "personnel.'' the following: 'The department shall report any findings 
relating to this section in the annual telehealth report due January 1, 2021, submitted to 
the joint standing committee of the Legislature having jurisdiction over health and human 
services matters pursuant to the Maine Revised Statutes, Title 22, section 3173-H, 
subsection 3.' 
Amend the resolve by adding after section 3 the following: 
'Sec. 4. Department of Health and Human Services to submit waiver 
amendment. Resolved: That the Department of Health and Human Services shall 
submit a request to the United States Department of Health and Human Services, Centers 
for Medicare and Medicaid Services no later than November 1, 2019 to request approval 
to amend the brain injury waiver under department rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 18 to increase MaineCare reimbursement rates pursuant to 
section 1. 
Sec. 5. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medicaid Waiver for Brain Injury Residential /Community Serv Z218 
Initiative: Provides appropriations and allocations to amend rules in Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 18, Allowances for Home and 
Community-Based Services for Adults with Brain Injury to increase rates and unit caps 
for certain services. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A "to H.P. 727, L.D. 972 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medical Care - Payments to Providers 0147 
2019-20 
$60,587 
$60,587 
2020-21 
$122,182 
$122,182 
Initiative: Provides appropriations and allocations to amend rules in Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 18, Allowances for Home and 
Community-Based Services for Adults with Brain Injmy to increase rates and unit caps 
for certain services. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Office of MaineCare Services 0129 
2019-20 
$129,124 
$129,124 
2019-20 
$12,109 
$12,109 
2020-21 
$257,240 
$257,240 
2020-21 
$24,218 
$24,218 
Initiative: Provides one-time appropriations and allocations for required technology 
changes. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2019-20 
$1,482 
$1,482 
2019-20 
$4,446 
$4,446 
2019-20 
COMMITTEE AMENDMENT 
2020-21 
$0 
$0 
2020-21 
$0 
$0 
2020-21 
COMMITTEE AMENDMENT "A "to H,P, 727, L.D. 972 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
$62,069 
$133,570 
$12,109 
$207,748 
$122,182 
$257,240 
$24,218 
$403,640 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment clarifies that the Department of Health and Human Services must 
seek approval from the United States Department of Health and Human Services, Centers 
for Medicare and Medicaid Services to amend the brain injury waiver to increase rates for 
Home Support (Residential Habilitation) Level I to no less than $8.63 per quarter hour. It 
also requires the department to include any findings from exploring telehealth 
opportunities for brain injury services to be submitted to the joint standing committee of 
the Legislature having jurisdiction over health and human services matters as part of the 
annual telehealth report. The amendment also adds an appropriations and allocations 
section. 
FISCALNOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/29/19 feac.. 
LD972 
LR 419(02) 
Resolve, To Increase Access to Brain Injury Waiver Services 
Fiscal Note for Bill as Amended by Committee Amendment fi1 { f/-;} VS) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Flmd 
Federal Expenditures Fund 
Other Special Revenue Fnnds 
Revenue 
Federal Expenditmes Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
$62,069 
$62,069 
$133,570 
$12,109 
$133,570 
$12,109 
FY 2020-21 
$122,182 
$122,182 
$257,240 
$24,218 
$257,240 
$24,218 
Projections 
FY 2021-22 
$122,263 
$122,263 
$257,159 
$24,218 
$257,159 
$24,218 
Projections 
FY 2022-23 
$122,263 
$122,263 
$257,159 
$24,218 
$257,159 
$24,218 
The resolve includes General Fund appropriations to the Department of Health and Human Services of $62,069 in 
fiscal year 2019-20 and $122,182 in fiscal year 2020-21 to amend rules in Chapter 101: MaineCare Benefits Manual, 
Chapter III, Section 18, Allowances for Home and Community Based Services for Adults with Brain Injury to 
increase rates and unit caps for certain services and required technology changes. Federal Expenditures Fund 
allocations will also be included for the FMAP match. 
LR0419(02) - Fiscal Note - Page 1 of 1