An Act To Increase the Viability of Assisted Living F8rcilities by Increasing the Rate of Reimbursement
Maine Legislature, Session 129, LD 0935
Committee Amendment CA_A_H198 (House)

COMMITTEE AMENDMENT "A" to H.P. 690, L.D. 935, Bill, "An Act To 
Increase the Viability of Assisted Living F8rcilities by Increasing the Rate of 
Reimbursement" 
Amend the bill by adding after section 1 the following: 
'Sec. 2. Appropriations and allocations. 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 for annual cost-of-living increases in 10-149, Chapter 5: 
· Office of Aging and Disability Services Policy Manual, Section 61, Adult Day Services 
and Section 69, Independent Supp01t Services Program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$262,489 
$262,489 
2020-21 
$532,844 
$532,844 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for annual cost-of-living increases in 10-144, Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services and 
Section 26, Day Health Services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$72,004 
$72,004 
COMMITTEE AMENDMENT 
2020-21 
$147,372 
$147,372 
A. of 
COMMITTEE AMENDMENT .. J] .. to H.P. 690, L.D. 935 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
PNMI Room and Board Z009 
2019-20 
$127,897 
$127,897 
2020-21 
$259,732 
$259,732 
Initiative: Provides funding for annual cost-of-living increases in 10-144, Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2019-20 
$19,264 
$19,264 
2019-20 
$353,757 
$127,897 
$481,654 
2020-21 
$38,838 
$38,838 
2020-21 
$719,054 
$259,732 
$978,786 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/23/19 feac. 
LD935 
·LR879(02) 
An Act To Increase the Viability of Assisted Living Facilities by Increasing the Rate of 
Reimbursement 
Fiscal Note for Bill as Amended by Committee Amendment ,,/4{ fl-/ff, 
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 
$353,757 
$353,757 
$127,897 
$127,897 
FY2020-21 
$719,054 
$719,054 
$259,732 
$259,732 
Projections 
FY 2021-22 
$1,094,846 
$1,094,846 
$395,986 
$395,986 
Projections 
FY2022-23 
$1,481,974 
$1,481,974 
$536,265 
$536,265 
The bill includes General Fund appropriations to the Department of Health and Human Services of $3 5 3, 7 57 in fiscal 
year 2019-20 and $719,054 in fiscal year 2020-21 for annual cost-of-living increases in 10-144, Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services, Section 26, Day Health Services; I 0-
149, Chapter 5: Office of Aging and Disability Services Policy Manual, Section 61, Adult Day Services and Section 
69, Independent Support Services Program. Federal Expenditures Fund allocations will also be required for the FMAP 
match. 
The proposed 2020-21 biennial budget includes initiatives to increase the funding for the cost-of-living increases 
included in PL 2017 c. 460. If that budget initiative is approved, the funding in this bill would need to be adjusted to 
account for the new funding provided in 2019-20 and 2020-21. 
LR0879(02) - Fiscal Note - Page 1 of 1