An Act To Improve the Quality and Affordability of Primary Health Care Provided by Federally Qualified Health Centers
Maine Legislature, Session 130, LD 1787
Committee Amendment CA_A_SA_A_S626 (Senate)

SENATE AMENDMENT" If "to COMMITTEE AMENDMENT "A" to S.P. 625, 
L.D. 1787, "An Act To Improve the Quality and Affordability of Primary Health Care 
Provided by Federally Qualified Health Centers" 
Amend the amendment in section 2 in subsection 3 in the first line (page 1, line 20 in 
amendment) by striking out the following: "December 31, 2022" and inserting the 
following: 'March 1, 2023' 
Amend the amendment in section 2 in subsection 3 in the 11th line (page 1, line 30 in 
amendment) by striking out the following: "2022" and inserting the following: '2023' 
Amend the amendment in section 6 in the 6th line (page 2, line 38 in amendment) by 
striking out the following: "December 31, 2022" and inserting the following: 'February 1, 
2023' 
Amend the amendment in section 6 in the last line (page 2, line 40 in amendment) by 
striking out the following: "retroactive to July 1, 2022" and inserting the following: 'March 
1, 2023' 
Amend the amendment by striking out all of section 7 and inserting the following: 
'Sec. 7. 
Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for the Department of Health and Human Setvices to provide 
for re basing of federally qualified health center prospective payment system rates to 2018-
2019 average actual costs inflated to the current year using the federally qualified health 
center market basket percentage as an alternative to the current payment method. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
2021-22 
$0 
$0 
2021-22 
SENATE AMENDMENT 
2022-23 
$1,629,628 
$1,629,628 
2022-23 
SENATE AMENDMENT" f}-" to COMMITTEE AMENDMENT "A" to S.P. 625, L.D. 1787 { <;-lC220 
., '" 1 
(A.OS 2 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
FEDERAL BLOCK GRANT FUND 
All Other 
FEDERAL BLOCK GRANT FUND TOTAL 
Amend the amendment by striking out all of section 8. 
$0 
$0 
2021-22 
$0 
$0 
$3,727,929 
$3,727,929 
2022-23 
$151,027 
$151,027 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment amends Committee Amendment "A" to change: 
1. From December 31, 2022 to March 1, 2023 the date by which the Department of 
Health and Human Services must provide an alternative, updated method for rebasing 
federally qualified health center prospective payment system rates; 
2. From December 31, 2022 to December 31, 2023 the date after which the department 
may change the base year used for rebasing federally qualified health center prospective 
payment system rates; 
3. From December 31, 2022 to February 1, 2023 the date by which the department must 
issue final rate letters implementing the reimbursement option chosen by each federally 
qualified health center; and 
4. From July 1, 2022 to March I, 2023 the date on which the reimbursement option 
chosen by each federally qualified health center is effective. 
e appropriations and allocations section. 
SPONSORED BY·""----::::,-----'---+-+---'-------
COUNTY: Cumberland 
SENATE AMENDMENT 
Approved: 04/22/22 ;:k?ae 
LD 1787 
LR 2355(07) 
An Act To Improve the Quality and Affordability of Primary Health Care Provided by Federally 
Qualified Health Centers 
Fiscal Note for Senate Amendment 'i/-" to Committee Amendment "A" LS· la 2 0 
Sponsor: Sen. Breen of Cumberland 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2021-22 
FY 2022-23 
Projections 
FY 2023-24 
Projections 
FY 2024-25 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Federal B.lock Grant Fund 
Revenue 
Federal Expenditures Fund 
Federal Block Grant Fund 
Fiscal Detail and Notes 
$0 
$0 
$0 
$0 
$0 
$0 
($3,586,135) 
($3,586,135) 
($8,200,491) 
($332,260) 
($8,200,491) 
($332,260) 
$0 
$0 
$0 
$0 
$0 
$0 
This amendment changes the effective date from July 1, 2022 to March 1, 2023. This change reduces the General 
Fund appropriations to the Department of Health and Human Services from $5,215,763 in fiscal year 2022-23 to 
$1,629,628 in fiscal year 2022-23. Federal Expenditures Fund and Federal Block Grant Fund allocations are also 
reduced in fiscal year 2022-23. 
LR2355(07) - Fiscal Note - Page 1 of 1 
$0 
$0 
$0 
$0 
$0 
$0