An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2021, June 30, 2022 and June 30, 2023,,
Maine Legislature, Session 130, LD 0221
Committee Amendment CA_A_HA_A_H740 (House)

HOUSE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to H.P. 156, 
L.D. 221, ~'An Act Making Unified Appropriations and Allocations for the Expenditures 
of State Government, General Fund and Other Funds and Changing Certain Provisions of 
the Law Necessary to the Proper Operations of State Government for the Fiscal Years 
Ending June 30, 2021, June 30, 2022 and June 30, 2023,, 
Amend the amendment by inserting after Patt UUUU the following: 
1PARTVVVV 
Sec. VVVV-1. Department of Health and Human Services to increase 
MaineCare rates. That, no later than July 1, 2021, the Department of Health and Human 
Services shall amend its rule Chapter 101 : MaineCare Benefits Manual, Chapter III, 
Section 65, Behavioral Health Services, Children's Home and Community Based 
Treatment, and Section 97, Appendix D, Principles of Reimbursement for Child Care 
Facilities, to increase reimbursement rates by 25%. 
Sec. VVVV-2. Department of Health and Human Services to increase 
MaineCare rates. No later than July 1, 2021, the Department of Health and Human 
Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, 
Section 65, Behavioral Health Services, Outpatient Therapy-Individual/Family and 
Outpatient Therapy-Group, to increase reimbursement rates by 25%. 
Sec. VVVV-3. Appropriations and allocations. The following appropriations 
and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medicaid Services ;. Developmental Services Z210 
Initiative: Provides allocations for the Department of Health and Human Services to amend 
its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral 
Health Services, Outpatient Therapy-Individual/Family and Outpatient Therapy-Group, to 
increase reimbursement rates by 25%. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2021-22 
$727,826 
$727,826 
HOUSE AMENDMENT 
2022-23 
$727,826 
$727,826 
HOUSE AMENDMENT "A "to COMMITTEE AMENDMENT "A" to H.P. 156, L.D. 221 
Medicaid Services - Developmental Services Z210 
Initiative: Provides allocations to increase rates in rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 65, Behavioral Health Services, Children
1s Home and 
Community Based Treatment, by 25% and in rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 97, Appendix D, Principles of Reimbursement for Child Care 
Facilities, by 25% by July 1 2021. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care-Payments to Providers 0147 
2021-22 
$797,364 
$797,364 
2022-23 
$797,364 
Initiative: Provides funding to increase rates in rule Chapter 101: MaineCare Benefits 
Manual, Chapter ill, Section 65, Behavioral Health Services, Children's Home and 
Community Based Treatment, by 25% and in rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 97, Appendix D, Principles of Reimbmsement for Child Care 
Facilities, by 25% by July 1, 2021. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERALEXPENDITURESFUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2021-22 
$2,101,327 
$2,101,327 
2021-22 
$13,214,735 
$13,214,735 
2021-22 
$429,350 
$429,350 
2022-23 
$2,095,743 
$2,095,743 
2022-23 
$13,230,687 
$13,230,687 
2022-23 
$429,350 
$429,350 
Initiative: Provides funding for the Department of Health and Human Services to amend 
its rule Chapter 101: MaineCare Benefits Manual, Chapter ill, Section 65, Behavioral 
Health Services, Outpatient Therapy-Individual/Family and Outpatient Therapy-Group, to 
increase reimbursement rates by 25%. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
2021-22 
$2,852,831 
$2,852,831 
2021-22 
$8,215,360 
HOUSE AMENDMENT 
2022-23 
$2,845,436 
$2,845,436 
2022-23 
$8,223,463 
HOUSE AMENDMENT ''.A "to COMMITTEE AMENDMENT "A" to H.P. 156, L.D. 221 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services - Child Medicaid Z207 
$8,215,360 
$8,223,463 
Initiative: Provides funding to increase rates in rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 65, Behavioral Health Services, Children's Home and 
Community Based Treatment, by 25% and in rule Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 97, Appendix D, Principles of Reimbursement for Child Care 
Facilities, by 25% by July 1, 2021. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2021-22 
$3,902,464 
$3,902,464 
Office of Substance Abuse & Mental Health Srv-Medicaid Seed Z202 
2022-23 
$3,892,095 
$3,892,095 
Initiative: Provides funding for the Depatiment of Health and Human Services to amend 
its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral 
Health Services, Outpatient Therapy-Individual/Family and putpatient Therapy-Group, to 
increase reimbursement rntes by 25%, 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
State-funded Foster Care/Adoption Assistance 0139 
2021-22 
$266,000 
$266,000 
2022-23 
$265,293 
$265,293 
Initiative: Provides funding for the Depatiment of Health and Human Services to amend 
its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral 
Health Services, Outpatient Therapy-Individual/Family and Outpatient Therapy-Group, to 
increase reimbursement rates by 25%, 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2021-22 
$68,416 
$68,416 
2021-22 
$9,191,038 
$21,430,095 
$1,954,540 
$32,575,673 
HOUSE AMENDMENT 
2022-23 
$68,416 
$68,416 
2022-23 
$9,166,983 
$21,454,150 
$1,954,540 
$32,575,673 
HOUSE AMENDMENT '.;4 "to COMMITTEE AMENDMENT "A" to H.P. 156, L.D. 221 
Amend the amendment by relettering or renumbering any nonconsecutive Patt letter or 
section number to read consecutively. 
SUMMARY 
This amendment incorporates the substance of L.D. 496, "An Act To Clear Waiting 
Lists for and Ensure Timely Access to Mental Health Services for Maine Children, 
as 
amended, which provides funding to increase rates in Depattment of Health and Human 
Services rule Chapter 101: MaineCare Benefits Manual, Chapter Ill, Section 65, 
Behavioral Health Services, Children's Home and Community Based Treatment, and 
Section 97, Appendix D, Principles of Reimbursement for Child Care Facilities, by July 1, 
2021. The rate ofMaineCare reimbursement is increased by 25% for children's home and 
community-based treatment and child care facilities and by 25% for outpatient therapy for 
individuals and families and outpatient group therapy under the MaineCare program. 
SPONSORED BY: 
~~~ 
(Representative KESSLE;,:; 
TOWN: South Portland 
HOUSE AMENDMENT 
Approved: 06/29/21 ;Wac 
LD 221 
LR 1971(08) 
An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, 
General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper 
Operations of State Government for the Fiscal Years Ending June 30, 2021, June 30, 2022 and June 
Fiscal Note for House Amendment)!'' to Committee Amendment "A" 
Sponsor: Rep. Kessler of South Portland 
r;., _MO'\ 
Net Cost (Savings) 
General Fund 
\pp1·opriations/Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Flmd 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
~ 
'J 
Fiscal Note 
FY 2021-22 
$9,191,038 
$9,191,038 
$21,430,095 
$1,954,540 
$21,430,096 
$1,954,540 
FY 2022-23 
$9,166,983 
$9,166,983 
$21,454,150 
$1,954,540 
$21,454,150 
$1,954,540 
Projections 
FY 2023-24 
$9,166,983 
$9,166,983 
$21,453,850 
$1,954,540 
$21,454,150 
$1,954,540 
Projections 
FY 2024-25 
$9,166,983 
$9,166,~ 
$21,454,150 
$1,954,540 
$21,454, l 50 
$1,954,540 
This amendment adds General Fund appropriations to the Depatiment of Health and Human Services of $9,191,038 in 
fiscal year 2021-22 and $9,166,983 in fiscal year 2022-23 to increase rates in Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 65, Behavioral Health Services, Children's Home and Conummity Based Treatment, 
Chapter 1 O 1: MaineCare Benefits Manual, Chapter Ill, Section 97, Appendix D, Principles of Reimbursement for 
Child Care Facilities and Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health 
Services, Outpatient Therapy-Individual/Family and Outpatient Therapy-Group, by 25% by July 1, 2021. Federal 
Expenditures Fund allocations are also included in this bill for the FMAP match and Other Special Revenue Funds 
allocations for the Service Provider Tax. A balance budget is maintained. 
LR! 971 (08) - Fiscal Note - Page I of I