Resolve, Directing the Department of Health and Human Services To Conduct a Review of Rules Governing In-home Personal Care Assistance Services
Maine Legislature, Session 130, LD 0958
Committee Amendment CA_A_S227 (Senate)

COMMITTEE AMENDMENT" tr" to S.P. 310, L.D. 958, "Resolve, Directing the 
Department of Health and Human Services To Conduct a Review of Rules Governing In-
home Personal Care Assistance Services" 
Amend the resolve by striking out everything after the title and inserting the following: 
'Sec. 1. 
Review of statutory authority governing home care services. 
Resolved: That the Department of Health and Human Services shall review its statutory 
and regulatory authority over home care agencies that provide direct care services in the 
home to assist individuals with the activities of daily living and instrumental activities of 
daily living. The review must examine whether the department has sufficient oversight and 
enforcement authority over agencies, employees and independent contractors and 
caregivers to ensure the appropriate quality and safety of individuals receiving home care 
services. The department shall include providers, consumers, direct care workers, the long-
term care ombudsman and other interested pa1ties in the review process. The department 
shall submit a report, no later than January 15, 2022, to the Joint Standing Committee on 
Health and Human Services with recommendations including suggested legislation. The 
committee is authorized to repo1t out legislation to the Second Regular Session of the 130th 
Legislature. 
Sec. 2. 
Appropriations and allocations. Resolved: That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Developmental Services - Community Z208 
Initiative: Provides one-time funding to increase an existing contract to ensure successful 
research, coordination, facilitation and report writing. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2021-22 
$17,500 
$17,500 
COMMITTEE AMENDMENT 
2022-23 
$0 
$0 
oq,. 
~ 
COMMITTEE AMENDMENT" fJ "to S,P, 310, L.D. 958 Cs-~l) 
Long Term Care - Office of Aging and Disability Services 0420 
Initiative: Provides one-time funding to increase an existing contract to ensure successful 
research, coordination, facilitation and report writing. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Office of MaineCare Services 0129 
2021-22 
$17,500 
$17,500 
2022-23 
$0 
$0 
Initiative: Provides one-time funding to increase an existing contract to ensure successful 
research, coordination, facilitation and report writing. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL- ALL FUNDS 
2021-22 
$35,000 
$35,000 
2021-22 
$35,000 
$35,000 
$70,000 
2022-23 
$0 
$0 
2022-23 
$0 
$0 
$0 
Amend the resolve by relettering or renumbering any nonconsecutive Paii letter or 
section number to read consecutively. 
SUMMARY 
This amendment replaces the resolve. The amendment requires the Department of 
Health and Human Services to review its statutory and regulatory authority over home care 
agencies that provide direct care services in the home to assist individuals with the activities 
of daily living and instrumental activities of daily living, rather than reviewing the rules 
governing in-home personal care assistance services. The depaiiment is directed to include 
providers, consumers, direct care workers, the long-term care ombudsman and other 
interested parties in the review process. The department is directed to submit a report, no 
later than January 15, 2022, to the Joint Standing Committee on Health and Human 
Services with recommendations. The committee is authorized to repo1i out legislation. The 
amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/05/21 fWCZC 
LD958 
LR 1632(02) 
Resolve, Directing the Department of Health and Human Services To Conduct a Review of Rules 
Governing In-home Personal Care Assistance Services 
Fiscal Note for Bill as Amended by Committee Amendment '/}' ( S,,, z.;z,7\ 
Committee: Health and Human Services 
J 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2021-22 
$35,000 
FY 2022-23 
Projections 
FY 2023-24 
Projections 
FY 2024-25 
Net Cost (Savings) 
General Fund 
_>propriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
$35,000 
$35,000 
$35,000 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
$0 
The bill includes a one-time General Fund appropriation to the Department of Health and Human Services of 
$35,000 in fiscal year 2021-22 to increase an existing contract to ensure successful research, coordination, 
facilitation and report writing. Federal Expenditures Fund allocations are also included in this bill for the federal 
match. 
$0 
$0 
$0 
$0