An Act To Ensure Support for Adults with Intellectual Disabilities or Autism with High Behavioral Need
Maine Legislature, Session 130, LD 1574
Committee Amendment CA_A_H881 (House)

COMMITTEE AMENDMENT "/1,, to H.P. 1171, L.D. 1574, "An Act To Ensure 
Support for Adults with Intellectual Disabilities or Autism with High Behavioral Need" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Ensure Support for Adults with Intellectual Disabilities or Autism with 
High Behavioral Need' 
Amend the bill by striking out everything after the title and inserting the following: 
'Sec. 1. Department of Health and Human Services to apply agency home 
support medical add-on rates for services to individuals with behavior 
management plans. Resolved: That, no later than October 1, 2022, the Department 
of Health and Human Services shall amend its rules in Chapter 101, MaineCare Benefits 
Manual, Chapter II, Section 21 to reimburse providers that are providing agency home 
support services to individuals who have behavior management plans using the 
reimbursement rate for the agency home support medical add-on. Rules adopted pursuant 
to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, 
chapter 3 7 5, subchapter 2-A. 
Sec. 2. 
Appropriations and allocations. Resolved: That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Developmental Services Waiver - MaineCare Z211 
Initiative: Provides funding for the Department of Health and Human Services to amend 
its rules in Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21 to reimburse 
providers that are providing agency home support services to individuals who have 
behavior management plans using the reimbursement rate for the agency home support 
medical add-on. 
GENERAL FUND 
All Other 
2021-22 
$0 
COMMITTEE AMENDMENT 
2022-23 
$1,695,244 
COMMITTEE AMENDMENT" A:• to H.P. 1171, L.D. 1574 
r·'V' 
/'I-, ,:,.J,, 
GENERAL FUND TOTAL 
-~~ 
$0 
$1,695,244 
Medicaid Services - Developmental Services Z210 
Initiative: Provides funding for the Department of Health and Human Services to amend 
its rules in Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21 to reimburse 
providers that are providing agency home support services to individuals who have 
behavior management plans using the reimbursement rate for the agency home support 
medical add-on. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2021-22 
$0 
$0 
2022-23 
$319,236 
$319,236 
Initiative: Provides funding for the Department of Health and Human Services to amend 
its rules in Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21 to reimburse 
providers that are providing agency home support services to individuals who have 
behavior management plans using the reimbursement rate for the agency home support 
medical add-on. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES 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 
$0 
$0 
2021-22 
$0 
$0 
$0 
$0 
2022-23 
$3,306,125 
$3,306,125 
2022-23 
$1,695,244 
$3,306,125 
$319,236 
$5,320,605 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
7 
This amendment, which is the majority report of the committee, replaces the bill. It 
8 
changes the bill to a resolve and requires the Department of Health and Human Services to 
amend its rules in Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21 to 
reimburse providers that are providing agency home support services to individuals who 
have behavior management plans using the reimbursement rate for the agency home 
support medical add-on. The amendment also adds an appropriations and allocations 
COMMITTEE AMENDMENT 
(:r,o"J:..1MITIEE AMENDNIENT «/(, to H.P. 1171, L.D. 1574 
.--~i 
J\:-~' 
section. The amendment removes the emergency preamble and emergency clause from the 
bill. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/24/22 ;'k?ae:.. 
LD 1574 
LR 1677(02) 
An Act To Ensure Support for Adults with Intellectual Disabilities or Autism with High Behavioral 
Need 
Fiscal Note for Bill as Amended by Committee Amendment f.{fl,(11) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2021-22 
$0 
$0 
$0 
$0 
$0 
$0 
FY2022-23 
$1,695,244 
$1,695,244 
$3,306,125 
$319,236 
$3,306,125 
$319,236 
Projections 
FY2023-24 
$2,272,610 
$2,272,610 
$4,395,882 
$425,648 
$4,395,882 
$425,648 
Projections 
FY2024-25 
$2,272,610 
$2,272,610 
$4,395,882 
$425,648 
$4,395,882 
$425,648 
The bill includes General Fund appropriations to the Department of Health and Human Services of$1,695,244 in 
fiscal year 2022-23 for the Department of Health and Human Services to amend its rules Chapter 101, MaineCare 
Benefits Manual, Section 21 to reimburse providers that are providing agency home support services to individuals 
who have behavior management plans using the reimbursement rate for agency home support medical add-on. 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. 
T :R 1 r.nro?., - Fiscal Note - Page 1 of 1