An Act to Provide Funding to Rebuild Infrastructure Affected by Extreme Inland and Coastal Weather Events
Maine Legislature, Session 131, LD 2225
Committee Amendment CA_A_SA_B_S710 (Senate)
Amends: 22 MRSA §3174, 34-B MRSA §1228, 22 MRSA §3174-L, 22 MRSA §1708-A, 34-B MRSA §3613, 25 MRSA §2015, 22 MRSA §1714-F, 20-A MRSA §4016, 20-A MRSA §15677, 20-A MRSA §6672, 5 MRSA §7065

SENATE AMENDMENT" B "to COMMITTEE AMENDMENT "A" to H.P. 1426, 
L.D. 2225, "An Act to Provide Funding to Rebuild Infrastructure Affected by Extreme 
Inland and Coastal Weather Events" 
Amend the amendment by insetting after the title the following: 
'Amend the bill by striking out the title and substituting the following: 
'An Act to Support the People of Maine Through Improvements to Mental and 
Behavioral Health and Social Safety Net Programs and by Rebuilding Infrastructure 
Affected by Extreme Weather Events'' 
Amend the amendment by insetting after the title the following: 
'Amend the bill by striking out the emergency preamble and substituting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, the safety, health and mental well-being of the residents of this State are of 
paramount impo1tance; and 
Whereas, the purpose of this legislation is to improve the physical and mental health 
of the State's residents by providing much-needed supp01t for children and adults in the 
welfare system, adults with substance use disorder and children and adults with severe 
behavior_al _!i.ealth diagnosis; and 
Whereas, this legislation provides suppo1t to the State's oldest and most vulnerable 
adults by preventing closures of nursing facilities and preserving access to long-term care; 
and 
Whereas, this legislation strengthens public safety, health and well-being by 
expanding services and coordinating violence prevention resources; and 
Whereas, this legislation provides funding for infrastructure adaptation, repair and 
improvements that supp01t public safety, protection of essential community assets, regional 
economic needs and long-term infrastructure resiliency to ameliorate some of the damage 
caused by recent storms; and 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT "6" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S-7) ~ 
Whereas, this legislation addresses educational needs for students by providing 
much-needed financial support for educational technicians and other school supp01t staff; 
and 
Whereas, the. funding provided and the programs established in this legislation are 
needed as soon as possible; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore,'' 
Amend the amendment in Patt A by striking out all of section 2 and insetting the 
following: 
'Sec. A-2. Administration of Infrastructure Adaptation Fund program. 
Funds appropriated under section 4 must be administered by the Depattment of 
Transpottation and must be awarded by interagency boards using competitive processes. 
The interagency boards shall allocate up to $30,000,000 of the funds provided to 
infrastructure projects related to wharves and piers that suppott commercial fisheries and 
aquaculture businesses in this State and the remainder to projects related to noncoastal 
municipal, state or regionally significant infrastructure adaptation, repair and improvement 
projects that suppott public safety, protection of essential community assets, regional 
economic needs and long-term infrastructure resiliency. Project rating criteria may include 
the potential extent of public safety; emergency management and infrastructure resiliency 
benefits; future climate conditions; ability to leverage federal and other funding; and 
community, economic and environmental benefits. All projects must demonstrate increased 
resilience to future storm and flooding impacts. The award criteria must prioritize proposals 
that demonstrate a significant and compelling community benefit; recipients that are not 
covered 'by Federal Emergency Management Agency disaster funds; and recipients that 
demonstrate that the damage is not covered by insurance and that all emergency relief 
currently available has been exhausted. The administration of the funds must include 
sufficient documentation and record-keeping requirements to provide assurance that funds 
have been awarded consistent with the program guidelines and used for the intended 
purpose.' 
Amend the amendment by insetting after Patt B the following: 
'PARTC 
Sec. C-1. Department of Health and Human Services to amend rules for 
targeted case management services. The Depattment of Health and Human Services 
shall amend its rule Chapter IO 1: MaineCare Benefits Manual, Chapter II, Section 13 .03-4 
to remove from the eligibility requirements for targeted case management services for 
adults with substance use disorder the provision regarding pregnancy, living with minor 
children and intravenous drug use. Rules adopted pursuant to this section are routine 
technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 
2-A. 
Sec. C-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
SENATE AMENDMENT 
SENATE AMENDMENT "i" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 {.s-11 ~ 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for an increase in case management services due to eligibility 
requirement changes. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
Office of Substance Abuse & Mental Health Srv-Medicaid Seed Z202 
2024-25 
$909,940 
$909,940 
2024-25 
$5,869,233 
$5,869,233 
Initiative: Provides funding for an increase in case management services due to eligibility 
requirement changes. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
$0 
Sec. C-3. Effective date. This Part takes effect July 1, 2024. 
PART D 
2024-25 
$920,925 
$920,925 
2024-25 
$1,830,865 
$5,869,233 
$7,700,098 
Sec. D-1. 
Department of Health and Human Services to increase 
availability of behavioral health services in rural areas. The Department of Health 
and Human Services, referred to in this section as "the department," shall increase the 
availability of behavioral health services to children and adults for families involved in the 
child welfare system. The department shall: 
7 
1. Offer grants or other incentives to behavioral health providers to expand programs 
into rural areas and serve children and adults in families involved in the child welfare 
system; and 
2. Establish a method of reimbursing providers of services to families involved in the 
child welfare system to meet together and coordinate services for each family. 
SENATE AMENDMENT 
ROS 
I 
SENATE AMENDMENT" 13" to COMMITTEEAMENDMENT"A" to H.P. 1426, L.D. 2225 ( 5-J/~ 
Sec. D-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Child and Family Services - District 0452 
Initiative: To provide one-time funding for grants and incentives to behavioral health 
providers to increase availability of services in rural areas to children and adults for families 
involved in the child welfare system. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. D-3. Effective date. This Part takes effect July 1, 2024. 
PARTE 
Sec. E-1. 22 MRSA §3174-000 is enacted to read: 
2024-25 
$500,000 
$500,000 
§3174-000. Reimbursement for treatment of personality disorder and emotional 
dysregulation 
Beginning Januaiy 1, 2025, the department shall reimburse under the MaineCare 
program for the treatment of personality disorder and other disorders associated with 
primary emotional dysregulation. In accordance with principles and processes articulated 
in section 3173-J, subsection 2, the depa1iment shall establish a bundled reimbursement 
rate for the evidence-based treatment of MaineCare members diagnosed with personality 
disorder or other disorders associated with primary emotional dysregulation. 
In 
establishing the bundled reimbursement rate, the department shall consider various bundled 
reimbursement rate structures, including a daily rate and a monthly rate. The bundled 
reimbursement rate must include paiiicipation in a dialectical behavior therapy intensive 
outpatient program, psychiatry services, nursing services, case management, residential 
services, after-hours skills coaching and suppmied employment services. 
Sec. E-2. 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 reimbursement for treatment of personality disorder and 
emotional dysregulation in MaineCare. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
2023-24 
$0 
$0 
2023-24 
$0 
SENATE AMENDMENT 
2024-25 
$4,030,689 
$4,030,689 
2024-25 
$376,647 
SENATE AMENDMENT"B" to COMMITTEE AMENDMENT"A" to H.P. 1426, L.D. 2225 (s-11~ 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$376,647 
Mental Health Services - Community Medicaid Z201 
Initiative: Provides funding for reimbursement for treatment of personality disorder and 
emotional dysregulation in MaineCare. 
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 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
$0 
$0 
Sec. E-3. Effective date, This Part takes effect January 1, 2025. 
PARTF 
Sec. F-1. 34-B MRSA §1228 is enacted to read: 
§1228. Contingency fund 
2024-25 
$1,870,120 
$1,870,120 
2024-25 
$1,870,120 
$4,030,689 
$376,647 
$6,277,456 
The depa1iment shall establish and maintain a contingency fund, referred to in this 
section as "the fund," to provide supplemental assistance for children and adults with severe 
behavioral health diagnoses when those needs are not met by other state or federal 
programs. The fund is nonlapsing and must be used to supplement, not supplant, other 
expenditures by the depariment to assist children and adults with severe behavioral health 
diagnoses. 
1. Funds. Money in the fund may be used by the depa1iment to assist a child or adult 
with a severe behavioral health diagnosis in the following ways: 
A. To suppo11 enhanced reimbursement rates or additional staffing needs in the child's 
or adult1s home or community; 
B. To fund physical accommodations that ensure the child's or adult's home is safe; or 
C. To address other needs identified by the child's or adult's family or providers of 
services that are necessary to suppo1i the child's or adult's need. 
2. Sources of fund; maximum expenditures, All money appropriated by the State 
7 
for the purposes of the fund must be deposited into the fund. Expenditures from the fund 
8 
may not exceed $100,000 in any fiscal year. 
3. Rulemaking. The depa1iment may adopt rules to implement this section. Rules 
adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 
375, subchapter 2-A. 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT "13" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( s-/ /bj 
Sec. F-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Substance Abuse and Mental Health Services Z199 
Initiative: Provides ongoing appropriations for a contingency fund to provide supplemental 
assistance for children and adults with severe behavioral health diagnoses when those needs 
are not met by other state or federal programs. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. F-3. Effective date. This Part takes effect July I, 2024. 
PARTG 
2024-25 
$100,000 
$100,000 
Sec. G-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Zl98 
Initiative: Provides funding to bridge the gap for mental health organizations paiticipating 
in ce1tified community behavioral health clinic projects that have been funded by federal 
grants from the United States Depaitment of Health and Human Services, Substance Abuse 
and Mental Health Services Administration for the past 2 years. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. G-2. Effective date. This Pait takes effect July 1, 2024. 
PARTH 
2024-25 
$2,000,000 
$2,000,000 
Sec. H-1. 
Department of Health and Human Services to design and 
implement a community-based model of care for adolescent mental health. The 
Depaitment of Health and Human Services shall design and implement a community-based 
model of care that addresses the acute mental health needs of adolescents with co-occurring 
disorders. 
The model of care must supp01t adolescents following discharge from 
residential care for substance use disorder treatment or address urgent treatment needs 
during times when residential care for substance use disorder treatment is not available or 
desired by the adolescents, the adolescent's family or the adolescent's treatment team. The 
model of care must include the use of the so-called assertive continuing care protocol. No 
later than December 3, 2026, the Department of Health and Human Services shall submit 
to the joint standing committee of the Legislature having jurisdiction over health and 
human services matters a repo1t demonstrating the efficacy of the model of care and 
sufficient data to aid in the development of a future MaineCare reimbursement rate. 
SENATE AMENDMENT 
SENA TE AMENDMENT" f?" to COMMITTEE AMENDMENT "A" to H.P. I 426, L.D. 2225 ( S-1 ( ~ 
Sec. H-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Child and Family Services - District 0452 
Initiative: Provides a one-time appropriation for the Depa1tment of Health and Human 
Services to design and implement a community-based model of care that addresses the 
needs of adolescents with co-occurring disorders. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. H-3. Effective date. This Pait takes effect July 1, 2024. 
PART I 
2024-25 
$1,000,000 
$1,000,000 
Sec. 1-1. Rate reform for nursing facilities. The Depaitment of Health and 
Human Services, when conducting its review of reimbursement rates paid to nursing 
facilities pursuant to the Maine Revised Statutes, Title 22, section 3173-J, shall consider 
the following for inclusion in any new rates paid to nursing facilities under rule Chapter 
101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement 
for Nursing Facilities: 
1. Increase the reimbursement rates to nursing facilities, other than rural nursing 
facilities, to provide for a supplemental allowance per patient per day that is the difference 
between the amount reimbursed by the MaineCare program and the MaineCare allowable 
costs as rep01ied in the as-filed MaineCare 2022 cost repo1t, as long as the supplemental 
allowance is no more than $90 per patient per day. Annual inflation adjustments provided 
pursuant to the Maine Revised Statutes, Title 22, section 1708, subsection 3, paragraph E 
and any one-time funding provided to nursing facilities during the COVID-19 pandemic 
for additional costs may not be included in the supplemental allowance. The supplemental 
allowance rate is cost settled against both routine and direct care components costs. For 
the purposes of this Patt, "rural nursing facility" means a nursing facility that is not located 
in a Core Based Statistical Area as defined by the United States Census Bureau or that is 
not located within 15 miles of a critical access hospital as designated by the United States 
Depa1tment of Health and Human Services, Centers for Medicare and Medicaid Services; 
2. 
Increase the reimbursement rates to rural nursing facilities to provide for a 
supplemental allowance per patient per day that is the difference between the amount 
reimbursed by the MaineCare program and the MaineCare allowable costs as repo1ied in 
the as-filed MaineCare 2022 cost rep01t. The supplemental allowance rate is cost settled 
7 
against both routine and direct care components costs; and 
3. Allow for education and training costs for direct care staff to be included as a cost 
component under the MaineCare program for: 
A. Education and training for direct care staff for ce1tification or rece1tification and 
for any continuing education that is considered necessary for carrying out duties by 
direct care staff in nursing facilities; 
SENATE AMENDMENT 
Ros 
SENATEAMENDMENT",B" to COMMITTEEAMENDMENT"A" to H.P. 1426, L.D. 222s{S-,l~ 
B. Reimbursement at the applicable rate pursuant to the Maine Revised Statutes, Title 
22, section 7402 to direct care staff receiving the education and training under 
paragraph A for the hours spent receiving the education and training; and 
C. Reasonable costs for educators providing education and training to direct care staff 
under paragraph A. 
Sec. I-2. Private nonmedical institutions; medical and remedial service 
facilities; assistance from unspent funds. The Depa1iment of Health and Human 
Services shall direct any funds appropriated for one-time supplements or extraordinary 
circumstance allowances for nursing facilities within the scope of rule Chapter 10 I: 
MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for 
Nursing Facilities or for private nonmedical institutions within the scope of rule Chapter 
101: MaineCare Benefits Manual, Chapter III, Section 97, Appendix C, Medical and 
Remedial Service Facilities for increased costs and lost revenue due to the COVID-19 
pandemic that have remained unspent to be used to create additional financial assistance 
opp01iunities for private nonmedical institutions within the scope of rule Chapter IO 1: 
MaineCare Benefits Manual, Chapter III, Section 97, Appendix C, Medical and Remedial 
Service Facilities. 
Sec. I-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Nursing Facilities 0148 
Initiative: Provides one-time funding for nursing facilities to receive a supplemental 
allowance per patient per day, as long as the supplemental allowance is no more than $90 
per patient per day. 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$31,000,000 
GENERAL FUND TOTAL 
$0 
$31,000,000 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$0 
$60,233,563 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$60,233,563 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$0 
$5,823,419 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$5,823,419 
PARTJ 
Sec. J-1. 22 MRSA §3174-LLL, sub-§2, as enacted by PL 2023, c. 412, Pt. 
EEEEE, §4, is amended to read: 
SENATE AMENDMENT 
SENATE AMENDMENT" 13" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S· 110 
2. Income eligibility. No later than Maf€t1: July 1, 2024, the depa1iment shall establish 
income disregards to detem1ine eligibility so that a person with income that is no more than 
185% of the federal poverty level is qualified as a qualified Medicare beneficiary and a 
person with income that is more than 185% and no more than 250% of the federal pove1iy 
level is qualified as a qualified individual. 
PARTK 
Sec. K-1. Department of Health and Human Services to amend rules 
governing education requirements for behavioral health professionals 
providing services for children. No later than January 1, 2025, the Depaiiment of 
Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, 
Chapter II, Section 28 and Section 65 to change the educational requirements for all 
behavioral health professionals providing services for children, regardless of the setting in 
which the service is provided, and for such behavioral health professionals to receive 
training to provide specialized services to allow the following educational requirements: 
1. A minimum of 60 higher education credit hours in a related field of social services, 
human services, health or education; 
2. A minimum of 90 higher education credit hours in an unrelated field; or 
3. A high school diploma or equivalent with training and oversight as determined by 
the depaiiment in addition to the training provided for ce1iification as a behavioral health 
professional. 
In adopting rules under this section, the Depaitment of Health and Human Services 
shall ensure that the training and oversight requirements for persons with a high school 
diploma or equivalent are consistent in both Section 28 and Section 65 of the depa1tment
1s 
rule Chapter 101: MaineCare Benefits Manual, Chapter II. 
The changes to educational requirements required by this Pait do not affect the 
requirements for behavioral health professional training and the prescribed time frames. 
Sec. K-2. Training within existing resources. The Depaitment of Health and 
Human Services shall amend or establish contracts to train any number of additional 
individuals to become behavioral health professionals providing services for children 
pursuant to section 1, regardless of the setting in which the service is provided, within 
existing resources. The depa1tment may make any changes necessary, including choosing 
to charge individuals or their employers fees for training, in order to offer training within 
existing resources. 
Sec. K-3. 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 depa1tment to amend its rule Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 28 and Section 65 to change the educational 
requirements for all behavioral health p1;ofessionals providing services for children. 
GENERAL FUND 
All Other 
2023-24 
$0 
SENA TE AMENDMENT 
2024-25 
$552,301 
ROS 
SENATE AMENDMENT" .B" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( )~ 1\ ~ 
GENERAL FUND TOTAL 
$0 
$552,301 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$0 
$1,505,443 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$1,505,443 
FEDERAL BLOCK GRANT FUND 
2023-24 
2024-25 
All Other 
$0 
$82,577 
FEDERAL BLOCK GRANT FUND TOTAL 
$0 
$82,577 
Mental Health Services - Child Medicaid Z207 
Initiative: Provides allocations for the depa1iment to amend its rule Chapter 101: 
MaineCare Benefits Manual, Chapter II, Section 28 and Section 65 to change the 
educational requirements for all behavioral health professionals providing services for 
children. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
FEDERAL BLOCK GRANT FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
$0 
$0 
Sec. K-4. Effective date. This Pa1i takes effect July 1, 2024. 
PARTL 
Sec. L-1. 22 MRSA §1708-A is enacted to read: 
§1708-A. Compensation to Maine Veterans' Homes 
2024-25 
$368,201 
$368,201 
2024-25 
$920,502 
$1,505,443 
$82,577 
$2,508,522 
Services provided by a veterans' facility must be reimbursed by the MaineCare program 
at rates established by the depa1iment pursuant to this section. This section applies to all 
funds, including federal funds, paid by an agency of the State to a veterans' facility for 
resident care. For the purposes of this section, "veterans' facility'' means a nursing facility, 
a residential care facility or a multilevel health care facility that is operated by the Maine 
Veterans' Homes at any location required under Title 37-B, section 601. subsection 2. 
SENATE AMENDMENT 
SENA TE AMENDMENT" f;" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( $ ~ 7/6) 
1. Per resident basis. Veterans' facilities must be reimbursed on a per resident daily 
rate basis for services to residents covered under the MaineCare program. Different rates 
may be established for services equivalent to those provided by nursing homes as defined 
in section 1812-A, residential care facilities as defined in section 7852, subsection 14 and 
multilevel health care facilities as defined in section 7852, subsection 10-A. 
2. 
Rate calculations. 
Rate calculations under this section must result in 
reimbursement of the portion of the total MaineCare allowable cost of operating each 
veterans' facility attributable to the provision of services to residents who receive 
MaineCare benefits. Different rates may be established for services equivalent to those 
provided by nursing homes as defined in section 1812-A, residential care facilities as 
defined in section 7852, subsection 14 and multilevel health care facilities as defined in 
section 7852, subsection 10-A. 
• 
3. Annual adjustments for inflation. Rates established pursuant to this section must 
be adjusted annually to reflect projected inflation for the year to which the rates will apply. 
4. Calculation of per resident daily rate; limitation. The department may use data 
from other states' veterans' home programs and appropriate price ind ices to establish the 
rates required in this section, as long as the application of data from other states' veterans' 
home programs and price indices does not reduce reimbursement below the portion of the 
total MaineCare allowable cost as described in subsection 2. 
5. Use of 3rd party. The department may contract with a 3rd party to derive or review 
the rates established under this section. 
Sec. L-2. 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 to ensure that Maine Veterans' Homes nursing facilities are 
reimbursed a per resident daily rate for services that include the total allowable cost of 
operating a veterans' home. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
SENATE AMENDMENT 
2024-25 
$922,940 
$922,940 
2024-25 
$1,840,881 
$1,840,881 
2024-25 
$264,886 
$264,886 
ROS 
SENATE AMENDMENT "B" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 (s~ 1 \ ~ 
Nursing Facilities 0148 
Initiative: Provides funding to ensure that Maine Veterans' Homes nursing facilities are 
reimbursed a per resident daily rate for services that include the total allowable cost of 
operating a veterans' home. 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$2,792,478 
GENERAL FUND TOTAL 
$0 
$2,792,478 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$0 
$5,569,834 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$5,569,834 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$0 
$533,765 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$533,765 
PNMI Room and Board Z009 
Initiative: Provides funding to ensure that Maine Veterans' Homes nursing facilities are 
reimbursed a per resident daily rate for services that include the total allowable cost of 
operating a veterans' home. 
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 
PARTM 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
$0 
$0 
2024-25 
$1,386,060 
$1,386,060 
2024-25 
$5,101,478 
$7,410,715 
$798,651 
$13,310,844 
Sec. M-1. Strengthen and expand mental health crisis intervention mobile 
response services. The Depa11ment of Health and Human Services shall strengthen and 
expand mental health cdsis intervention mobile response services in order to provide 
services 24 hours a day, 7 days a week. The depa11ment shall provide for the incorporation 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT" B' to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 { ~rl\0 
of mobile outreach peer support specialists, certified intentional peer support specialists 
and recovery coaches, mental health law enforcement liaisons through behavioral health 
agencies and community debriefing and critical incident response services into the existing 
crisis services response system. The department shall also provide for ancillary services 
that are required components of mental health crisis intervention mobile response services. 
The funding for these ancillaty services must include travel costs to and from mobile face-
to-face assessments not to exceed the federal per mile rate, travel time to and from mobile 
face-to-face assessments and reimbursement for time spent on telephone conferences with 
clients. The depatiment shall provide reimbursement for peer suppoti services provided as 
mental health crisis intervention mobile response services under the MaineCare program. 
Sec. M-2. E-9-1-1 and 9-8-8 coordination. By Januaiy 30, 2025, the Depatiment of 
Health and Human Services, in coordination with the Public Utilities Commission, 
Emergency Services Co1mnunication Bureau and the Depaiiment of Public Safety, shall 
ensure the coordination of services under the State's E-9-1-1 system and the State's 9-8-8 
mobile crisis services system. By January 30, 2026, the Depaiiment of Health and Human 
Services shall submit a status repoti related to the coordination of services, including 
suggested legislation, to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters and to the joint standing committee of the 
Legislature having jurisdiction over utilities matters. The joint standing committees may 
each submit a bill relating to the repo1i to the Second Regular Session of the 132nd 
Legislature. 
Sec. M-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Z198 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning January 1, 
2025. This funding must provide funding for mobile outreach peer suppo1i specialists. 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$1,168,299 
GENERAL FUND TOTAL 
$0 
$1,168,299 
Mental Health Services - Community Z198 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning Januaty 1, 
2025. This funding must provide funding for ce1iified intentional peer suppoti specialists 
and recovery coaches. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Z198 
2023-24 
$0 
$0 
SENATE AMENDMENT 
2024-25 
$1,588,834 
$1,588,834 
ROS 
SENA TE AMENDMENT 'i "to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S-7 \~ 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning January 1, 
2025. This funding must provide funding for 24 mental health law enforcement liaisons, 3 
in each public health district, provided by the local behavioral health agencies. 
GENERAL FUND 
2023-24 
All Other 
$0 
GENERAL FUND TOTAL 
$0 
Mental Health Services - Community Zl98 
2024-25 
$953,300 
$953,300 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning January 1, 
2025. This funding must provide funding for community debriefing and critical incident 
response services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Z198 
2023-24 
$0 
$0 
2024-25 
$69,450 
$69,450 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning January 1, 
2025. This funding must provide funding for ancillary services that are required 
components of mental health crisis intervention mobile response services. These ancillary 
services include travel costs to and from mobile face-to-face assessments, not to exceed the 
federal per mile rate, and reimbursement for time spent on telephone conferences with the 
client. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Zl98 
2023-24 
$0 
$0 
Initiative: Provides a one-time appropriation for contracted consulting services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Office of Substance Abuse and Mental Health Services Z199 
2023-24 
$0 
$0 
2024-25 
$159,144 
$159,144 
2024-25 
$100,000 
$100,000 
Initiative: Provides funding to strengthen mental health crisis intervention mobile response 
services in order to provide services 24 hours a day, 7 days a week, beginning Janua1y 1, 
2025. This funding must provide funding for ancillary services that are required 
components of mental health crisis intervention mobile response services. These ancillary 
services include travel costs to and from mobile face-to-face assessments, not to exceed the 
federal per mile rate, and reimbursement for time spent on telephone conferences with the 
client. 
SENATE AMENDMENT 
ROS 
···=) 
SENA TE AMENDMENT <B" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( ~ .:-i 1~ 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$159,144 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL - ALL FUNDS 
$0 
2023-24 
$0 
$0 
Sec. M-4. Effective date. This Part takes effect January 1, 2025. 
PARTN 
Sec. N-1. 34-B MRSA §3613 is enacted to read: 
§3613. Crisis receiving centers 
$159,144 
2024-25 
$4,198,171 
$4,198,171 
1. Definitions. As used in this section. unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Crisis receiving center" means a center providing walk-in access to crisis services 
to individuals experiencing behavioral health. mental health and substance use 
challenges. 
B. 
"Culturally sensitive trauma-informed care" means care that acknowledges. 
respects and integrates the cultural values. beliefs and practices of individuals and 
families. 
2. Crisis receiving centers. The department shall establish 2 crisis receiving centers 
to support individuals dealing with behavioral health. mental health or substance use issues. 
The receiving centers must be established in Aroostook County and Penobscot County. 
The department shall ensure that the crisis receiving centers provide culturally sensitive 
trauma-informed care. The department shall develop a plan to expand crisis receiving 
centers statewide, with at least one crisis receiving center located in each county of the 
State. 
3, Rules. The depa11ment may adopt rules to implement this section. Rules adopted 
pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, 
subchapter 2-A. 
Sec. N-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Zl98 
Initiative: Provides ongoing funding to establish 2 crisis receiving centers, one each in 
Aroostook and Penobscot counties, beginning April 1, 2025, 
GENERAL FUND 
2023-24 
2024-25 
SENATE AMENDMENT 
SENATE AMENDMENT" !3" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( ~ ~7 \ c;) 
All Other 
$0 
$900,000 
GENERAL FUND TOTAL 
$0 
$900,000 
Mental Health Services - Community Z198 
Initiative: Provides one-time funding for additional staii-up costs to establish 2 crisis 
receiving centers, one each in Aroostook and Penobscot counties. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Community Zl98 
2023-24 
$0 
$0 
2024-25 
$1,900,000 
$1,900,000 
Initiative: Establishes one Social Services Program Manager I position and one Social 
Services Manager I position to handle the new crisis receiving centers. 
GENERAL FUND 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
0.000 
$0 
$0 
$0 
2023-24 
$0 
$0 
2024-25 
2.000 
$234,914 
$13,576 
$248,490 
2024-25 
$3,048,490 
$3,048,490 
Sec. N-3. Effective date. This Pati takes effect July 1, 2024, except that that section 
that enacts the Maine Revised Statutes, Title 34-B, section 3613 takes effect April 1, 2025. 
PART 0 
Sec. 0-1. 22 MRSA c. 256-B is enacted to read: 
CHAPTER 256-B 
OFFICE OF VIOLENCE PREVENTION 
§1427. Office of Violence Prevention 
1. Office established. The Office of Violence Prevention, referred to in this section 
as "the office." is established within the Maine Center for Disease Control and Prevention 
7 
to coordinate and promote effective effmis to reduce violence in the State. including. but 
8 
not limited to. gun violence. and related trauma and promote research regarding causes of 
and evidence-based responses to violence. including gun violence. 
SENATE AMENDMENT 
SENATE AMENDMENT "\3," to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 {S ~710 
2. Director. The commissioner shall appoint the director of the office. 
3. Collaboration. To carry out its duties, the office may collaborate with other state 
agencies and programs, including, but not limited to, the Address Confidentiality Program 
established under Title 5, section 90-B; the Victims1 Compensation Board established under 
Title 5, section 3360-A; the Depatiment of Education; the Office of Behavioral Health 
established under Title 5, section 20011; the Office of the Attorney General; the 
Department of Public Safety; the Maine Bureau of Veterans' Services established under 
Title 3 7-B, section 501; and the violence prevention program within the depmiment. 
4. Awareness and education. The office shall increase the awareness of and educate 
the general public about laws and resources relating to violence prevention and conduct 
awareness and education campaigns in accordance with this subsection. 
A. The office shall increase the awareness of and educate the general public about state 
and federal laws and existing resources relating to violence prevention, including: 
(1) The availability of and the process for requesting protection orders, including, 
but not limited to, protection from abuse orders under Title 19-A, chapter 103 and 
protection from harassment orders under Title 5, chapter 337-A; 
(2) The process for accessing available mental health and substance use disorder 
resources and how to refer individuals to needed mental health and substance use 
disorder treatment services, including suicide prevention services; 
(3) 
The process for accessing available resources and services for domestic 
violence prevention; 
( 4) 
The process for rep01iing a lost or stolen firearm, including repo1iing 
requirements in state law; 
(5) The best practices for safe storage of firearms; and 
(6) Safe and responsible gun ownership, including increased awareness of the law 
and methods of compliance with state and federal law. 
B. The office shall conduct awareness and education campaigns and develop and 
provide educational materials and training resources, including: 
( 1) Developing and providing educational materials and training resources to local 
law enforcement agencies, health care providers and educators to assist those 
agencies, providers and educators with educating the public about the laws, 
available resources and effective violence prevention strategies; 
(2) Conducting awareness and education campaigns in a culturally competent way, 
including by providing materials and resources in multiple languages; 
(3) Conducting awareness and education campaigns directed toward gun owners, 
parents and legal guardians of children and organizations that provide services to 
individuals and communities disproportionately affected by gun violence; and 
( 4) At the request of the Director of the Maine Center for Disease Control and 
Prevention, supp01iing and providing assistance for education campaigns and 
programs conducted by the depa1iment that are related to gun violence, including 
education campaigns and programs relating to the safe storage of firearms and 
suicide prevention. 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT '\3' to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( ~ 7 \ b) 
The office may focus the awareness and education campaigns required under this 
paragraph in communities identified by the office as disprop01tionately affected by gun 
violence and use television messaging, radio broadcasts, print media, digital strategies 
or any other form of messaging considered effective and appropriate by the office to 
achieve the goals of this section. 
5. 
Grant program. Subject to available funding, the office may establish and 
administer a grant program to award grants to organizations to conduct community-based 
violence intervention initiatives that are primarily focused on interrupting cycles of 
violence, including gun violence, trauma and retaliation by providing culturally competent 
intervention services. 
A. To be eligible for a grant award, an organization must demonstrate the ability to 
conduct effective community-based violence intervention initiatives that meet the 
criteria described in this subsection and in rules adopted by the Maine Center for 
Disease Control and Prevention. The office shall prioritize awarding grants to 
organizations that conduct violence intervention initiatives with individuals and in 
communities identified as having the highest imminent risk of perpetrating or being 
victimized by violence. 
B. An initiative conducted with a grant award must use strategies that are evidence-
informed and have demonstrated potential for reducing violence without contributing 
to mass incarceration, such as group violence interventions, evidence-based street and 
community outreach programs, violence interruption and crisis management programs 
and individualized wraparound services. To improve the effectiveness of a violence 
intervention initiative, a grant recipient shall conduct regular evaluations of the 
initiative, including community input and engagement. 
C. The Maine Center for Disease Control and Prevention shall adopt rules necessary 
for the administration of the grant program, including grant application procedures, 
criteria for determining the amount and duration of the grants and rep01ting 
requirements for organizations that receive grants. 
D. In administering the grant program, the office shall collaborate with stakeholders 
as needed to ensure equity in the distribution of grants. The office shall consult with 
stakeholders to develop grant priorities. Stakeholders must include individuals and 
families affected by violence, organizations with expe1tise in violence prevention and 
gun safety and representatives of communities of color. 
E. By Februa1y 1, 2027, the depaitment shall submit to the joint standing committee 
of the Legislature having jurisdiction over health and human services matters a repo1t 
that includes the following: 
(l) Information regarding the number of grants awarded and the amount offunding 
provided to each grant recipient; 
(2) A description of violence intervention initiatives funded, including the number 
of individuals served and the communities served by each funded initiative; and 
(3) 
Recommendations regarding the continuation of the grant program and 
recommendations for any changes to the program. 
F. This subsection is repealed June 30, 2027. 
SENATE AMENDMENT 
SENATE AMENDMENT"i3 "to COMMITT~E AMENDMENT"A" to H.P. 1426, L.D. 2225 ( $-\ \~ 
6. Data hub. The office shall create and maintain a data hub of regularly updated and 
accurate materials and resources as a repository for data, research and statistical 
information regarding violence in the State, including gun violence. As part of maintaining 
the data hub, the office shall: 
A. Assist researchers who are seeking information regarding violence in the State; 
B. Collaborate with researchers, including organizations that conduct gun violence 
research, to: 
(1) Identify gaps in available data needed to conduct violence prevention research 
and develop strategies to improve relevant data collection in the State; 
(2) Use existing available research to enhance evidence-based violence prevention 
tools and resources available to communities in the State; and 
(3) Improve the understanding of the disproportionate barriers to safety from 
violence by encouraging disaggregation of data by race and ethnicity when 
research is conducted; and 
C. Promote new and relevant research regarding violence prevention and, if possible, 
make the research accessible to researchers and the public, 
7. 
Reporting requirements. 
The office and the depa1tment shall provide the 
following reports relating to the office's work. 
A. Annually, by November 30th, the office shall rep01t to the depaitment on the 
activities it has conducted in the preceding 12 months. The repo1t must include: 
(1) Information regarding awareness and education campaigns conducted by the 
office; 
(2) Effective violence intervention programs identified by the office; 
(3) Any federal grants or other funding the office applied for and whether the 
office received those grants or other funds; 
( 4) A general summary of new and relevant research included in the office's data 
hub under subsection 6 and the nature ofresearch assistance provided by the office; 
and 
(5) Recommendations to enhance the administration and operation of the office 
and improve the availability of services to reduce violence in the State. 
The office shall make the rep01t available on its publicly accessible website or on the 
Maine Center for Disease Control and Prevention's publicly accessible website. 
B. In its annual rep01t to the joint standing committee of the Legislature having 
jurisdiction over health and human services matters pursuant to section 1425, the 
Maine Center for Disease Control and Prevention shall include a summary of the 
office's annual repo1t submitted under paragraph A, including recommendations under 
paragraph A, subparagraph (5) and instructions for accessing any new and relevant 
violence prevention research identified by the office in paragraph A, subparagraph (4). 
The Maine Center for Disease Control and Prevention shall make the summary 
available on its publicly accessible website. 
SENATE AMENDMENT 
ROS 
SENATEAMENDMENT'B,, to COMMITTEEAMENDMENT"A" to H.P. 1426, L.D. 222s(s-11 ~ 
8. Rules. The Maine Center for Disease Control and Prevention shall adopt rules to 
implement this chapter. Rules adopted pursuant to this subsection are major substantive 
rules as defined in Title 5, chapter 375, subchapter 2-A. 
Sec. 0-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Violence Prevention N490 
Initiative: Establishes one Director position, one Comprehensive Health Planner II position 
and one Planning and Research Associate I position in the Office of Violence Prevention, 
General Fund and provides funding for related All Other costs. 
GENERAL FUND 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
GENERAL FUND TOTAL 
Office of Violence Prevention N490 
2023-24 
0.000 
$0 
$0 
$0 
2024-25 
3.000 
$356,931 
$20,364 
$377,295 
Initiative: Establishes one limited-period Health Program Manager position and one 
limited-period Public Health Educator III position in the Office of Violence Prevention 
program, Federal Expenditures Fund and one limited-period Epidemiologist position in the 
Office of Violence Prevention program, Federal Block Grant Fund through June 12, 2027 
and provides funding for related All Other costs. 
FEDERAL EXPENDITURES FUND 
Personal Services 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
FEDERAL BLOCK GRANT FUND 
Personal Services 
All Other 
FEDERAL BLOCK GRANT FUND TOTAL 
Office of Violence Prevention N490 
2023-24 
$0 
$0 
$0 
2023-24 
$0 
$0 
$0 
2024-25 
$210,390 
$13,461 
$223,851 
2024-25 
$107,404 
$6,903 
$114,307 
Initiative: Provides ongoing funding for annual outreach and educational materials. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Office of Violence Prevention N490 
2023-24 
$0 
$0 
Initiative: Provides ongoing funding for annual grants to communities. 
SENA TE AMENDMENT 
2024-25 
$500,000 
$500,000 
SENATE AMENDMENT "B" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 222{ S · l \~ 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$1,000,000 
GENERAL FUND TOTAL 
$0 
Office of Violence Prevention N490 
Initiative: Provides one-time funding for required technology changes. 
GENERAL FUND 
2023-24 
All Other 
$0 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
FEDERAL BLOCK GRANT FUND 
DEPARTMENT TOTAL-ALL FUNDS 
$0 
2023-24 
$0 
$0 
$0 
$0 
Sec. 0-3. Effective date. This Part takes effect July 1, 2024. 
PARTP 
$1,000,000 
2024-25 
$1,000,000 
$1,000,000 
2024-25 
$2,877,295 
$223,851 
$114,307 
$3,215,453 
Sec. P-1. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Z198 
Initiative: Provides ongoing funding for employee recruitment and retention incentives to 
the staff that provide medication management services provided by the Office of 
Behavioral Health that are similar to the services provided under the depaiiment's rule 
0 
Chapter 101: MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health 
Services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. P-2. Effective date. This Pa1i takes effect July 1, 2024. 
PARTQ 
Sec. Q-1. 25 MRSA §2015 is enacted to read: 
§2015. Gun shop project 
SENA TE AMENDMENT 
2024-25 
$2,500,000 
$2,500,000 
RO$ 
SENA TE AMENDMENT" f3" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 { $-l / D) 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Dangerous or deadly weapon" has the same meaning as "dangerous weapon" in 
Title 17-A, section 2, subsection 9, paragraph C. 
B. "Depaitment" means the Depa1tment of Public Safety. 
C. "Firearm" has the same meaning as in Title 17-A, section 2, subsection 12-A. 
D. "Gun shop" means a business located in the State that sells firearms, dangerous or 
deadly weapons or related components such as ammunition. 
E. 
"Gun shop project" means a project to develop, create and distribute suicide 
prevention educational materials. 
2. Administration of gun shop project. The department shall administer a gun shop 
project. 
3. Development and creation of educational materials. In administering a gun shop 
project under this section, the depaitment shall contract with a statewide organization with 
expe1tise in mental health for the development and creation of suicide prevention 
educational materials. 
• 
A. Educational materials under this subsection must include but are not limited to 
information on: 
(1) Understanding and recognizing the various clinical signs, symptoms and 
indicators of suicide risk; and 
(2) Available suicide prevention resources. 
B. 
In developing and creating educational materials under this subsection, the 
contracted statewide organization must refer to the following: 
(1) Gun shop projects in other states; 
(2) Programs created or offered by organizations in the dangerous or deadly 
weapon industry; and 
(3) Other projects or organizations that the department determines appropriate. 
C. Materials developed for the gun shop project must be created as written materials, 
such as pamphlets, signs, posters, tip sheets or other media, and as an online training 
course for firearm dealers licensed as dealers under 18 United States Code, Section 
923(a)(3) and for gun shop customers. 
4. Distribution of gun shop project educational materials. The depa1tment shall 
ensure that the written educational materials and online training course created under 
subsection 3 are available on the depaitment's publicly accessible website. 
Sec. Q-2. Reporting requirement. By December 1, 2026, the Depaitment of 
Public Safety shall submit a written repoti regarding the activities during the prior calendar 
year related to the establishment and administration of the gun shop project under the Maine 
Revised Statutes, Title 25, section 2015, including, but not limited to, the categories of 
educational materials developed, the number of written educational materials created and 
the number of participants in the online training course, to the joint standing committee of 
the Legislature having jurisdiction over public safety matters. 
SENATE AMENDMENT 
SENATE AMENDMENT" B" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S-7 \ D) 
Sec. Q-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
PUBLIC SAFETY, DEPARTMENT OF 
Licensing and Enforcement - Public Safety 0712 
Initiative: Provides a one-time appropriation to contract with a statewide organization with 
expertise in mental health for the development and creation of suicide prevention 
educational materials. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. Q-4. Effective date. This Pati takes effect July 1, 2024. 
PARTR 
2024-25 
$100,000 
$100,000 
Sec. R-1. Law enforcement alerts to public. The Commissioner of Public Safety 
shall develop and implement procedures to notify the public of active shooter situations. 
The procedures must include procedures for notifying the deaf and hard-of-hearing 
community. 
Sec. R-2. Appropriations and allocations. The following appropriations and 
allocations are made. 
PUBLIC SAFETY, DEPARTMENT OF 
Licensing and Enforcement - Public Safety 0712 
Initiative: Provides one-time funding for programming costs to create and implement a 
system to notify the public of active shooter situations. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
Sec. R-3. Effective date. This Paii takes effect July 1, 2024. 
PARTS 
Sec. S-1. PL 2023, c. 406, §1 is amended to read: 
2024-25 
$100,000 
$100,000 
Sec. 1. Adjustment of salary schedules for fiscal years 2023-24 and 2024-
25. The salary schedules for the executive branch employees in bargaining units 
represented by the American Federation of State, County and Municipal Employees, the 
Maine State Troopers Association, the Maine State Law Enforcement Association, the 
Maine Service Employees Association, the Fraternal Order of Police and any other ce1iified 
bargaining representative for an executive branch bargaining unit must be adjusted 
consistent with the terms of any agreements ratified by December 31, 2023 July 1. 2025. 
Sec. S-2. PL 2023, c. 406, §5 is amended to read: 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT "B "to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( s-7 Tb 
Sec. 5. Costs to General Fund and Highway Fund. Costs to the General Fund 
and Highway Fund must be provided wholly or in part through a transfer of Personal 
Services appropriations within and between departments and agencies from the Salary Plan 
program, General Fund account in the Depaitment of Administrative and Financial 
Services in an amount not to exceed $99,000,000 in total for the fiscal years ending June 
30, 2024 and June 30, 2025 up to the full amount the salary plan has accrued as of the date 
an agreement is reached with the respective bargaining agents to implement the economic 
terms of the most recent collective bargaining agreements made from July 2023 to 
December 2023 by with collective bargaining agents for the State and the American 
Federation of State, County and Municipal Employees, the Maine State Troopers 
Association, the Maine State Law Enforcement Association, the Maine Service Employees 
Association, the Fraternal Order of Police and any other ce1tified bargaining representative 
for an executive branch bargaining unit, to provide equitable treatment of employees 
excluded from collective bargaining pursuant to the Maine Revised Statutes, Title 26, 
section 979-A, subsection 6, paragraph F and, notwithstanding Title 26, section 979-D, 
subsection 1, paragraph E, subparagraph (3), to implement equitable adjustments for 
confidential employees. 
Sec. S-3. PL ~023, c. 406, §6 is amended to read: 
Sec. 6. Transfer of Personal Services appropriations between programs 
and departments; General Fund. Notwithstanding the Maine Revised Statutes, Title 
5, section 15 85 or any other provision of law to the contrary, available balances in the 
General Fund for Personal Services in fiscal year 2023-24 and fiscal year 2024-25 may be 
transferred by financial order between programs and depaitments within the General Fund 
upon recommendation of the State Budget Officer and approval of the Governor to be used 
for costs associated with collective bargaining agreements made with collective bargaining 
agents for state employees. 
Sec. S-4. PL 2023, c. 406, §7 is amended to read: 
Sec. 7. Transfer from Salary Plan program and special account funding. 
The Salary Plan program, General Fund account in the Depaitment of Administrative and 
Financial Services may be made available as needed in allotment by financial order upon 
the recommendation of the State Budget Officer and approval of the Governor to be used 
for the implementation of the collective bargaining agreements made with collective 
bargaining agents for state employees and for other economic items contained in this Act 
in fiscal year 2023-24 and fiscal year 2024-25. Positions supported from sources of funding 
other than the General Fund and the Highway Fund mu-st may be funded from those other 
sources. 
Sec. S-5. PL 2023, c. 406, §8 is amended to read: 
Sec. 8. Transfer of Personal Services allocations between programs and 
departments; Highway Fund. Notwithstanding the Maine Revised Statutes, Title 5, 
section 1585 or any other provision of law to the contrary, available balances in the 
Highway Fund for Personal Services in fiscal year 2023-24 and fiscal year 2024-25 may 
be transferred by financial order between programs and depaitments within the Highway 
Fund upon recommendation of the State Budget Officer and approval of the Governor to 
SENA TE AMENDMENT 
SENA TE AMENDMENT "fj" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 (S-1 \ ~ 
be used for costs associated with eolleetive bargaining agreements made with collective 
bargaining agents for state employees. 
Sec. S-6. Retroactivity. This Part applies retroactively to July 10, 2023. 
PARTT 
Sec. T-1. 22 MRSA §1714-F is enacted to read: 
§1714-F. Restriction on changes to reimbursement methods 
Prior to July 1, 2029, the department may not alter the reimbursement methods of a 
hospital that is reimbursed by the federal Medicare program as a prospective payment 
system hospital and that was reimbursed by the MaineCare program as a critical access 
hospital for outpatient services on or before January 1, 2024. 
Sec. T-2. Prospective payment system hospital transition plans. The 
Depaitment of Health and Human Services shall work with any hospital that is reimbursed 
by the federal Medicare program as a prospective payment system hospital and that was 
reimbursed by the MaineCare program as a critical access hospital for outpatient services 
on or before January 1, 2024 to determine a plan for transitioning to reimbursement by the 
MaineCare program as a critical access hospital while maintaining financial solvency. This 
transition plan may include but is not limited to ways in which the hospital can expand 
services or reduce expenses. Any hospital that is reimbursed by the federal Medicare 
program as a prospective payment system hospital and is reimbursed by the MaineCare 
program as a critical access hospital for outpatient services shall pursue federal and state 
provisions and programs that would improve its financial position, including but not limited 
to wage reclassification by the Medicare Geographic Classification Review Board. By 
March 31, 2029, the depaitment shall submit to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters a rep01t on any 
transition plans developed under this section. 
PARTU 
Sec. U-1. 20-A MRSA §4016 is enacted to read: 
§4016. Minimum hourly wage for educational technicians and other school support 
staff 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Educational technician" has the same meaning as in section 13001-A, subsection 
~ 
B. 
"Other school supp01t staff' means a public school employee who is not an 
educational technician and who is paid on an hourly basis. 
2. Minimum hourly wage. Except as provided in subsection 3, for the school year 
sta1ting after June 30, 2025 and for each subsequent school year, the minimum hourly wage 
for educational technicians is equal to 133% of the minimum hourly wage established in 
Title 26, section 664, subsection 1 and the minimum hourly wage for other school suppo1t 
staff is equal to 125% of the minimum hourly wage established in Title 26, section 664, 
subsection 1. 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT" (3"to COMMITTEEAMENDMENT"A"to H.P. 1426, L.D. 2225 (5~7\ ~ 
3. 
Wage increases. 
If, pursuant to the requirements of Title 26, section 664, 
subsection 1, the minimum hourly wage is increased on January 1st of any year, the 
minimum hourly wage for educational technicians and other school suppo1i staff is 
increased beginning July 1st of the same year in an amount equal to 133% of the increased 
minimum hourly wage under Title 26, section 664, subsection 1 for educational technicians 
and in an amount equal to 125% of the increased minimum hourly wage under Title 26, 
section 664, subsection 1 for other school support staff. 
4. 
State contribution. Notwithstanding any provision of chapter 606-B to the 
contra1y, the State shall provide 100% of the additional funding necessary to achieve the 
minimum hourly wage for educational technicians and other school suppo1i staff under this 
section. 
Sec. U-2. 20-A MRSA §15677, sub-§2, 1B, as enacted by PL 2003, c. 504, Pt. A, 
§6, is amended to read: 
B. For fiscal year 2006-07 and each subsequent year until fiscal year 2025-26, the 
commissioner shall update the previous year's salary matrix to reflect appropriate 
trends in the Consumer Price Index or other comparable index. 
Sec. U-3. 20-A MRSA §15677, sub-§2, ~C is enacted to read: 
C. For fiscal year 2025-26 and for each subsequent fiscal year, the commissioner shall 
update the previous year's salary matrix to reflect appropriate trends in the Consumer 
Price Index or other comparable index and to reflect any increase in the minimum 
hourly wage of educational technicians and clerical staff in accordance with section 
4016, subsection 3. 
Sec. U-4. Incorporation into essential programs and services. 
The 
Department of Education shall incorporate the minimum hourly wage under the Maine 
Revised Statutes, Title 20-A, section 4016 into the essential programs and services funding 
model under Title 20-A, chapter 606-B. 
PARTV 
Sec. V-1. 20-A MRSA c. 223, sub-c. 10, headnote is amended to read: 
SUBCHAPTER 10 
YOUTH BEHAVIORAL AND MENTAL HEALTH FIRST AID TRAINING 
Sec. V-2. 20-A MRSA §6672 is enacted to read: 
§6672. Behavioral and mental health grant program 
1. Grant program. The depa11ment shall establish and administer a grant program to 
provide grants to school administrative units that contract for behavioral and mental health 
services provided by licensed behavioral and mental health service providers. 
2. Limitation on use of funds. Funds provided under the grant program under this 
section may be used only for behavioral and mental health services that are not otherwise 
covered or reimbursable through the MaineCare program. Funds must be used in a manner 
SENATE AMENDMENT 
SENATE AMENDMENT "13" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S· l\ ~ 
that ensures that contracted behavioral and mental health service providers do not supplant 
qualified and available school administrative unit behavioral and mental health staff. 
3. Grant program funding based on population. In administering the grant program 
under this section, the depa1iment shall provide grant funds according to the population of 
a school administrative unit as follows: 
A. Two hundred fifty or fewer students, $3,000; 
B. Two hundred fifty-one students to 500 students, $6,000; and 
C. More than 500 students, $9,000, 
Sec. V-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
EDUCATION, DEPARTMENT OF 
School and Student Supports Z270 
Initiative: Provides ongoing funds for grants to school administrative units for contracted 
behavioral and mental health services for students, The grants are based on the population 
of each school administrative unit 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
PARTW 
2023-24 
$0 
$0 
2024-25 
$1,353,000 
$1,353,000 
Sec. W-1. 5 MRSA §7065, sub-§2-D, 1A, as enacted by PL 1993, c. 705, §2, is 
amended to read: 
A. Payment of a recruitment and retention adjustment may be authorized only when 
justified by at least 2 of the following conditions.~ 
(1) High turnover exists or long-term vacancies exist within State Government in 
the relevant occupational classifications or job series.~ 
(2) 
The relevant occupational classification or job series has a clear, 
geographically definable labor market within which the State must compete.~ 
(3) All appropriate recruitment and retention effo1is have been attempted and have 
proven ineffective at the current levels of compensation._;_QI 
( 4) Comprehensive, verifiable documentation of labor market compensation levels 
for the relevant occupation has been compiled to determine competitive pay levels 
within the defined labor market. This documentation must demonstrate that a labor 
market disparity exists and that the disparity represents a long-term, not transitory 
or seasonal, problem, 
Sec, W-2. 5 MRSA §7065, sub-§2-D, 1C, as corrected by RR 2023, c, 1, Pt. B, 
§38 and affected by §50, is amended to read: 
C. To assist the officer in making a determination under paragraphs A and B, a 
committee must be formed to evaluate each request from an agency or bargaining agent 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT" 0" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 2225 ( S-7 \ bj 
for a recruitment or retention adjustment. The committee must be composed of a 
representative of the bureau, a representative of the employing agency or agencies and 
a representative of the bargaining agent, if applicable. The committee shall evaluate 
the request against the applicable criteria specified in paragraphs A and B and shall 
conduct studies as the committee considers necessary to evaluate the request. +he 
committee shall, by majority vote, provide If the committee agrees on the appropriate 
adjustments, the committee shall issue to the officer, the agency and the bargaining 
agent, if applicable, with a repo1t recommending and documenting adjustments 
authorized under this subsection. If the committee cannot agree on the appropriate 
adjustments, the matter must be submitted to a neutral 3rd party for a final decision and 
report. The neutral 3rd party may be jointly agreed upon by the officer, the agency and 
the bargaining agent, if applicable, or, if agreement cannot be reached, the Maine Labor 
Relations Board shall appoint the neutral 3rd party in accordance with the procedure 
outlined in Title 26, section 979-D, subsection 4, paragraph B. The officer, the agency 
and the bargaining agent, if applicable, shall act on thl-s the rep01t. If a funding request 
is necessary to implement an approved adjustment, the officer shall submit the cost 
items for inclusion in the Governor's next operating budget within 10 days after action 
on the rep01t. 
Sec. W-3. Appropriations and allocations. The following appropriations and 
allocations are made. 
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF 
Administration - Human Resources 0038 
Initiative: Establishes one Public Service Coordinator I position for recruitment and 
retention adjustment requests and evaluations and provides funding for related All Other 
costs. 
GENERAL FUND 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
GENERAL FUND TOTAL 
Administration - Human Resources 0038 
2023-24 
2024-25 
0.000 
1.000 
$0 
$122,114 
$0 
$5,375 
$0 
$127,489 
Initiative: Establishes one Public Service Coordinator II position to handle recruitment and 
retention adjustment arbitration and provides funding for related All Other costs. 
GENERAL FUND 
2023-24 
2024-25 
POSITIONS - LEGISLATIVE COUNT 
0.000 
1.000 
Personal Services 
$0 
$133,759 
All Other 
$0 
$5,375 
GENERAL FUND TOTAL 
$0 
$139,134 
Administration - Human Resources 0038 
Initiative: Provides funding for recruitment and retention adjustments. 
GENERAL FUND 
2023-24 
2024-25 
SENATE AMENDMENT 
ROS 
SENATE AMENDMENT" f3" to COMMITTEE AMENDMENT "A" to H.P. 1426, L.D. 222s{S-l \0 
Personal Services 
GENERAL FUND TOTAL 
Administration - Human Resources 0038 
$0 
$0 
$5,000,000 
$5,000,000 
Initiative: Provides funding for the contracted services of arbitrators and mediators. 
GENERAL FUND 
Personal Services 
GENERAL FUND TOTAL 
ADMINISTRATIVE AND FINANCIAL 
SERVICES, DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
2024-25 
$75,000 
$75,000 
2024-25 
$5,341,623 
$5,341,623 
Amend the amendment on page 4 by inse1ting after section B-4 the following: 
'Amend the bill by striking out the emergency clause and inse1ting the following: 
'Emergency clause. In view of the emergency cited in the preamble, this legislation 
takes effect when approved, except as otherwise indicated.' ' 
Amend the amendment by relettering or renumbering any nonconsecutive Pait letter or 
section number to read consecutively. 
SUMMARY 
This amendment incorporates the substance of Senate Amendment "A" to Committee 
Amendment "A" but increases the minimum hourly wage for educational technicians to 
133% of the minimum hourly wage and for other suppo1t staff to 125% of the minimum 
hourly wage. 
SPONSORED BY: ~ 
(President JACKSON,.) 
COUNTY: Aroostook 
FISCAL NOTE REQUIRED 
(See attached) 
SENATE AMENDMENT 
Approved: 04/15/24 .::tPae 
LD 2225 
LR 3090(10) 
An Act to Provide Funding to Rebuild Infrastructure Affected by Extreme Inland and Coastal 
Weather Events 
Fiscal Note for Senate Amendment'~' to Committee Amendment "A" (S ·7\b') 
Sponsor: Pres. Jackson of Aroostook 
Net Cost (Savings) 
• GeneralFund 
App'r.opi-iations/Allocations 
•.' 
. 
. 
General ,Fund 
Feder~l Expenditures Fund 
Other Special Revenue Funds 
.. 
. 
... 
Federal Block Grant Fund 
Rev~:g~e. 
Federal Expenditures Fund 
Other Special Revenue Funds 
Federal Block Grant Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
$0 
$63,841,544 
$0 
$63,841,544 
$0 
$79,273,494 
$0 
$6,998,717 
$0 
$196,884 
$0 
$19,039,931 
$0 
$1,175,298 
$0 
$196,884 
Projections 
FY 2025-26 
$90,143,975 
$90,143,975 
$85,489,749 
$7,399,803 
$200,109 
$25,256,186 
$1,576,384 
$200,109 
Projections 
FY 2026-27 
$90,605,544 
$90,605,.: 
$85,496,325 
$7,399,803 
$203,489 
$25,262,762 
$1,576,384 
$203,489 
This amendment provides General Fund appropriations of $63,841,544 in fiscal year 2024-25. The amendment also 
provides conesponding Federal Expenditures Fund, Other Special Revenue Funds and Federal Block Grant Fund 
allocations in fiscal year 2024-25. General Fund appropriations provided in this amendment will result in aggregate 
General Fund appropriations for fiscal year 2024-25 exceeding the appropriations limitation for fiscal year 2024-25 
calculated pursuant to PL 2023, c. 412, Part I-6. 
This amendment requires that, beginning with the school year starting after June 30, 2025, the minimum hourly wage 
for educational technicians is 133% of the state minimum hourly wage and the minimum hourly wage for other school 
support staff who are paid hourly is 125% of the state minimum hourly wage. The total State cost of this provision is 
estimated to be $21,604,237 in fiscal year 2025-26 and $22,036,332 in fiscal year 2026-27 and is fully funded by the 
State. These costs reflect updated estimates prepared by the Department of Education in April 2024. 
LR3090(10) - Fiscal Note - Page 1 of 2 
;s~(S~7\~ 
The amendment modifies the upper limit on transfers from the Salary Plan used to fund collective bargaining 
agreements. The fixed limit of $99,000,000 established in PL 2023, c. 406 is replaced with a variable limit determined 
by the full amount that has accrued in the Salary Plan program, General Fund account within the Depatiment of 
Administrative and Financial Services (DAFS) at the time agreements are reached. The unobligated balance in the 
Salary Plan is currently $147,480,436. The amount of balances that will be available at the time agreements are 
reached cannot be detennined at this time. 
This amendment provides ongoing General Fund appropriations of $1,353,000 per year beginning in fiscal year 2024-
to the School and Student Supports program within the Department of Education for grants to school 
administrative units for contracted behavioral and mental health services for students. The grants are based on the 
population of each school administrative unit. 
The amendment includes ongoing General Fund appropriations to DAFS of $5,341,623 beginning in fiscal year 2024-
for the increased costs of recruitment and retention adjustments resulting from changes to the eligibility criteria for 
adjustments, two additional staff positions in the Bureau of Human Resources (BHR) within DAFS to manage 
increased recruitment and retention initiatives and for payments to contracted mediation and arbitration services. 
LR3090(10) - Fiscal Note - Page 2 of2