An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and to Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2024 and June 30, 2025
Maine Legislature, Session 131, LD 2214
Committee Amendment CA_A_SA_B_S719 (Senate)

SENATE AMENDMENT" _B" to COMMITTEE AMENDMENT "A" to H.P. 1420, 
L.D. 2214, "An Act to Make Supplemental Appropriations and Allocations for the 
Expenditures of State Government, General Fund and Other Funds and to Change Certain 
Provisions of the Law Necessary to the Proper Operations of State Government for the 
Fiscal Years Ending June 30, 2024 and June 30, 2025" 
Amend the amendment by insetting after Patt TTTT the following: 
'PART UUUU 
Sec. UUUU-1. Ambulance services reimbursement rate. Notwithstanding the 
Maine Revised Statutes, Title 22, section 3174-JJ or any other provision of law to the 
contrary, beginning September 1, 2024 and ending June 30, 2027, the Depa1tment of Health 
and Human Services shall reimburse for ambulance services under MaineCare at a level 
that is 140% of the average allowable reimbursement rate under Medicare for such services, 
Sec. UUUU-2. Transfer from Department of Public Safety, Emergency 
Medical Services Stabilization and Sustainability Program, Other Special 
Revenue Funds account; Department of Health and Human Services, Medical 
Care - Payments to Providers. Notwithstanding any provision of law to the contrary, 
on or before June 30, 2025, the State Controller shall transfer $15,000,000 from the 
Depa1tment of Public Safety, Emergency Medical Services Stabilization and Sustainability 
Program, Other Special Revenue Funds account to the Department of Health and Human 
Services, Medical Care - Payni.ents to Providers program, Other Special Revenue Funds 
account. 
Sec. UUUU-3. Appropriations and allocations. The following appropriations 
and allocations are made, 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides one-time allocation for a temporary change to the depaitment's rule 
Chapter 101: MaineCare Benefits Manual, Chapter III, Section 5, Ambulance Services, so 
that effective September 1, 2024, MaineCare ambulance services codes with Medicare 
equivalents are reimbursed at 140% of the current published Medicare rates. This 
temporary increase ends June 30, 2027. 
Page l - 131LR3108(12) 
SENATE AMENDMENT 
o'o 
SENATE AMENDMENT "B" to COMMITTEE AMENDMENT "A" to H.P. 1420, L.D. 2214{_$ • 7 I 9J 
~ 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$0 
$7,300,000 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$7,300,000 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$0 
$5,000,000 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
$5,000,000 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2023-24 
2024-25 
FEDERAL EXPENDITURES FUND 
$0 
$7,300,000 
OTHER SPECIAL REVENUE FUNDS 
$0 
$5,000,000 
DEPARTMENT TOTAL-ALL FUNDS 
$0 
$12,300,000 
PUBLIC SAFETY, DEPARTMENT OF 
EMS Stabilization and Sustainability Program Z382 
Initiative: Provides one-time deallocation to the Emergency Medical Services Stabilization 
and Sustainability Fund established in the Maine Revised Statutes, Title 32, section 98. 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$0 
($15,000,000) 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$0 
($15,000,000) 
PUBLIC SAFETY, DEPARTMENT OF 
DEPARTMENT TOTALS 
2023-24 
2024-25 
OTHER SPECIAL REVENUE FUNDS 
$0 
($15,000,000) 
DEPARTMENT TOTAL-ALL FUNDS 
$0 
($15,000,000) 
SECTION TOTALS 
2023-24 
2024-25 
FEDERAL EXPENDITURES FUND. 
$0 
$7,300,000 
OTHER SPECIAL REVENUE FUNDS 
$0 
($10,000,000) 
SECTION TOTAL - ALL FUNDS 
$0 
($2,700,000) 
SENATE AMENDMENT 
s 
,~o 
SENATEAMENDMENT"6 "to CO~MITTEEAMENDMENT"A" to H.P. 1420, L.D. 2214 (5.7\~ 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment increases for 3 years the MaineCare reimbursement rate for 
ambulance services to 140% of the average allowable reimbursement rate under Medicare 
for such services. 
SPONSORED BY: __ 
._,_1~~-~ __ 
i-_j_f7-r-"1_,~--~-6-,, 
--/. 
,,.,.__, 
(Senat_or CURRY, C.) 
[,,/ 
COUNTY: Waldo 
FISCAL NOTE REQUIRED. 
(See attached) 
SENATE AMENDMENT 
Approved: 04/17 /24 feae 
LD 2214 
LR 3108(12) 
An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State 
·, Government, General Fund and Other Funds and to Change Certain Provisions of the Law Necessary 
to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2024 and.June 30, 
2025 
Fiscal Note for Senate Amendment'~' to Committee Amendment "A"(6·7\V 
Sponsor: Sen. di'rry of Waldo 
Appropriations/ Allocations 
Feq_~r!ll_Expenditures Fund 
Other Specia.l Revenue Funds 
Transfers 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
$0 
$7,300,000 
$0 
($10,000,000) 
$0 
$0 
Projections 
FY 2025-26 
$7,300,000 
$5,000,000 
$0 
Projections 
FY 2026-27 
$7,300,000 
$5,000 
$0 
This amendment makes a temporary change to the Department of Health and Human Services' (DHHS) rule Chapter 
101: MaineCare Benefits Manual, Chapter III, Section 5, Ambulance Services, so that effective July 1, 2024 
MaineCare Ambulance Services codes with Medicare equivalents are reimbursed at 140% of the current published 
Medicare rates through June 30, 2027. This amendment includes Other Special Revenue Funds allocations of 
$5,000,000 over 3 years to fund this temporary increase through June 30, 2027. Federal Expenditures Fund allocations 
are also focluded for the FMAP match. 
This amendment transfers $15,000,000 from the Department of Public Safety (DPS), EMS Stabilization and 
Sustainability program, Other Special Revenue Funds account to the DHHS, Medical Care - Payments to Providers 
program. The funding is deallocated in DPS and allocated over 3 years in DHHS. 
LR3108(12) - Fiscal Note - Page 1 of 1