An Act to Maximize Federal Funding in Suppo1i of Emergency Medical IO Services
Maine Legislature, Session 131, LD 1751
Committee Amendment CA_A_SA_A_S759 (Senate)

SENATE AMENDMENT" 4 "to COMMITTEE AMENDMENT "A" to S.P. 696, 
L.D. 1751, "An Act to Maximize Federal Funding in Suppo1i of Emergency Medical 
IO 
Services" 
Amend the amendment by striking out the substitute title and replacing it with the 
following: 
'Resolve, to Direct the Department of Health and Human Services to Explore the 
Feasibility of an Ambulance Service Assessment Fee and to Temporarily Increase 
Ambulance Services Reimbursement Rates' 
Amend the amendment by striking out all of section 2 and insetiing the following: 
'Sec. 2. Ambulance services reimbursement rate. Resolved: 
That, 
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 Department of Health and Human Services shall reimburse for ambulance services 
under the MaineCare program at a level that is 140% of the average allowable 
reimbursement rate under Medicare for such services. 
Sec. 3. 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. Resolved: That, notwithstanding any provision of law to the 
contra1y, on or before June 30, 2025, the State Controller shall transfer $15,000,000 from 
the Department 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 - Payments to Providers program, Other Special 
Revenue Funds account. 
Sec. 4. 
Appropriations and allocations. Resolved: That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides a one-time allocation for a temporary change to the Depa1iment of 
7 
Health and Human Services mle Chapter 101: MaineCare Benefits Manual, Chapter III, 
Page I - 131LR0494(04) 
SENATE AMENDMENT 
SENATEAMENDMENT'A "to COMMITTEE AMENDMENT"A" to S.P. 696, L.D. 1751 { s-1sq) 
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 on June 30, 2027. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Office of MaineCare Services 0129 
2023-24 
2024-25 
$0 
$7,300,000 
$0 
$7,300,000 
2023-24 
2024-25 
$0 
$5,000,000 
$0 
$5,000,000 
Initiative: Provides one-time funding for the Depa1tment of Health and Human Services to 
contract with an entity to conduct an analysis of the feasibility of implementing an 
ambulance service assessment fee that generates federal Medicaid matching funds to be 
distributed to ambulance service providers and to explore the potential for voluntary 
programs to increase funding to governmental ambulance service providers using 
intergovernmental transfer programs. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
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 
PUBLIC SAFETY, DEPARTMENT OF 
EMS Stabilization and Sustainability Program Z382 
2023-24 
2024-25 
$0 
$162,500 
$0 
$162,500 
2023-24 
2024-25 
$0 
$166,483 
$0 
$166,483 
2023-24 
2024-25 
$0 
$162,500 
$0 
$7,466,483 
$0 
$5,000,000 
$0 
$12,628,983 
SENATE AMENDMENT 
SENA TE AMENDMENT "A "to COMMITTEE AMENDMENT "A" to S.P. 696, L.D. 1751 (S-l'S1i)) 
Initiative: Provides a one-time deallocation to the Emergency Medical Services 
Stabilization and Sustainability Program established under the Maine Revised Statutes, 
Title 32, section 98. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PUBLIC SAFETY, DEPARTMENT OF 
DEPARTMENT TOTALS 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
SECTION TOTAL - ALL FUNDS 
2023-24 
2024-25 
$0 
($15,000,000) 
$0 
($15,000,000) 
2023-24 
2024-25 
$0 
($15,000,000) 
$0 
($15,000,000) 
2023-24 
2024-25 
$0 
$162,500 
$0 
$7,466,483 
$0 
($10,000,000) 
$0 
($2,371,017) 
Amend the amendment by relettering or renumbering any nonconsecutive Pait 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. The amendment also replaces the appropriations and allocations section. 
SPONSORED BY: __ 01~-' 14~~ttA~tA_~t1 __ _ 
(Senator ROTUNDO, M.) 
COUNTY: Androscoggin 
FISCAL NOTE REQUIRED 
(See attached) 
SENATE AMENDMENT 
Approved: 05/07 /24 :::tPae 
LD 1751 
LR 494(04) 
Resolve, to Direct the Department of Health and Human Services to Explore the Feasibility of an 
Ambulance Service Assessment Fee 
Fiscal Note for Senate Amendment 'A-" to Committee Amendment "A" (s-1s~ 
Sponsor: Sen. Rotundo of Androscoggin 
Net Cost (Savings) 
Genei·al Fund • 
Appropriations/ A,.llocations 
Qeneral Fund. 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Transfers 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
$0 
$0 
$0 
$0 
$0 
$7,300,000 
$0 
($10,000,000) 
$0 
$0 
$0 
$0 
Projections 
FY 2025-26 
$0 
$7,300,000 
$5,000,000 
$0 
$0 
Projections 
FY 2026-27 
$0 
$7,300,000 
$5,000,000 
$0 
$0 
This amendment adds a one-time Federal Expenditures Fund allocation of $7,300,000 and a one-time Other Special 
Revenue Funds allocation of $5,000,000 beginning in fiscal year 2024-25 and ending in fiscal year 2026-27 for a 
teniporary change to the department'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 cunent published Medicare rates. It also provides a one-time transfer of 
$15,000,000 in fiscal year 2024-25 from the Depatiment of Public Safety, EMS Stabilization and Sustainability 
Program to the Depaiiment of Health and Human Services, Medical Care - Payments to Providers and provides a one-
time deallocation of the $15,000,000 to the EMS Stabilization and Sustainability Program. 
LR0494(04) - Fiscal Note - Page 1 of 1