Resolve, to Protect and Enhance Access to Behavioral Health Services in Androscoggin County and Surrounding Communities i2 Amend th·e resolve in the emergency preamble by inserting after the 7th paragraph the following: Whereas, Tri-County Mental Health Services, a vital provider of community-based behavioral health services, is experiencing acute financial pressure and facing imminent closure; and Whereas, Spurwink Services is positioned to acquire Tri-County Mental Health Services but requires one-time financial suppott to complete the acquisition; and
Maine Legislature, Session 131, LD 2105
Committee Amendment CA_A_S614 (Senate)

COMMITTEE AMENDMENT" A "to S.P. 898, L.D. 2105, "Resolve, to Protect and 
Enhance Access to Behavioral Health Services in Androscoggin County and Surrounding 
Communities" 
i2 
Amend th·e resolve in the emergency preamble by inserting after the 7th paragraph the 
following: 
'Whereas, Tri-County Mental Health Services, a vital provider of community-based 
behavioral health services, is experiencing acute financial pressure and facing imminent 
closure; and 
Whereas, Spurwink Services is positioned to acquire Tri-County Mental Health 
Services but requires one-time financial suppott to complete the acquisition; and' 
Amend the resolve in section 1 in the first line (page 1, line 32 in L.D.) by insetting 
after the following: "funding" the following: 'to St. Mary's Regional Medical 
Center' 
Amend the resolve by striking out all of section 2 and insetting the following: 
'Sec. 2. Emergency funding to Spurwink Services to preserve health care 
access. Resolved: That the Depaitment of Health and Human Services shall provide a 
grant of emergency funding to allow Spurwink Services to acquire Tri-County Mental 
Health Services. Funds made available by this resolve niust be disbursed no later than July 
1, 2024. 
Sec. 3. 
Appropriations and allocations. Resolved: That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of Substance Abuse and Mental Health Services Zl99 
Initiative: Provides emergency one-time funding to St. Mary's Regional Medical Center to 
cover projected operating losses in the fiscal period beginning Januaiy 1, 2023 and ending 
June 30, 2024 and to sustain and improve acute behavioral health care services. 
Page I - 131LR2910(02) 
COMMITTEE AMENDMENT 
~O~-" 
COMMITTEE AMENDMENT" ft "to S.P. 898, L.D. 2105 ( S, {Q/ 4; 
GENERAL FUND 
2023-24 
$0 
2024-25 
$8,900,000 
... ~·· 
All Other 
GENERAL FUND TOTAL 
$0 
$8,900,000 
Office of Substance Abuse and Mental Health Services Z199 
Initiative: Provides emergency one-time funding to Spurwink Services to acquire Tri-
County Mental Health Services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
2024-25 
$1,900,000 
$1,900,000 
2024-25 
$10,800,000 
$10,800,000 
Amend the resolve by relettering or renumbering any nonconsecutive Pait letter or 
section number to read consecutively. 
SUMMARY 
The resolve directs the Department of Health and Human Services to provide 
emergency funding to cover operating losses associated with providing acute behavioral 
health care services provided by St. Mary's Regional Medical Center in Lewiston to ensure 
that those services can be continued and expanded to meet urgent needs in Androscoggin 
County and surrounding communities while avoiding cmtailment of other critically 
impo1tant health care services in the region. This amendment also directs the department 
to provide emergency funding to allow Spurwink Services to acquire Tri-County Mental 
Health Services. It amends the appropriations and allocations section to appropriate 
$8,900,000 in fiscal year 2024-25 for St. Mary's and $1,900,000 for Spurwink. The funds 
must be disbursed by July 1, 2024. 
FISCAL NOTE REQUIRED 
5 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/15/24 feae 
LD 2105 
LR 2910(02) 
Resolve, to Protect and Enhance Access to Behavioral Health Services in Androscoggin County and 
Surrounding Communities 
Fiscal Note for Bill as Amended by Committee Amendment ''JP l 5--lti,/ 0 
Committee: Health and Human Services 
"'J 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
Projections 
FY 2025-26 
Projections 
FY 2026-27 
Net Cost (Savings) 
General Fund 
,ppropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
$0 
$0 
$10,800,000 
$0 
$10,800,000 
$0 
This bill i11cludes a one-time General Fund appropriation to the Department of Health and Human Services of 
$10,800,000 in fiscal year 2024-25 for emergency one-time funding to St. Ma1y's Regional Medical Center, 
$8,900,000 to cover projected operating losses in the fiscal period beginning Januaiy 1, 2023 and ending June 30, 
2024 and to sustain and improve acute behavioral health care services and $1,900,000 to Spurwink Services to 
acquire Tri-county Mental Health Services. 
LR29 l 0(02) - Fiscal Note - Page I of I 
$0 
$0