An Act to Expand the Reimbursement to Hospitals for Days Awaitmg Placement in Facilities
Maine Legislature, Session 131, LD 0225
Committee Amendment CA_A_H118 (House)
Amends: 22 MRSA §3174-A

COMMITTEE AMENDMENT '.A "to HP. 146, L D. 225, "An Act to Expand the 
Reimbursement to Hospitals for Days Awaitmg Placement in Facilities" 
Amend the bill by stnkmg out the title and substitutmg the following 
'An Act Regarding Reimbursement to Hospitals for Patients Awaiting Placement in 
Nursing Facilities' 
Amend the bill by strikmg out everythmg after the enactmg clause and mseitmg the 
followmg 
'Sec. 1. 22 MRSA §3174-AAA, as enacted by PL 2017, c 454, §1, is amended to 
read 
§3174-AAA. 
Reimbursement for days awaiting placement; reimbursement for 
hospitals other than critical access hospitals 
Begmning January 1, 2019, the The department shall provide ieimbursement to 
hospitals other than critical access hospitals for each day aftei the 10th day that a 
MameCare-elig1ble mdividual is m the care of a hospital whtle awaitmg placement m a 
nursmg facility The department shall reimburse hospitals prospectively at the statewide 
average rate per MameCare member day for nursmg facility services The department shall 
compufe the statewide average rate per MameCare member day based on the simple 
averagb of the nursmg facility rate per MameCare member day for the applicable state 
fiscal-Jear or years prorated for the hospital's fiscal year Re1mb1:1:Fsemem: for days a1.va1t1ng 
placement pursaant to tlus section 1s lumted to a mruumam of $500,000 of combined 
General Fand fimds and federal fonds for each yea1 For purposes of this section, "cntical 
access hospital" has the same meaning as m sect10n 7932, subsection 10. 
This seetton ts repealed December 31, 2023 
Sec. 2. Appropriations and allocations. The followmg approp11ations and 
allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
COMMITTEE AMENDMENT 
o<o 
~ 
COMMITTEE AMENDMENT ;4- "to HP 146, L D 225 
Medical Care - Payments to Providers 0147 
Inrtiative Provides ongoing funding to continue payments for days that MaineCare-ehgible 
md1viduals are awaitmg placement in a nursing facihty, as this legislation removes the 
prov1S1on that repeals the Mame Revised Statutes, Title 22, section 3174-AAA on 
December 31, 2023 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2023-24 
$152,732 
$152,732 
2023-24 
$256,189 
$256,189 
2024-25 
$305,791 
$305,791 
2024-25 
$512,051 
$512,051 
Amend the bill by relettermg or renumbermg any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment removes the provisions m the bill that reqmre the Department of 
Health and Human Services to provide reimbursement to hospitals for MameCare-ehgible 
mdividuals awaiting placement m a residential care facility The amendment ehmmates 
the current maximum hmit of $500,000 a year for reimbursement to hospitals for 
MameCare-ehg1ble individuals awa1tmg placement m nursmg facihties The amendment 
also adds an appropriations and allocat1ons section 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 04/23/23 .::kJ,ae. 
LD225 
LR 131(02) 
An Act to Expand the Reimbursement to Hospitals for Days Awaiting Placement in Facilities 
Fiscal Note for Bill as Amended by Committee Amendment "J' 0lf -/ / '6J 
Committee: Health and Human Services 
~ 
Net Cost (Savings) 
General Fund 
~,, 
) 
" rippropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$152,732 
$152,732 
$256,189 
$256,189 
FY 2024-25 
$305,791 
$305,791 
$512,051 
$512,051 
Projections 
FY 2025-26 
$305,955 
$305,955 
$511,887 
$511,887 
Projections 
FY 2026-27 
$305,955 
$305,955 
$511,887 
$511,887 
The bill includes General Fund appropnat1ons to the Department of Health and Human Services of $152,732 in fiscal 
year 2023-24 and $305,791 in fiscal year 2024-25 to continue payments for days awaiting placement, as the bill 
removes the prov1S1on that repeals the current law on December 31, 2023 and removes the $500,000 cap on annual 
expenditures Federal Expenditures Fund allocations are also included for the FMAP match 
LR0131(02) - Fiscal Note - Page 1 of 1