An Act to Assist Nursmg Homes m the Management ofFacihty Beds
Maine Legislature, Session 131, LD 0938
Committee Amendment CA_A_H181 (House)

COMMITTEE AMENDMENT "A" to HP 585, L D 938, "An Act to Assist 
Nursmg Homes m the Management ofFacihty Beds" 
Amend the bill by strikmg out all of section 4 and msertmg the followmg 
'Sec. 4. Appropriations and allocations. The followmg app10pnations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Division of Licensing and Certification Z036 
Imtiatlve Provides fundmg for one half-time Office Associate II position to handle 
mcreased respons1b1hties 
GENERAL FUND 
Personal Services 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Nursing Factlities 0148 
2023-24 
2024-25 
$19,568 
$20,782 
$2,549 
$2,549 
$22,117 
$23,331 
2023-24 
2024-25 
500 
500 
$30,606 
$32,506 
$4,823 
$4,869 
$35,429 
$37,375 
Imtiat1ve Provides appropnat10ns and allocations fm the Department of Health and Human 
Services to account for the impact on the occupancy penalty from the modification of the 
ability ofnursmg facihties to voluntauly reduce the numbe1 ofthe1r hcensed beds 
GENERAL FUND 
2023-24 
2024-25 
COMMITTEE AMENDMENT 
ROS 
COMMITI'EE AMENDMENT" A" to HP 585, L D 938 
All Other 
$1,131,599 
$1,175,079 
GENERAL FUND TOTAL 
$1,131,599 
$1,175,079 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$2,391,764 
$2,348,284 
FEDERALEXPENDITURESFUNDTOTAL 
$2,391,764 
$2,348,284 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$224,896 
$224,896 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$224,896 
$224,896 
Nursing Facilities 0148 
Imtiattve· Provides appropnat1ons and allocations for the Department of Health and Human 
Services to mclude in its calculation of reimbursement for services provided by a nursing 
facility the cost mcurred by the facility for a medical director 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$1,431,260 
$1,431,260 
GENERAL FUND TOTAL 
$1,431,260 
$1,431,260 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
All Other 
$91,357 
$91,357 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$91,357 
$91,357 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2023-24 
2024-25 
GENERAL FUND 
$2,584,976 
$2,629,670 
FEDERAL EXPENDITURES FUND 
$2,391,764 
$2,348,284 
OTHER SPECIAL REVENUE FUNDS 
$351,682 
$353,628 
DEPARTMENT TOTAL-ALL FUNDS 
$5,328,422 
$5,331,582 
Amend the bill by relettering 01 renumbering any nonconsecutive Part lette1 01 section 
number to read consecutively 
COMMITTEE AMENDMENT 
, 
ROS 
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COMMITTEE AMENDMENT" A" to HP 585, L D 938 
SUMMARY 
This amendment removes from the bill the requirement that the Department of Health 
and Human Services include the cost of computer and cloud-based software systems under 
fixed costs for nursing fac1hty reimbursement The amendment adds an appropriations and 
allocations section 
FISCAL NOTE REQUIRED 
(See attached) 
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COMMITTEE AMENDMENT 
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Approved 05/15/23 ;'!;Pae. 
LD938 
LR 878(02) 
An Act to Assist Nursing Homes in the Management of Facility Beds 
Fiscal Note for Bill as Amended by Committee Amendment ''A' ( H 
~ /g {) 
Committee: Health and Human Services 
Net Cost (Savmgs) 
General Fund 
Appropriations/ Allocations 
Genetal Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal DetaII and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$2,584,976 
$2,584,976 
$2,391,764 
$351,682 
$2,391,764 
$351,681 
FY 2024-25 
$2,629,670 
$2,629,670 
$2,348,284 
$353,628 
$2,348,284 
$353,627 
Projections 
FY 2025-26 
$2,630,146 
$2,630,146 
$2,348,284 
$354,390 
$2,348,284 
$354,389 
Projections 
FY 2026-27 
$2,630,676 
$2,630,676 
$2,348,284 
$355,238 
$2,348,284 
$355,237 
The bill mcludes General Fund appropnat10ns to the Department of Health and Human Services of $2,584,976 111 
fiscal year 2023-24 and $2,629,670 m fiscal year 2024-25 to account for the nnpact on the occupancy penalty from the 
mod1ficat1011 of the ab1hty of nursmg fac1ht1es to voluntarily reduce the number oftheff licensed beds and to mclude 
m the calculation of rennbursement for services provided by a nursmg fac1hty the cost mcurred by the fac1hty for a 
medical director Federal Expenditures Fund allocations are also mcluded for the FMAP match and Other Special 
Revenue Funds allocations for the Service Provider Tax 
LR0878(02) - Fiscal Note - Page 1 of 1