An Act to Support Individuals with Personality Disorder or Emotional Dysregulation by Requiring Reimbursement Under the MaineCare Program
Maine Legislature, Session 131, LD 0840
Committee Amendment CA_A_SA_A_S744 (Senate)

SENATE AMENDMENT"/+-" to COMMITTEE AMENDMENT "A" to H.P. 529, 
L.D. 840, "An Act to Support Individuals with Personality Disorder or Emotional 
Dysregulation by Requiring Reimbursement Under the MaineCare Program" 
Amend the amendment by striking out the substitute title and insetting the following: 
'An Act to Support Individuals with Personality Disorder or Disorders Associated 
with Primary Emotional Dysregulation by Requiring Reimbursement Under the 
MaineCare Program Through a Pilot Program' 
Amend the amendment by striking out everything after the substitute title and insetting 
the following: 
'Amend the bill by striking out eve1ything after the enacting clause and insetting the 
following: 
'Sec. 1. Pilot program; reimbursement for treatment of personality 
disorder and emotional dysregulation. No later than 90 days after adjournment of the 
Services shall reimburse under the MaineCare program for the treatment of personality 
disorder and other disorders associated with primary emotional dysregulation through a 
pilot program to be developed by the depa11ment. In developing the pilot program, the 
depat1ment shall establish a bundled reimbursement rate for the evidence-based treatment 
of up to 25 MaineCare members diagnosed with personality disorder or other disorders 
associated with primary emotional dysregulation. 
In 
establishing the bundled 
reimbursement rate, the depat1ment shall consider various bundled reimbursement rate 
structures, including a daily rate and a monthly rate. The bundled reimbursement rate must 
include participation in a dialectical behavior therapy intensive outpatient program, 
psychiatry services, nursing services, case management, after-hours skills coaching, 
suppot1ed employment services aild initial pilot program development costs. 
Sec. 2. Report. By November 7, 2025, the Depa11ment of Health and Human Services 
shall submit a repot1 to the joint standing committee of the Legislature having jurisdiction 
over health and human services matters addressing the implementation and effectiveness 
of the pilot program under section 1 and making recommendations regarding futiher 
expansion effot1s. The repot1 must also include the projected cost of providing treatment 
8 
to 25 MaineCare members diagnosed with personality disorder or other disorders 
Page I - 131LR1877(04) 
SENATE AMENDMENT 
ROS 
SENA TE AMENDMENT "P, "to COMMITTEE AMENDMENT "A" to H.P. 529, L.D. 840 (s~ l lf 4) 
associated with primary emotional dysregulation not served by the pilot program. The joint 
standing committee may submit legislation to the Second Regular Session of the 132nd 
Legislature to continue or expand the pilot program. 
Sec. 3. 
Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Mental Health Services - Community Medicaid Z201 
Initiative: Provides one-time funding for a pilot program to reimburse for treatment of up 
to 25 MaineCare members diagnosed with personality disorder or other disorders 
associated with primary emotional dysregulation using a bundled rate. 
GENERAL FUND 
2023-24 
All Other 
$0 
GENERAL FUND TOTAL 
$0 
2024-25 
$650,000 
$650,000 
Amend the amendment by relettering or renumbering any nonconsecutive Pait letter or 
section number to read consecutively. 
SUMMARY 
This amendment amends Committee Amendment "A" and replaces the bill. The 
amendment directs the Depa1tment of Health and Human Services to develop a pilot 
program to reimburse under the MaineCare program for treatment of up to 25 MaineCare 
members diagnosed with personality disorder or other disorders associated with primary 
emotional dysregulation using a bundled rate. It also requires the depa1tment to submit a 
repo1t to the joint standing committee of the Legislature having jurisdiction over health and 
human services matters addressing the implementation and effectiveness of the pilot 
program by November 7, 2025. The amendment also allows the joint standing committee 
to submit legislation to the Second Regular Session of the 132nd Legislature to continue or 
expand the pilot program. 
SPONSORED BY: 
!llA. 1 ~ ~ 
u 
--~--~----~-----
(Senator ROTUNDO, M.) 
COUNTY: Androscoggin 
FISCAL NOTE REQUIRED 
(See attached) 
SENATE AMENDMENT 
Approved: 05/08/24 frac:.. 
LD 840 
LR 1877(04) 
.An Act to Support Individuals with Personality Disorder or Disorders Associated with Primary 
Emotional Dysregulation by Requiring Reimbursement Under the MaineCare Program 
Fiscal Note for Senate Amendment ':4" to Committee Amendment "A" { S-7'/L{) 
Sponsor: Sen. Rotundo of Androscoggin 
. • 
Net Cost (Savings) 
Gerieral Fund 
'Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Othet' Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
FY 2024-25 
Projections 
FY 2025-26 
Projections 
FY 2026~27 
$0 
($1,220,120) 
($3,740,240) 
($3,740,240) 
$0 
$0 
$0 
$0 
$0 
($1,220,120) 
($4,030,689) 
($376,647) 
($4,030,689) 
($376,647) 
($3,740,240) 
($8,061,377) 
($753,295) 
($8,061,377) 
($753,295) 
($3,740,240) 
($8,061,377) 
($753,295) 
($8,061,377) 
($753,295) 
The amendment removes the ongoing General Fund appropriations to the Department of Health and Human Services 
of $1,870,120 in fiscal year 2024-25 for reimbursement for treatment of personality disorder and emotional 
dysregulation in MaineCare beginning on January 1, 2025 and also removes the conesponding Federal Expenditures 
Fund allocations for the FMAP match and the Other Special Revenue Funds allocations for the Service Provider Tax. 
The amendment replaces the ongoing appropriations with a one-time General Fund appropriation to the Department of 
Health and Human Services of $650,000 in fiscal year 2024-25 for a pilot program to reimburse for treatment of 
personality disorder and emotional dysregulation using a bundled rate to treat up to 25 MaineCare members. 
LR1877(04) - Fiscal Note - Page 1 of I