An Act to Maximize Federal Funding in Support of Emergency Medical Services
Maine Legislature, Session 131, LD 1751
Committee Amendment CA_A_S573 (Senate)

COMMITTEE AMENDMENT " f} " to S.P. 696, L.D. 1751, "An Act to Maximize
Federal Funding in Support of Emergency Medical Services"
Amend the bill by striking out the title and substituting the following:
'Resolve, to Direct the Department of Health and Human Services to Explore the
Feasibility of an Ambulance Service Assessment Fee'
Amend the bill by striking out everything after the title and inserting the following;
'See. 1. Department of Health and Human Services to explore feasibility of
ambulance service assessment fee and voluntary programs that increase
funding. Resolved: That the Department of Health and Human Services shall conduct
an analysis of the feasibility of implementing an ambulance service assessment fee to
maximize federal Medicaid matching funds to be distributed to ambulance service
providers. The department shall examine other states with service provider taxes or fees
for ambulance services and consult with the United States Department of Health and
Human Services, Centers for Medicare and Medicaid Services; the Department of
Administrative and Financial Services, Bureau of Revenue Services; the Department of
Public Safety, Maine Emergency Medical Services; and any other relevant parties on the
feasibility of such a fee. The analysis must include, at a minimum, an estimate of funds to
be raised, potential technology costs and other costs for implementation and administration
and a timeline for implementing the assessment fee. The department shall also explore the
potential for voluntary programs with municipalities that increase funding to governmental
ambulance service providers through the implementation of an intergovernmental transfer
0 program. The department shall submit a report with the results and recommendations from
the analysis to the joint standing committee of the Legislature having jurisdiction over
health and human services matters no later than January 10, 2025. The joint standing
committee of the Legislature having jurisdiction over health and human services matters is
authorized to report out legislation related to the report to the 132nd Legislature in 2025.
Sec. 2. Appropriations and allocations. Resolved: That the following
appropriations and allocations are made,
COMMITTEE AMENDMENT
COMMITTEE AMENDMENT " ft " to S.P. 696, L.D. 1751 (5-'
GENERAL FUND TOTAL
FEDERAL EXPENDITURES FUND
All Other
$0
2023-24
$0
$162,500
2024-25
$166,483
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Office of MaineCare Services 0129
Initiative: Provides one-time funding for the Department 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 IVtedicaid 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 2023-24 2024-25
AHOther $0 $162,500
FEDERAL EXPENDITURES FUND TOTAL $0 $166,483
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section
number to read consecutively.
SUMMARY
This amendment replaces the bill with a resolve that requires the Department of Health
and Human Services to conduct an analysis of the feasibility of implementing an ambulance
service assessment fee to maximize federal Medicaid matching funds to be distributed to
ambulance service providers. The department must also explore the potential for voluntary
programs to increase funding to governmental ambulance service providers by
implementing an intergovernmental transfer program. The department must submit a
report with results and recommendations from the analysis to the joint standing committee
of the Legislature having jurisdiction over health and human services matters no later than
January 10,2025.
FISCAL NOTE REQUIRED
(See attached)
COMMITTEE AMENDMENT
Revised: 02/23/24 ^K?<=-
LD 1751 LR 494(02)
An Act to IVIaximize Federal Funding in Support of Emergency Medical Services
Fiscal Note for Bill as Amended by Committee Amendment '^"^,5-5^3
Committee: Health and Human Services
Fiscal Note Required: Yes
Fiscal Note
Projections Projections
FY 2023-24 FY 2024-25 FY 2025-26 FY 2026-27
Net Cost (Savings)
General Fund $0 $162,500 $0 $0
/ppropriations/Allocations
General Fund $0 $162,500 $0 $0
Federal Expenditures Fund $0 $166,483 $0 $0
Revenue
Federal Expenditures Fund $0 $166,483 $0 $0
Fiscal Detail and Notes
This bill includes a one-time General Fund appropriation to the Department of Health and Human Services of
$162,500 in fiscal year 2024-25 to contract with an entity to conduct an analysis of the feasibility of implementing an
ambulance 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. Federal Expenditures Fund allocations are also included for the
FMAP match.
LR0494(02) - Fiscal Note - Page 1 of 1