Resolve, to Automatically Increase a Residential Care or Nursmg Facility Resident's Personal Needs Allowance Under the MameCare Program When the Consumer Pnce Index Increases
Maine Legislature, Session 131, LD 0587
Committee Amendment CA_A_S131 (Senate)

CO:MMITTEE AMENDMENT ",4-- " to SP 255, L D 
587, "Resolve, to 
Automatically Increase a Residential Care or Nursmg Facility Resident's Personal Needs 
Allowance Under the MameCare Program When the Consumer Pnce Index Increases" 
Amend the resolve by stnkmg out the title and substitutmg the followmg 
'Resolve, to Increase Res1dent1al Care and Nursmg Facility Residents' Personal Needs 
Allowances Under the MameCare Program' 
Amend the resolve by stnkmg out everythmg after the title and msertmg the followmg 
'Sec. 1. 
Personal needs allowance for residents of nursing fac1bties. 
Resolved: That, by January 1, 2025, the Department of Health and Human Services shall 
amend the rules for the MameCare program to mcrease the personal needs allowance for 
persons residmg m nursmg facilities The rules must provide for an mcrease m the personal 
needs allowance to $70 per month Rules adopted pursuant to this sect10n are routme 
techmcal rules as defined m the Mame Revised Statutes, Title 5, chapter 375, subchapter 
2-A 
Sec. 2. Personal needs allowance for residents of res1dent1al care facilities. 
Resolved: That, by January 1, 2025, the Department of Health and Human Services shall 
amend the rules for the MameCare program to mcrease the personal needs allowance for 
persons residmg m residential care facilities The rules must provide for an mcrease m the 
personal needs allowance to $100 per month Rules adopted pursuant to this section are 
routme techmcal rules as defined m the Mame Revised Statutes, Title 5, chapter 375, 
subchapter 2-A 
Sec. 3. Cost-of-living increases. Resolved: That the Department of Health and 
Human Services shall apply a cost-of-hvmg mcrease to the personal needs allowance for 
persons residmg m nursmg facilities or residential care facilities under the rules for the 
MameCare program on an annual basis The mflat10n-adJusted cost-of-hvmg percentage 
change must be made m accordance with the Umted States Department of Labor, Bureau 
5 
of Labor Statistics Consumer Pnce Index The personal needs allowance may not be 
6 
reduced if the cost-of-hvmg change for a year is negative 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT" A "to SP 255, L D 587 ( 'S-i'30 
Sec. 4. 
Appropriations and allocations. Resolved: That the followmg 
appropnatlons and allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Imtiatlve Appropnates and allocates funds to mcrease the personal needs allowances of 
residents m residential care facihties from $70 to $100 by January 1, 2025 
GENERAL FUND 
2023-24 
All Other 
$0 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services - Commumty Med1ca1d Z201 
$0 
2023-24 
$0 
$0 
2024-25 
$111,410 
$111,410 
2024-25 
$450,961 
$450,961 
Inrtiative Appropnates funds to mcrease the personal needs allowances of residents m 
residential care faciht1es from $70 to $100 by January 1, 2025 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Nursmg Fac1bt1es 0148 
2023-24 
$0 
$0 
2024-25 
$108,452 
$108,452 
Initiative Appropnates and allocates funds to mcrease the personal needs allowances of 
reSJ.dents m nursmg fac1hties from $40 to $70 by January 1, 2025 
GENERAL FUND 
2023-24 
All Other 
$0 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
2023-24 
$0 
$0 
Office of Substance Abuse & Mental Health Srv-Med1ca1d Seed Z202 
2024-25 
$269,309 
$269,309 
2024-25 
$372,289 
$372,289 
Imtiatlve Appropnates funds to mcrease the personal needs allowances of residents m 
residential care facihties from $70 to $100 by January 1, 2025 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2023-24 
$0 
$0 
COMMITTEE AMENDMENT 
2024-25 
$2,465 
$2,465 
ROS 
COMMITTEE AMENDMENT" A-" to SP 255, L D 587 ( £> --f~) 
PNMI Room and Board Z009 
Imtiative Appropriates funds to mcrease the personal needs allowances of residents m 
residential care facilities from $70 to $100 by January 1, 2025 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
$0 
2024-25 
$64,604 
$64,604 
2024-25 
$556,240 
$823,250 
$1,379,490 
Amend the resolve by relettermg or renumbermg any nonconsecutive Part letter or 
section number to read consecutively 
SUMMARY 
This amendment replaces the resolve It drrects the Department of Health and Human 
Services to amend its MameCare rules to provide for mcreases m the personal needs 
allowances of residents m nursmg facilities to $70 per month and m residential care 
facilities to $100 per month It also applies an annual cost-of-hvmg mcrease to the personal 
needs allowances 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 05/08/23 ;$Pae 
LD587 
LR 2024(02) 
Resolve, to Automatically Increase a Residential Care or Nursmg Facility Resident's Personal Needs 
Allowance Under the MaineCare Program When the Consumer Price Index Increases 
Fiscal Note for Bill as Amended by Committee Amendment ''a" {5-/ol) 
Committee: Health and Human Services 
Net Cost (Savmgs) 
General Fund 
Appropriations/ Allocat1ons 
Gene1 al Fund 
Federal Expenditures Fund 
Revenue 
Federal Exp en di tures Fund 
Fiscal DetaII and Notes 
Fiscal Note Reqmred: Yes 
Fiscal Note 
FY 2023-24 
$0 
$0 
$0 
$0 
FY 2024-25 
$556,240 
$556,240 
$823,250 
$823,250 
Projections 
FY 2025-26 
$1,243,444 
$1,243,444 
$1,835,382 
$1,835,382 
ProJections 
FY 2026-27 
$1,513,885 
$1,513,885 
$2,226,606 
$2,226,606 
This bill mcludes General Fund appropnat10ns to the Department of Health and Human Services of $556,240 
begmnmg m fiscal year 2024-25 to mcrease the personal needs allowances of residents m residential care facilities 
from $70 to $ 100 and ofresidents m nursmg facilities from $40 to $70 by January 1, 2025 Federal Expenditures Fund 
allocations are also mcluded for the FMAP match 
LR2024(02) - Fiscal Note - Page 1 of 1