An Act to Ensure Transparent and Accountable Temporary Nurse Agencies
Maine Legislature, Session 131, LD 0451
Committee Amendment CA_A_SA_A_S506 (Senate)
Amends: 22 MRSA §3174-C

SENATE AMENDMENT "ft " to COlVlMITTEE AMENDivIENT "A" to SP 205, 
L D 451, "An Act to Ensure Transparent and Accountable Temporary Nurse Agencies" 
Amend the amendment on page 2 by strikmg out all of section 7 and msertmg the 
following 
'Sec. 7. 22 MRSA §3174-C, as enacted by PL 1985, c 769, § 1, is repealed and the 
following enacted m its place 
§3174-C. Coverage for mpatient hospital mental disease treatment services 
1. 
Reimbursement regmred. 
Provided that the federal maintenance-of-effort 
requirements are satisfied, the department shall provide re1mbursement, under the Umted 
States Social Security Act, Title XIX, for mpatient psychiatric facility care and treatment 
of patients with mental diseases 
2. Legislative review for certam reimbursement rates. The department may not 
decrease the reimbursement rate for distmct psychiatric umt discharges for Northern Mame 
Medical Center or its successor hospital without legislative approval N otwithstandmg 
section 3173, rules decreasmg the re1mbursement rate under this subsection are ma1or 
substantive rules as defmed m Title 5, chapter 375, subchapter 2-A 
Sec. 8. Appropriations and allocations. The followmg appropriations and 
allocat10ns are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Division of Licensmg and Certification Z036 
Initiative Provides funding for one Comprehensive Health Planner II position to assist with 
the tracking of temporary nurse staffing agency registrations for admmistrative changes, 
complaint mvestigations, audits related to the new requirements and draftmg the required 
annual report 
GENERAL FUND 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
2023-24 
000 
$39,228 
$2,549 
SENATE AMENDMENT 
2024-25 
000 
$41,393 
$2,549 
'flOS 
SENATE AMENDMENT" Pt to COMMITTEE AMENDMENT "A" to SP 205, L D 451 
GENERAL FUND TOTAL 
$41,777 
$43,942 
OTHER SPECIAL REVENUE FUNDS 
2023-24 
2024-25 
Personal Services 
$61,356 
$64,743 
All Other 
$5,565 
$5,646 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$66,921 
$70,389 
Medical Care - Payments to Providers 0147 
Imtiative Provides fundmg to mamtam the current re1mbursement rate for distmct 
psychiatric umt discharges for Northern Mame Medical Center or its successor hospital 
Mthout legislative approval 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$157,120 
$215,510 
GENERAL FUND TOTAL 
$157,120 
$215,510 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Other 
$379,759 
$500,699 
FEDERAL EXPENDITURES FUND TOTAL 
$379,759 
$500,699 
FEDERAL BLOCK GRANT FUND 
2023-24 
2024-25 
All Other 
$25,621 
$33,791 
FEDERAL BLOCK GRANT FUND TOTAL 
$25,621 
$33,791 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2023-24 
2024-25 
GENERAL FUND 
$198,897 
$259,452 
FEDERAL EXPENDITURES FUND 
$379,759 
$500,699 
OTHER SPECIAL REVENUE FUNDS 
$66,921 
$70,389 
FEDERAL BLOCK GRANT FUND 
$25,621 
$33,791 
DEPARTMENT TOTAL-ALL FUNDS 
$671,198 
$864,331 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or 
sect10n number to read consecutively 
SENATE AMENDMENT 
~os 
SENATE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to SP 205, L D 451 
SUMMARY 
This amendment prohibits the Department of Health and Human Services from 
decreasmg the reimbursement rate for d1stmct psychiatnc umt discharges for N orthem 
Mame Medical Center or its successor hospital without legislative approval It provides 
fundmg to mamtam fundmg for the reimbursement rate It also provides fundmg for a 
posit10n to assist with trackmg nurse staffmg agency registrat10ns 
SPONSORED BY. ~-£__ 
= 
? 
/ 
(President JACKSON, T) 
COUNTY Aroostook 
FISCAL NOTE :REQUIRED 
(See attacked) • 
SENA TE AMENDMENT 
Approved 07 /21 /23 ;:!;Pae 
LD 451 
LR 877(05) 
An Act to Ensure Transparent and Accountable Temporary Nurse Agencies 
Fiscal Note for Senate Amendment ''/f' to Committee Amendment "A" 
Sponsor: Pres. Jackson of Aroostook 
Net Cost (Savmgs) 
Gene1 al Fund 
Appropnat10ns/ Allocat10ns 
Genet al Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Federal Block Grant Fund 
Revenue 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$157,120 
$157,120 
$379,759 
$0 
$25,621 
$0 
FY 2024-25 
$215,510 
$215,510 
$500,699 
$0 
$33,791 
$0 
Project10ns 
FY 2025-26 
$215,510 
$215,510 
$500,699 
$0 
$33,791 
$0 
Pro1ections 
FY 2026-27 
$215,510 
$215,510 
$500,699 
$0 
$33,791 
$0 
This amendment adds General Fund appropriations of $157,120 111 fiscal year 2023-24 and $215,510 111 fiscal year 
2024-25 to the Mech.cal Care - Payment to Providers program 111 the Department of Health and Human Services to 
ma111ta111 the current reunbursement rate for d1st111ct psychiatric umt dischaiges for Nm them Mame Medical Center or 
its successor hospital without legislative approval Federal Expenditures Fund and Federal Block Grant Fund 
allocat10ns are also provided for the FMAP match 
LR0877(05) - Fiscal Note - Page 1 of 1