An Act to Require the
Maine Legislature, Session 132, LD 0182
Committee Amendment CA_A_H702 (House)
Amends: 22 MRSA §1708-A

COMMITTEE AMENDMENT "k" to H.P. 115, L.D. 182, "An Act to Require the 
Department of Health and Human Services to Establish MaineCare Reimbursement Rates 
for the Maine Veterans1 Homes on a Per Resident Basis" 
Amend the bill by striking out the title and substituting the following: 
'An Act to Provide Per Diem Payments for MaineCare Residents of the Maine 
Veterans' Homes' 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
1Sec. 1. 22 MRSA §1708-A is enacted to read: 
§1708-A. Per diem payments to Maine Veterans' Homes 
Services provided by a veterans1 facility must be reimbursed by the MaineCare program 
at rates established by the department in accordance with this section. This section applies 
to rates that are paid from all funds. including federal funds. by an agency of the State to a 
veterans' facility for resident care. 
1. Definitions. As used in this section. unless the context otherwise indicates. the 
following terms have the following meanings. 
A. 
11Multilevel health care facility
has the same meaning as in section 7852. 
subsection 10-A. 
B. 
11Nursing home
has the same meaning as in section 1812-A. 
C. 
11Residential care facility
has the same meaning as in section 7852. subsection 14. 
D. 
11Veterans1 facility
means a nursing home. residential care facility or multilevel 
health care facility that is operated by the Maine Veterans1 Homes at any location 
required under Title 37-B. section 601. subsection 2. 
2. Per resident basis. Veterans1 facilities must be reimbursed on a per resident daily 
rate basis for services to residents covered by the MaineCare program. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "fr' to H.P. 115, L.D. 182 
3. Rate calculations. Different rates must be established for nursing home services 
and residential care facility services provided by a veterans' facility. 
A. For nursing homes, rate calculations under this section must follow the process and 
principles established in section 3173-J to determine a daily rate that is reasonable and 
adequate to cover the MaineCare allowable costs of operating a nursing home operated 
by the Maine Veterans' Homes to reflect any meaningful cost differences between 
veterans' and nonveterans' nursing home costs for the direct care and routine care cost 
components of the daily rate. Adjustments to rates and reimbursement for purposes 
that include, but are not limited to, audit procedures, quality and case mix must be made 
in the same manner as those adjustments are made for all other nursing homes as 
established in department rule. 
B. For residential care facilities, rate calculations under this section must include an 
add-on per diem rate that is reasonable and adequate to cover the demonstrated 
MaineCare allowable costs of operating veterans' facilities that are residential care 
facilities when provided in addition to the per diem rates already established under 
MaineCare rules for reimbursement ofresidential care facilities. The add-on amounts 
are subject to cost settlement so that total reimbursement does not exceed MaineCare 
allowable costs for each facility. 
4. Annual adjustments for inflation. The per diem rates must be annually adjusted 
for inflation to the same extent that MaineCare reimbursement rates for other nursing 
homes and residential care facilities that are not operated by the Maine Veterans' Homes 
are adjusted. 
Sec. 2. 
Supplemental payments previously appropriated. 
Upon 
implementation of the rate calculations process established in the Maine Revised Statutes, 
Title 22, section 1708-A, any supplemental funding allocated or appropriated for the Maine 
Veterans' Homes in Public Law 2023, chapter 412 that has not been expended may not be 
used as supplemental payments but may be used for the purposes of this Act. 
Sec. 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
2025-26 
2026-27 
All Other 
$1,203,116 
$1,261,053 
GENERAL FUND TOTAL 
$1,203,116 
$1,261,053 
FEDERAL EXPENDITURES FUND 
2025-26 
2026-27 
All Other 
$1,920,237 
$1,951,003 
FEDERAL EXPENDITURES FUND TOTAL 
$1,920,237 
$1,951,003 
Nursing Facilities 0148 
COMMITTEE AMENDMENT 
CO:MMITTEE AMENDMENT "N to H.P. 115, L.D. 182 
Initiative: Provides funding for per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PNMI Room and Board Z009 
2025-26 
2026-27 
$906,612 
$1,065,141 
$906,612 
$1,065,141 
2025-26 
2026-27 
$1,631,384 
$1,813,349 
$1,631,384 
$1,813,349 
2025-26 
2026-27 
$162,180 
$183,913 
$162,180 
$183,913 
Initiative: Provides funding for per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2025-26 
$3,346,150 
$3,346,150 
2025-26 
$5,455,878 
$3,551,621 
$162,180 
$9,169,679 
2026-27 
$3,441,181 
$3,441,181 
2026-27 
$5,767,375 
$3,764,352 
$183,913 
$9,715,640 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill and changes the title. The amendment establishes a 
per diem amount to be paid to the Maine Veterans' Homes facilities for each MaineCare 
member, in addition to the regular reimbursement for a MaineCare member in a nursing 
facility or residential care facility. The per diem must be adjusted for inflation to the same 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT 'A' to H.P. 115, L.D. 182 
extent that nursing facilities and residential care facilities are adjusted. 
Upon 
implementation of the rate calculation process established by this legislation, any 
supplemental payments appropriated for the Maine Veterans' Homes in Public Law 2023, 
chapter 412 that have not been expended may no longer be provided in supplemental 
payments but may be used for the purposes of this legislation. The amendment also adds 
an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/09/25 LRL 
LD 182 
LR305(02) 
An Act to Require the Department of Health and Human Services to Establish MaineCare 
Reimbursement Rates for the Maine Veterans' Homes on a Per Resident Basis 
, Fiscal Note for Bill as Amended by Committee Amendment 1t/l.
/ H-702' 
Committee: Health and Human Services 
Ii U 
·--) 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2025-26 
$5,455,878 
$5,455,878 
$3,551,621 
$162,180 
$3,551,621 
$162,180 
FY 2026-27 
$5,767,375 
$5,767,375 
$3,764,352 
$183,913 
$3,764,352 
$183,913 
Projections 
FY 2027-28 
$5,993,452 
$5,993,452 
$3,942,773 
$197,672 
$3,942,773 
$197,672 
Projections 
FY 2028-29 
$6,185,411 
$6,185,411 
$4,098,200 
$207,442 
$4,098,200 
$207,442 
The bill includes General Fund appropriations to the Department of Health and Human Services of $5,455,878 in 
fiscal year 2025-26 and $5,767,375 in fiscal year 2026-27 for per diem payments to Maine Veterans' Homes facilities 
for services provided to MaineCare members. Federal Expenditures Fund allocations are included for the FMAP 
match and Other Special Revenue Funds allocations are included for the Nursing Facility Tax. 
LR0305(02) - Fiscal Note - Page 1 of 1