An Act Facilitating t~e
Maine Legislature, Session 132, LD 0960
Committee Amendment CA_A_H417 (House)

132ND LEGISLATURE. 
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COMMITTEE AMENDMENT 'A "to H.P. 619, L.~. ;66, "An Act Facilitating t~e 
Discharge of Hospitalized Patients to Nursing Facilities" 
Amend the bill by striking out the title and sub,stitµting the following:. 
'Resolve, to Allow the Placement of Hospitalized Patients in Nursing Facilities in 
Alternative Locations Under Certain Circumstances' 
Aniend the bill by striking out ev_erything_after the title and insetting the following: 
'Sec. 1. Altern~tive nursing facility locations. Resolved: That the Departme~1t 
of Health and Human Services shall amend its mies in Chapter 101: MaineCare Benefits 
Manual, Chaptel'II, Section 67, Nursing Facility Services, to allow for the placement of a 
MaineCare member, when the member is being discharged from a hospital to a nursing 
facility placement, in a nursing facility that is greater than 60 miles from the member's 
residence under the following conditions, 
1. For placements that are beyond 60 miles from the member's residence but not more 
than 100 miles from the member's. residence, the hospital must have attempted to find a 
placement that is within a 60-mile radius of the member's residence and those effo1ts, 
including refusals by ~aci)ities; must be docum~nt~.cl. 
2, For placements beyond 60 miles of the 1i1ember's re•sidence, the member must be 
provided with information, including written materials and contact info1mation, about the 
long-te11n care ombudsman program in the Maine Revised Statutes, Title 22, section 
5107-A for use by the member if the member determines, at any point, that a closer 
placement is desired. 
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3, For placements beyond 100 miles from the member's residence, the member or 
member's guardian must consent to the placement.' 
Amend the bill by relettering or renumbering any'nonconsecutive Pait letter or section 
number to read consecutively, 
Page I - 132LR0830(02) 
COMMITTEE AMENDMENT 
COMMITTEE AMEN~MENT 'A" to H.P. 619, L.D. 960 
SUMMARY 
This amendment replaces the bill with a resolve. It removes the provisions in the bill 
related to emergency guardianship and MaineCare application processing. It requires the 
Department of Health and Human Services to amend its rule Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 67, Nursing Facility Services, to allow for the 
placement of a MaineCare member, when the member is being discharged from a hospital 
to a nursing facility, into a nursing facility that is greater than 60 miles from a member's 
residence. The hospital must attempt to locate a placement within a 60-mile radius and 
document its effo1ts and any refusals from facilities, the member must be provided with 
information on the State's long-tenn care ombudsman program if the placement is beyond 
miles and the member must consent to a placement that is beyond 100 miles from the 
member's residence. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/28/25 LRL 
LD960 
LR 830(02) 
An Act Facilitating the Discharge of Hospitalized Patients to Nursing Facilities 
\ 
Fiscal Note for Bill as Amended by Committee Amendment A, { H~ 1/ / 7; 
. Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Any additional costs to the Department of Health and Human Services to amend its rules as required by the bill are 
expected to be minor and can be absorbed within existing budgeted resources. 
LR0830(02) - Fiscal Note - Page 1 of 1