Maine Legislature, Session 132, LD 2177
Committee Amendment CA_A_H921 (House)

COMMITTEE AMENDMENT "/\ " to H,P. 1465, L.D. 2177, "AnAct to Update and
Improve the MaineCare Reimbursement System"
Amend the bill in section 1 in subsection 3 by striking out all of paragraph G (page 2,
lines 6 to 8 m L.D.) and inserting the following:
'G. Establish that nursine facility reimbursement will be rebased for rates effective
January 1.2028. and thereafter rebasine must occur ifa accordance with section 3173-J;1
Amend the bill in section 3 m §3173-J in subsection 2 in paragraph A in subparagraph.
(1) in the first line (page 3, line 25 in L.D.) by insertiug after the following; "website" the
followmg:'. including the date of the most recent rate review and any discussion of issues
related to member access by section of MaineCare policy and aAescrintJQn of h^^ tiie most
recent rate review and discussion of issues related to member access impacted the oroposed
and final rate determination schedule'
Amend the bill in section 3 in §3173-J m subsection 2 in paragraph C in subparagraph
(6) in the 3rd line (page 5, line 5 in L.D.) by strfldng out the following: "7 and" and inserting
the following:','
Amend the bill in section 3 in §3173-J m subsection 2 in paragraph C in subparagraph
(6) in the 6th line (page 5, line 8 in L.D.) by striking out the following:"; and" and inserting
the following:'; aad'
Amend the bill m section 3 in §3173-J in subsection 2 in paragraph C in subparagraph
(6) in the last line (page 5, line 1 0 in L,D.) by mserting after the following; "detennination;"
the following: 'and report on the overall fiscal cost associated with implementation under
this subparaeraph;'
Amend the bill in section 3 in §3173-J in subsection 2 in paragraph D in subparagraph
(3) in the 2nd line (page 5, line 25 in L.D.) by striking out the following: "and subject to
available funds as set forth_^
Amend the bill in section 3 in §3173-J in subsection 2 in paragraph D in subparagraph
(3) by inserting after division (b), subdivision (ii) the following:
COMMITTEE AMENDMENT
COMMnTEE AMENDMENT " /\ " to H.P. 1465, L.D. 2177
'(c) Publish, by January 1st. on the department's publicly accessible website.
based on available data, the estimated cost of the cost-of-living adiusttnents to
be aBpliedinthesubseguent fiscal year.'
Amend the bill in section 3 in §3173-J in subsection 3 in the 2nd blocked paragraph m
the 4th line (page 6, line 43 in L.D.) by striking out the following: "subsection 1" and
inserting the following: 'subsection 2-A'
Amend the bill in section 3 in §3173-J in subsection 4 by striking out all of the first
blocked paragraph (page 7, lines 10 to 13 in L.D,).
Amend the bill in section 3 in §3173-J in subsection 4 by striking out all of the 2nd
blocked paragraph (page 7, lines 14 to 17 in L.D.).
Amend the bill in section 3 in §3173-J in subsection 4 by striking out all of paragraph
A (page 7, lines 18 to 20 in L.D,).
Amend the bill in section 3 in §3173-J in subsection 4 by striking out all of paragraph
B (page 7, lines 21 and 22 in L.D.).
Amend the bill in section 3 in §3173-J in subsection 7 in the 3rd line (page 8, line 33
in L.D.) by striking out the following: "Kaust may" and inserting the following: 'must'
Amend the bill in section 3 in §3173-J in subsection 7 in the 4th line (page 8, line 34
in L.D.) by striking out the following: ". as applicable"
Amend the bill m section 3 in §3173-J in subsection 7 in paragraph D in the first line
(page 8, line 40 in L.D.) by striking out the following: "base" and inserting the following:
-base'
Amend the bill in section 3 in §3173-J in subsection 7 in the first blocked paragraph in
the last line (page 9, line 7 in L,D.) by striking out the following: "reimbursement"
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section
number to read consecutively.
SUMMARY
This amendment does the following.
1. It removes references in the requirement to increase reimbursement rates, to apply
cost-of-living increases or in response to a rate review, to the requirement's being subject
to available funds.
2. It requires the Department of Health and Human Services, when developing the
annual schedule of rate determination, to include the date of the most recent rate review
and any discus.sion of issues related to MaineCare member access.
3. It corrects the cross-reference for rules that are adopted by reference.
4. It removes the changes in the bill to the index ofMaineCare rates by service code
that is maintained on the department's publicly accessible website.
COMMITTEE AMENDMENT