An Act Making Supplemental Appropriations and Allocations from the
Maine Legislature, Session 132, LD 2212
Committee Amendment CA_A_HA_U_H1028 (House)

HOUSE AMENDMENT " U " to COMMITTEE AMENDMENT "A" to H.P, 1491,
L,D. 2212, "An Act Making Supplemental Appropriations and Allocations from the
General Fund and Other Funds for the Expenditures of State Government and Changing
Certain Provisions of the Law Necessary to the Proper Operations of State Government for
the Fiscal Years Ending June 30,2026 and June 30,2027"
Amend the amendment by inserting after Part HHHH the following:
'PART IHI
See. UU-L Department of Health and Human Services to reimburse
hospitals after receipt of cost reports. The Department of Health and Human Services
shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45,
Hospital Services, to require the department to reimburse 75% of the as-filed settlement
pursuant to a hospital's cost reports within 90 days of receipt and to provide that the
remaining 25% is paid incrementally after the audits are finished,
See. ID1-2. Existing resources. The Department of Health and Human Services
shall implement the requirements of this Part within existing resources.
Sec. IIII-3. Appropriations and allocations. The followmg appropriations and
allocations are made,
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Department of Health and Human Services Central Operations 0142
Initiative: Provides funding to establish one Staff Auditor II position to review and verify
hospital cost reports and prepare payments for settlement. The initiative also provides
funding for related All Other costs.
GENERAL FUND
POSITIONS - LEGISLATIVE COUNT
Personal Services
All Other
3435 GENERAL FUND TOTAL $0 $47,678
Page I - 132LR3049(20)
HOUSE AMENDMENT
2025-26
0.000
$0
$0
2026-27
1.000
$44,776
$2,902
^ HOUSE AMENDMENT " [) " (o COMMITTEE AMENDMENT "A" to H.P. 1491, L.D. 2212
^
OTHER SPECIAL REVENUE FUNDS 2025-26 2026-27
Personal Services $0 $67,164
AHOther $0 $6,107
OTHER SPECIAL REVENUE FUNDS TOTAL $0 $73,271
Medical Care - Payments to Providers 0147
Initiative: Provides one-time funding to accelerate the payment of MaineCare
reimbursements currently due to hospitals.
GENERAL FUND 2025-26 2026-27
AHOther $0 $51,000,000
GENERAL FUND TOTAL $0 $51,000,000
Medical Care - Payments to Providers 0147
Initiative: Provides one-time funding to transition to MaineCare reimbursement of at least
75% of the as-filed settlement pursuant to a hospital's cost reports within 90 days of receipt,
GENERAL FUND 2025-26 2026-27
All Other $0 $23,860,357
GENERAL FUND TOTAL
FEDERAL EXPENDITURES FUND
All Other
FEDERAL EXPENDITURES FUND TOTAL
FEDERAL BLOCK GRANT FUND
All Other
$0
2025-26
$0
$0
2025-26
$0
$23,860,357
2026-27
$59,486,943
$59,486,943
2026-27
$1,053,730
FEDERAL BLOCK GRANT FUND TOTAL $0 $1,053,730
HEALTH AND HUMAN SERVICES,
DEPARTMENT OF
DEPARTMENT TOTALS 2025-26 2026-27
3435 GENERAL FUND $0 $74,908,035
FEDERAL EXPENDITURES FUND $0 $59,486,943
OTHER SPECIAL REVENUE FUNDS $0 $73,271
FEDERAL BLOCK GRANT FUND $0 $1,053,730
DEPARTMENT TOTAL - ALL FUNDS $0 $135,521,979
Page2-132LR3049(20)
HOUSE AMENDMENT
^c?
HOUSE AMENDMENT " [) " (o COMMITTEE AMENDMENT "A" to H.P. 1491, L.D. 2212
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or
section number to read consecutively,
SUMMARY
This amendment requires the Department of Health and Human Services to amend its
rules in Chapter 101; MaineCare Benefits Manual, Chapter HI, Section 45, Hospital
Services, to require the deparhnent to reimburse 75% of the as-filed settlement pursuant to
a hospital's cost reports within 90 days of receipt and to provide that the remaining 25% is
paid incremeatally after the audits are finished. It requires the department to accomplish
this within existing resources.
SPONSORE
(Representative DRINKWATER, G.)
TOWN: Milford
Page3-132LR3049(20)
HOUSE AMENDMENT
Approved; 04/08/26
t^KL
LD 2212 LR 3049(20)
An Act Making Supplemental Appropriations and Allocations from the General Fund and Other
Funds for the Expenditures of State Government and Changing Certain Provisions of the Law
Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2026
and June 30,2027
Fiscal Note for House Amendment "J* to Committee Amendment "A" (f4- \(^£)
Sponsor; Rep. Drinkwater ofMilford
Fiscal Note Required; Yes
Fiscal Note
Projections Projections
FY 2025-26 FY 2026-27 FY 2027-28 FY 2028-29
Net Cost (Savings)
General Fund
Approprlations/AIIocations
General Fund
Federal Expenditures Fund
Other Special Revenue Funds
Federal Block Grant Fund
Fiscal Detail and Notes
This amendment requires the Department of Health and Human Services to reimburse 75 percent of as filed hospital
cost reports within 90 days. A balanced budget is not maintained,
$0
$0
$0
$0
$0
$74,908,035
$74,908,035
$59,486,943
$73,271
$1,053,730
$49,271
$49,271
$0
$75,719
$0
$50,(
$50,677
$0
$77,879
$0
LR3049(20) - Fiscal Note - Page 1 of 1