An Act to Require the Department of Health and Human Services to
Maine Legislature, Session 132, LD 0182
Committee: Health and Human Services
Sponsors: SUPICA
Amends: 22 MRSA §1708-A

Legislative Document
No. 182
H.P. 115
House of Representatives, January 14, 2025
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
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative SUPICA of Bangor.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  22 MRSA §1708-A is enacted to read:
§1708-A.  Reimbursement to Maine Veterans' Homes
Services provided by a veterans' facility must be reimbursed by the MaineCare program 
at rates established by the department pursuant to this section.  This section applies to all 
funds, including federal funds, paid 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. "Multilevel health care facility" has the same meaning as in section 7852, subsection 
10-A.
B. "Nursing home" has the same meaning as in section 1812-A.
C. "Residential care facility" has the same meaning as in section 7852, subsection 14.
D. "Veterans' facility" means a nursing home, residential care facility or multilevel 
health care facility that is operated by the Maine Veterans' Homes at any location 
required under Title 37-B, section 601, subsection 2.
2.  Per resident basis.  Veterans' facilities must be reimbursed on a per resident daily 
rate basis for services to residents covered under the MaineCare program.  Different rates 
may be established for services equivalent to those provided by nursing homes, residential 
care facilities and multilevel health care facilities.
3.  Rate calculations.  Rate calculations under this section must result in 
reimbursement of the portion of the total MaineCare allowable cost of operating each 
veterans' facility attributable to the provision of services to residents who receive 
MaineCare benefits.  Different rates may be established for services equivalent to those 
provided by nursing homes, residential care facilities and multilevel health care facilities.
4.  Annual adjustments for inflation.  Rates established pursuant to this section must 
be adjusted annually to reflect projected inflation for the year to which the rates will apply.
5.  Other states' data; limitation.  The department may use data from other states' 
veterans' home programs and appropriate price indices to establish the rates required in this 
section, as long as the application of data from other states' veterans' home programs and 
price indices does not reduce reimbursement below the portion of the total MaineCare 
allowable cost as described in subsection 3.
6.  Use of 3rd party.  The department may contract with a 3rd party to derive or review 
the rates established under this section.
SUMMARY
This bill requires the Department of Health and Human Services to establish 
reimbursement rates for Maine Veterans' Homes services covered by the MaineCare 
program. It requires the MaineCare program to reimburse veterans' facilities for covered 
services on a per resident daily rate basis that will reimburse the portion of the total 
MaineCare allowable cost of operating each veterans' facility attributable to the provision 
of services to residents who receive MaineCare benefits.  It requires the department to index 
the rates to inflation annually and authorizes the department to contract with a 3rd party to 
derive or review the rates.