An Act to Ensure
Maine Legislature, Session 132, LD 0604
Committee Amendment CA_A_H239 (House)

COMMITTEE. AMENDMENT "A,, to H.P. 372, L.D. 604, "An Act to Ensure 
Access to Concurrent Methadone Treatment and Intensive Outpatient Programs" 
Amend the bill in section I in §3174-PPP in subsection 1 in the first line (page l, line 
in L.D.) by striking out the following: "The" and inserting the following: 'To the extent 
allowable under federal law and contingent upon approval by the United States DepaJtment 
of Health and Human Services, Centers for Medicare and Medicaid Services, the' 
Amend the bill in section 1 in §3174-PPP in subsection 2 in the ffrst 2 lines (page 1, 
lines 9 and 10 in L.D.) by striking out the following: "no later than 90 days after the 
effective date of this section" and inse1ting the following: 'as soon as practicable' 
Amend the bill by insetting after section 1 the following: 
'Sec. 2. 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 MaineCare coverage of intensive outpatient programs and 
other outpatient services for behavioral health or substance use disorder provided 
concurrently with methadone maintenance to treat opioid use disorder. 
GENERAL FUND 
2025-26 
2026-27 
All Other 
$0 
$111,874 
GENERAL FUND TOTAL 
$0 
$111,874 
FEDERAL EXPENDITURES FUND 
2025-26 
2026-27 
All Other 
$0 
$525,732 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$525,732 
Page I - 132LR0925(02) 
COMMITTEE AMENDMENT 
ROS 
• 
COMMITTEE AMENDMENT A 
"to H.P. 372, L.D. 604 
FEDERAL BLOCK GRANT FUND 
All Other 
FEDERAL BLOCK GRANT FUND TOTAL 
Office of Behavioral Health Z199 
2025-26 
$0 
$0 
2026-27 
$926 
$926 
Initiative: Provides funding for intensive outpatient programs and other outpatient services 
for behavioral health or substance use disorder provided concurrently with methadone 
maintenance to treat opioid use disorder. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
State-funded Foster Care/Adoption Assistance 0139 
2025-26 
$0 
$0 
2026-27 
$166,807 
$166,807 
Initiative: Provides funding for intensive outpatient programs and other outpatient services 
for behavioral health or substance use disorder provided concurrently with methadone 
maintenance to treat opioid use disorder. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
FEDERAL BLOCK GRANT FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2025-26 
$0 
$0 
2025-26 
$0 
$0 
$0 
$0 
2026-27 
$639 
$639 
2026-27 
$279,320 
$525,732 
$926 
$805,978 
Amend the bill by relettering or renumbering any nonconsecutive Patt letter or section 
. number to read consecutively. 
SUMMARY 
This amendment adds language stating that the coverage prohibition is required only 
to the extent allowable under federal law and contingent on federal approval by the United 
States Depaitment of Health and Human Services, Centers for Medicare and Medicaid 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT •A;• to H.P. 372, L.D. 604 
Services, It also changes the deadline for rulemaking from 90 days after the effective date 
of the law to language requiring rulemaking as soon as practicable. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/01/25 LRL 
LD604 
LR925(02) 
An Act to Ensure Access to Concurrent Methadone Treatment and Intensive Outpatient Programs 
Fiscal Note for Bill as Amended by Committee Amendment :t}' (' / l - ;2 31 \ 
Committee: Health and Human Services 
T7 
/ 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Federal Block Grant Fund 
Revenue 
Federal Expenditures Fund 
Federal Block Grant Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2025-26 
$0 
$0 
$0 
$0 
$0 
$0 
FY 2026-27 
$279,320 
$279,320 
$525,732 
$926 
$525,732 
$926 
Projections 
FY 2027-28 
$558,640 
$558,640 
$1,051,464 
$1,851 
$1,051,464 
$1,851 
Projections 
FY 2028-29 
$558,640 
$558,640 
$1,051,464 
$1,851 
$1,051,464 
$1,851 
The bill includes General Fund appropriations to the Department of Health and Human Services of $279,320 in fiscal 
year 2026-27 to provide intensive outpatient programs and other outpatient services for substance use disorder or 
behavioral health disorders concu11"ently with methadone maintenance to treat opiate use disorder under the 
MaineCare program, state-funded foster care and Office of Behavioral Health programs. Federal Expenditures Fund 
and Federal Block Grant Fund allocations are also included in the bill for the FMAP match. The funding amounts are 
based on an estimated start date of January 1, 2027 to provide concmrent coverage of these services. 
LR0925(02) - Fiscal Note - Page 1 of 1