An Act Making Unified Appropriations and Allocations from the General Fund
Maine Legislature, Session 132, LD 0210
Committee Amendment CA_A_HA_A_H776 (House)
Amends: 22 MRSA §1708-A

HOUSE AMENDMENT «A" to CO:MlVIITTEE AMENDMENT "A" to H.P. 132, 
L.D. 210, "An Act Making Unified 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, 2025, June 30, 2026 and June 30, 2027" 
Amend the amendment by inserting after Part AAAA the following: 
'PARTBBBB 
Sec. BBBB-1. 22 MRSA §1708-A is enacted to read: 
§1708-A. Per diem payments to Maine Veterans' Homes 
Services provided by a veterans' facility must be reimbursed by the MaineCare program 
at rates established by the department in accordance with this section, This section applies 
to rates that are paid from all funds. including federal funds, by an agency of the State to a 
veterans' facility for resident care. 
1. Definitions, As used in this section, unless the context othe1wise 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 by the MaineCare program, 
3. Rate calculations. Different rates must be established for nursing home services 
and residential care facility services provided by a veterans' facility. 
A. For nursing homes, rate calculations under this section must follow the process and 
principles established in section 3173-J to determine a daily rate that is reasonable and 
HOUSE AMENDMENT 
HOUSE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 132, L.D, 210 
adequate to cover the MaineCare allowable costs of operating a nursing home operated 
by the Maine Veterans' Homes to reflect any meaningful cost differences between 
veterans' and nonveterans' nursing home costs for the direct care and routine care cost 
components of the daily rate. Adjustments to rates and reimbursement for purposes 
that include, but are not limited to, audit procedures, quality and case mix must be made 
in the same manner as those adjustments are made for all other nursing homes as 
established in department rule. 
B. For residential care facilities, rate calculations under this section must include an 
add-on per diem rate that is reasonable and adeguate to cover the demonstrated 
MaineCare allowable costs of operating veterans' facilities that are residential care 
facilities when provided in addition to the per diem rates ah'eady established under 
MaineCare rules for reimbursement of residential care facilities. The add-on amounts 
are subject to cost settlement so that total reimbursement does not exceed MaineCare 
allowable costs for each facility. 
4. Annual adiustments for inflation. The per diem rates must be annually adjusted 
for inflation to the same extent that MaineCare reimbursement rates for other nursing 
homes and residential care facilities that are not operated by the Maine Veterans' Homes 
are adjusted. 
Sec. BBBB-2. Supplemental payments previously appropriated. 
Upon 
implementation of the rate calculations process established in the Maine Revised Statutes, 
Title 22, section 1708-A, any supplemental funding allocated or appropriated for the Maine 
Veterans' Homes in Public Law 2023, chapter 412 that has not been expended may not be 
used as supplemental payments but may be used for the purposes of this Part. 
Sec. BBBB-3. 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 per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
2025-26 
2026-27 
All Other 
$1,203,116 
$1,261,053 
GENERAL FUND TOTAL 
$1,203,116 
$1,261,053 
FEDERAL EXPENDITURES FUND 
2025-26 
2026-27 
All Other 
$1,920,237 
$1,951,003 
FEDERAL EXPENDITURES FUND TOTAL 
$1,920,237 
$1,951,003 
Nursing Facilities 0148 
Initiative: Provides funding for per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
2025-26 
2026-27 
HOUSE AMENDMENT 
o<o 
~ 
HOUSE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to H.P. 132, L.D. 210 
All Other 
$906,612 
$1,065,141 
GENERAL FUND TOTAL 
$906,612 
$1,065,141 
FEDERAL EXPENDITURES FUND 
2025-26 
2026-27 
All Other 
$1,631,384 
$1,813,349 
FEDERAL EXPENDITURES FUND TOTAL 
$1,631,384 
$1,813,349 
OTHER SPECIAL REVENUE FUNDS 
2025-26 
2026-27 
All Other 
$162,180 
$183,913 
OTHER SPECIAL REVENUE FUNDS TOTAL 
$162,180 
$183,913 
PNMI Room and Board Z009 
Initiative: Provides funding for per diem payments to the Maine Veterans' Homes facilities 
for services provided to MaineCare members. 
GENERAL FUND 
2025-26 
2026-27 
All Other 
$3,346,150 
$3,441,181 
GENERAL FUND TOTAL 
$3,346,150 
$3,441,181 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
2025-26 
2026-27 
GENERAL FUND 
$5,455,878 
$5,767,375 
FEDERAL EXPENDITURES FUND 
$3,551,621 
$3,764,352 
OTHER SPECIAL REVENUE FUNDS 
$162,180 
$183,913 
DEPARTMENT TOTAL-ALL FUNDS 
$9,169,679 
$9,715,640 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment establishes a per diem amount to be paid to the Maine Veterans' 
Homes facilities for each MaineCare member, in addition to the regular reimbursement for 
a MaineCare member in a nursing facility or residential care facility. The per diem must 
be adjusted for inflation to the same extent that nursing facilities and residential care 
facilities are adjusted. Upon implementation of the rate calculation process established by 
this amendment, any supplemental payments allocated or appropriated for the Maine 
Veterans' Homes in Public Law 2023, chapter 412 that have not been expended may no 
HOUSE AMENDMENT 
HOUSE AMENDl\IBNT "Ir to COMMITTEE AMENDl\IBNT "A" to H.P. 132, L.D. 210 
longer be provided in supplemental payments but may be used for the purposes of this 
amendment. 
/ 
// _.-c:t.lJ'.- ~ 
SPONSORED BY:--~~------------
(Representative TUELL, W.) 
TOWN: East Machias 
FISCAL NOTE REQum.ED 
(See attached) 
HOUSE AMENDMENT 
Approved: 06/17/25 LRL 
. 
LD 210 
LR 2409(12) 
An Act Making Unified 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, 2025, June 30, 2026 and 
June30,2027 
) 
Fiscal Note for House Amendment ''/!r. to Committee Amendment "A" ( H-7'7 ~ 
Sponsor: Rep. Tuell of East Machias 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2025-26 
$5,455,878 
$5,455,878 
$3,551,621 
$162,180 
$3,551,621 
$162,180 
FY 2026-27 
$5,767,375 
$5,767,375 
$3,764,352 
$183,913 
$3,764,352 
$183,913 
Projections 
FY 2027-28 
$5,993,452 
$5,993,452 
$3,942,773 
$197,672 
$3,942,773 
$197,672 
Projections 
FY 2028-29 
$6,185,411 
$6,185,411 
$4,098,200 
$207,442 
$4,098,200 
$207,442 
The amendment includes General Fund appropriations to the Department of Health and Human Services of 
$5,455,878 in fiscal year 2025-26 and $5,767,375 in fiscal year 2026-27 for per diem payments to Maine Veterans
Homes facilities for services provided to MaineCare members. Federal Expenditures Fund allocations are included for 
the FMAP match and Other Special Revenue Funds allocations are included for the Nursing Facility Tax, A balanced 
budget is not maintained, 
LR2409(12) - Fiscal Note - Page 1 of 1