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Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1.  22 MRSA §3174-PP  is enacted to read:
§ 3174-PP. Dental hygienist reimbursement
 
1.  Reimbursement.   By October 1, 2010, the department shall provide for the reimbursement under the MaineCare program of independent practice dental hygienists practicing as authorized under Title 32, section 1094I for all procedures performed under Title 32, section 1094Q, subsection 1. The department shall provide for MaineCare reimbursement to a federally qualified health center, pursuant to section 3174V, when an independent practice dental hygienist is employed as a core provider at the center, or to an independent practice dental hygienist directly.
Sec. 2. Rulemaking. By October 1, 2010, the Department of Health and Human Services shall adopt routine technical rules to implement the Maine Revised Statutes, Title 22, section 3174PP. The rules must include provisions that define an independent practice dental hygienist as a core provider when employed at a federally qualified health center.
Sec. 3. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Medical Care - Payments to Providers 0147
 
Initiative: Appropriates and allocates funds for the costs of MaineCare reimbursement for services provided by dental hygienists practicing independently effective October 1, 2010.

GENERAL FUND	2009-10	2010-11	
All Other	$0	$52,580	
			
GENERAL FUND TOTAL	$0	$52,580	

FEDERAL EXPENDITURES FUND	2009-10	2010-11	
All Other	$0	$103,818	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$103,818	

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11	
All Other	$0	$5,321	
			
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$5,321	
 
’
 
SUMMARY
This amendment allows federally qualified health centers to employ independent practice dental hygienists as core providers under MaineCare rules and provides for the reimbursement of federally qualified health centers for these services. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)