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Amend the resolve by striking out all of the emergency preamble.
Amend the resolve in section 1 in the 2nd line (page 1, line 16 in L.D.) by inserting after the following: "That" the following: ', by January 1, 2016,'
Amend the resolve in section 1 by striking out all of subsection 3 (page 1, lines 25 to 28 in L.D.)
Amend the resolve in section 1 in subsection 4 in the last line (page 1, line 35 in L.D.) by striking out the following: "April 15, 2015." and inserting the following: 'January 1, 2016; and be it further'
Amend the resolve in section 1 by renumbering the subsections to read consecutively.
Amend the resolve by adding after section 1 the following:
‘Sec. 2. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Nursing Facilities 0148
 
Initiative: Provides funding to restore crossover payments to nursing facilities related to the nondual Qualified Medicare Beneficiary program population of the Medicare Savings Program for whom coverage was eliminated in Public Law 2013, chapter 368.

GENERAL FUND	2015-16	2016-17	
All Other	$200,641	$601,923	
			
GENERAL FUND TOTAL	$200,641	$601,923	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$336,838	$1,010,515	
			
FEDERAL EXPENDITURES FUND TOTAL	$336,838	$1,010,515	

Nursing Facilities 0148
 
Initiative: Provides funding to decrease the occupancy percentage threshold required for a nursing facility with more than 60 beds from 90% to 80% and for a nursing facility with 60 beds or fewer from 85% to 75%.

GENERAL FUND	2015-16	2016-17	
All Other	$63,187	$84,249	
			
GENERAL FUND TOTAL	$63,187	$84,249	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$106,078	$141,438	
			
FEDERAL EXPENDITURES FUND TOTAL	$106,078	$141,438	

Nursing Facilities 0148
 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the decrease of the occupancy percentage threshold required for a nursing facility with more than 60 beds from 90% to 80% and for a nursing facility with 60 beds or fewer from 85% to 75%.

GENERAL FUND	2015-16	2016-17	
All Other	($10,156)	($13,541)	
			
GENERAL FUND TOTAL	($10,156)	($13,541)	

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$10,156	$13,541	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$10,156	$13,541	

Nursing Facilities 0148
 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the restoration of crossover payments to nursing facilities related to the nondual Qualified Medicare Beneficiary program population of the Medicare Savings Program for whom coverage was eliminated in Public Law 2013, chapter 368.

GENERAL FUND	2015-16	2016-17	
All Other	($26,874)	($80,622)	
			
GENERAL FUND TOTAL	($26,874)	($80,622)	

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$26,874	$80,622	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$26,874	$80,622	

Nursing Facilities 0148
 
Initiative: Provides funding to create a critical access nursing facility designation using criteria that are sensitive to the unique access challenges in remote areas of the State and provide that a critical access nursing facility designation qualifies as an allowable exception to MaineCare budget neutrality.

GENERAL FUND	2015-16	2016-17	
All Other	$1,760,713	$2,347,617	
			
GENERAL FUND TOTAL	$1,760,713	$2,347,617	

Nursing Facilities 0148
 
Initiative: Adjusts funding to reflect the impact on the nursing home tax from the creation of a critical access nursing facility designation using criteria that are sensitive to the unique access challenges in remote areas of the State and provide that a critical access nursing facility designation qualifies as an allowable exception to MaineCare budget neutrality.

GENERAL FUND	2015-16	2016-17	
All Other	($105,643)	($140,857)	
			
GENERAL FUND TOTAL	($105,643)	($140,857)	

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$105,643	$140,857	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$105,643	$140,857	

Office of MaineCare Services 0129
 
Initiative: Provides funding for the technology-related costs, including system changes, testing and oversight, to implement the recommendations of the Commission To Continue the Study of Long-term Care Facilities.

GENERAL FUND	2015-16	2016-17	
All Other	$44,674	$0	
			
GENERAL FUND TOTAL	$44,674	$0	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$44,674	$0	
			
FEDERAL EXPENDITURES FUND TOTAL	$44,674	$0	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$1,926,542	$2,798,769	
FEDERAL EXPENDITURES FUND	$487,590	$1,151,953	
OTHER SPECIAL REVENUE FUNDS	$142,673	$235,020	
			
DEPARTMENT TOTAL - ALL FUNDS	$2,556,805	$4,185,742	
 
’
Amend the resolve by striking out all of the emergency clause.
 
SUMMARY
This amendment, which is the majority report of the committee, strikes the emergency preamble and emergency clause. It requires the Department of Health and Human Services to amend the rules on principles of reimbursement for nursing facilities in the MaineCare Benefits Manual by January 1, 2016. The amendment removes the provision of the resolve that requires the rules to be amended to restore the crossover payments to nursing facilities related to nondual qualified Medicare beneficiaries because the crossover payments are not part of the principles of reimbursement. The amendment also adds an appropriations and allocations section. The appropriations and allocations section includes an appropriation and an allocation to restore the crossover payments.