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Amend the amendment by striking out the first 2 indented paragraphs after the substitute title (page 1, lines 14 to 17 in amendment) and inserting the following:
‘
Amend the resolve by striking out all of the emergency preamble (page 1, lines 1 to 13 in L.D.).
Amend the resolve by striking out all of section 1 and inserting the following:
‘Sec. 1 Increasing reimbursement for support services for adults with intellectual disabilities or autistic disorder. Resolved: That, by August 1, 2016, the Department of Health and Human Services shall amend its rules in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with Intellectual Disabilities or Autistic Disorder to increase the combined annual limit for reimbursement for home support, community support, work support-individual or work support-group, assistive technology and career planning to $47,550. The department shall determine the number of hours of specific support services on the basis of the increased combined annual limit. Rules adopted pursuant to this section are routine technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further
Amend the amendment by striking out all of sections 3 and 4 and inserting the following:
‘Sec. 3 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Developmental Services Waiver - Supports Z006
 
Initiative: Provides funding to increase the combined annual limit for reimbursement of services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with Intellectual Disabilities or Autistic Disorder.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$4,751,463	
			
GENERAL FUND TOTAL	$0	$4,751,463	

Medicaid Services - Developmental Services 0705
 
Initiative: Provides funding to increase the combined annual limit for reimbursement of services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with Intellectual Disabilities or Autistic Disorder.

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$0	$948,790	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$948,790	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to increase the combined annual limit for reimbursement of services in rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29: Support Services for Adults with Intellectual Disabilities or Autistic Disorder.

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$10,112,920	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$10,112,920	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$4,751,463	
FEDERAL EXPENDITURES FUND	$0	$10,112,920	
OTHER SPECIAL REVENUE FUNDS	$0	$948,790	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$15,813,173	
 
; and be it further
Sec. 4 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Developmental Services Waiver - MaineCare 0987
 
Initiative: Provides funding to reduce the waiting list for community-based services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21: Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder and Chapter III, Section 21: Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$4,807,600	
			
GENERAL FUND TOTAL	$0	$4,807,600	

Medicaid Services - Developmental Services 0705
 
Initiative: Provides funding to reduce the waiting list for community-based services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21: Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder and Chapter III, Section 21: Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$0	$960,000	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$960,000	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to reduce the waiting list for community-based services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21: Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder and Chapter III, Section 21: Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$10,232,400	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$10,232,400	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$4,807,600	
FEDERAL EXPENDITURES FUND	$0	$10,232,400	
OTHER SPECIAL REVENUE FUNDS	$0	$960,000	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$16,000,000	
 
Amend the resolve by striking out all of the emergency clause.
’
 
SUMMARY
This amendment strikes the emergency preamble and emergency clause, changes the date by which the Department of Health and Human Services is required to amend its rules accordingly and removes appropriations and allocations for fiscal year 2015-16.
FISCAL NOTE REQUIRED
(See attached)