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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	$3,004,750	
			
GENERAL FUND TOTAL	$0	$3,004,750	

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	$600,000	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$600,000	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$3,004,750	
OTHER SPECIAL REVENUE FUNDS	$0	$600,000	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$3,604,750	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
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	$6,395,250	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$6,395,250	

Medical Care - Payments to Providers 0147
 
Initiative: Adjusts funding as a result of the increase in the Federal Medical Assistance Percentage for federal fiscal year 2017.

GENERAL FUND	2015-16	2016-17	
All Other	$0	($3,004,750)	
			
GENERAL FUND TOTAL	$0	($3,004,750)	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$3,004,750	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$3,004,750	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	($3,004,750)	
FEDERAL EXPENDITURES FUND	$0	$9,400,000	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$6,395,250	

SECTION TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$0	
FEDERAL EXPENDITURES FUND	$0	$9,400,000	
OTHER SPECIAL REVENUE FUNDS	$0	$600,000	
			
SECTION TOTAL - ALL FUNDS	$0	$10,000,000	
 
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 for so-called "Section 29" services, and removes appropriations and allocations for fiscal year 2015-16 and fiscal year 2016-17 for so-called "Section 21" services. This amendment also reduces the General Fund appropriation by $3,004,750 in fiscal year 2016-17 as a result of the ability to use increased funding available in the Federal Medical Assistance Percentage in fiscal year 2016-17.
FISCAL NOTE REQUIRED
(See attached)