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Amend the amendment in section 1 in the 5th line (page 1, line 18 in amendment) by inserting after the following: "reflect" the following: '50% of the increase in rates noted in'
Amend the amendment by striking out all of section 2.
Amend the amendment by striking out all of sections 4 and 5 and inserting the following:
‘Sec. 4 Rate study. Resolved: That the Department of Health and Human Services shall conduct a rate study of the services in rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 40, Home Health Services. The rate study must be conducted by a 3rd party, account for provider costs related to the services in Section 40 and include stakeholders for all services included in Section 40; and be it further
Sec. 5 Report. Resolved: That the Department of Health and Human Services shall provide a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters with findings and recommendations for changes to the rates identified in section 4 no later than January 1, 2017; and be it further
Sec. 6 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides funds for a rate increase for personal care and related services.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$2,773,600	
			
GENERAL FUND TOTAL	$0	$2,773,600	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$4,920,692	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$4,920,692	

Office of Aging and Disability Services Central Office 0140
 
Initiative: Provides funds for a rate increase for personal care and related services.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$1,226,400	
			
GENERAL FUND TOTAL	$0	$1,226,400	

Temporary Assistance for Needy Families 0138
 
Initiative: Provides for a one-time reduction of funding for projected savings in the Temporary Assistance for Needy Families program.

GENERAL FUND	2015-16	2016-17	
All Other	$0	($4,000,000)	
			
GENERAL FUND TOTAL	$0	($4,000,000)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$0	
FEDERAL EXPENDITURES FUND	$0	$4,920,692	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$4,920,692	
 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
’
 
SUMMARY
This amendment strikes language from Committee Amendment "A" regarding the reimbursement for home health services and requires rulemaking for reimbursement rates that reflect 50% of the increase, instead of 100% of the increase as in the committee amendment, in rates in the report prepared by Burns & Associates, Inc.
This amendment also requires the Department of Health and Human Services to conduct a rate study of services in rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 40, Home Health Services. The department is required to provide a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters with findings and recommendations for changes to the rates no later than January 1, 2017.
FISCAL NOTE REQUIRED
(See attached)