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Amend the bill by striking out the title and substituting the following:
‘An Act To Preserve MaineCare Assisted Living by Providing a 4% Rate Increase to Private Nonmedical Institutions and Adult Family Care Homes’
Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. 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: Provides funds to give residential care facilities and MaineCare Appendix C private nonmedical institutions a 4% rate increase.

GENERAL FUND	2015-16	2016-17	
All Other	$1,517,225	$3,075,939	
			
GENERAL FUND TOTAL	$1,517,225	$3,075,939	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$2,939,876	$6,016,548	
			
FEDERAL EXPENDITURES FUND TOTAL	$2,939,876	$6,016,548	

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$248,959	$507,877	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$248,959	$507,877	

PNMI Room and Board Z009
 
Initiative: Provides funds to give residential care facilities and MaineCare Appendix C private nonmedical institutions a 4% rate increase.

GENERAL FUND	2015-16	2016-17	
All Other	$465,435	$949,487	
			
GENERAL FUND TOTAL	$465,435	$949,487	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$1,982,660	$4,025,426	
FEDERAL EXPENDITURES FUND	$2,939,876	$6,016,548	
OTHER SPECIAL REVENUE FUNDS	$248,959	$507,877	
			
DEPARTMENT TOTAL - ALL FUNDS	$5,171,495	$10,549,851	
 
Sec. 2. Rate adjustment. The Department of Health and Human Services shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services and Chapter III, Section 97, Appendix C: Principles of Reimbursement for Medical and Remedial Service Facilities and Rule Chapter 115: Principles of Reimbursement for Residential Care Facilities - Room and Board Costs to provide for a 4% increase in rates for each of the state fiscal years ending July 1, 2016 and July 1, 2017. The rate change for fiscal year 2015-16 must be implemented beginning July 1, 2015.’
 
SUMMARY
This amendment, which is the minority report of the committee, makes the following changes to the bill.
1. It provides that adult family care homes and Appendix C private nonmedical institutions receive a 4% rate increase in funding in each of the next 2 fiscal years, rather than a cost-of-living rate increase.
2. It strikes the requirement that an inflation adjustment be set for fiscal years beginning 2017-18.
FISCAL NOTE REQUIRED
(See attached)