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Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. Cost-of-living 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 - Room and Board Costs to provide for 2 annual rate adjustments to adjust for inflation. For the fiscal year ending June 30, 2017, the amount of adjustment is 4%. For the fiscal year ending June 30, 2018, the department shall set the amount of the inflation adjustment in accordance with the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index.
Sec. 2. 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 for a 4% cost-of-living rate increase for MaineCare Appendix C private nonmedical institutions.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$1,409,644	
			
GENERAL FUND TOTAL	$0	$1,409,644	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$3,051,764	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$3,051,764	

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17	
All Other	$0	$310,701	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$310,701	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funds for a 4% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter II, Section 2.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$65,773	
			
GENERAL FUND TOTAL	$0	$65,773	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$116,677	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$116,677	

PNMI Room and Board Z009
 
Initiative: Provides funds for a 4% cost-of-living rate increase for MaineCare Appendix C private nonmedical institutions.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$406,241	
			
GENERAL FUND TOTAL	$0	$406,241	

PNMI Room and Board Z009
 
Initiative: Provides funds for a 4% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter II, Section 2.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$15,532	
			
GENERAL FUND TOTAL	$0	$15,532	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$1,897,190	
FEDERAL EXPENDITURES FUND	$0	$3,168,441	
OTHER SPECIAL REVENUE FUNDS	$0	$310,701	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$5,376,332	
 
’
 
SUMMARY
This amendment provides for 2 cost-of-living rate increases in funding rather than an annual ongoing increase. The 4% cost-of-living rate increase in funding in the fiscal year beginning July 1, 2016 remains the same as in the bill but with updated appropriation and allocation amounts. The 2nd rate increase, for fiscal year 2017-18, is based on the Consumer Price Index medical care services index.
FISCAL NOTE REQUIRED
(See attached)