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Amend the amendment in Part I in section 1 in the 2nd line (page 14, line 38 in amendment) by striking out the following: "$44,500,000" and inserting the following: '$39,994,433'
Amend the amendment by inserting after Part I the following:
PART J
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Sec. J-1. Increasing reimbursement for support services for adults with intellectual disabilities or autistic disorder. By July 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.
Sec. J-2. Appropriations and allocations. 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	

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	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$3,004,750	
FEDERAL EXPENDITURES FUND	$0	$6,395,250	
OTHER SPECIAL REVENUE FUNDS	$0	$600,000	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$10,000,000	
 
PART K
Sec. K-1. Personal needs allowance for residents of nursing facilities. By July 1, 2016, the Department of Health and Human Services shall amend the rules for the MaineCare program to increase the personal needs allowance for persons residing in nursing facilities. The rules must provide for an increase in the personal needs allowance from $40 per month to $50 per month. Rules adopted pursuant to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.
Sec. K-2. Personal needs allowance for residents of residential care facilities. By July 1, 2016, the Department of Health and Human Services shall amend the rules for the MaineCare program to increase the personal needs allowance for persons residing in residential care facilities. The rules must provide for an increase in the personal needs allowance from $70 per month to $90 per month. Rules adopted pursuant to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.
Sec. K-3. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Medicaid Services - Developmental Services 0705
 
Initiative: Provides funds to increase the personal needs allowances of residents in residential care facilities from $70 to $90.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$187,648	
			
GENERAL FUND TOTAL	$0	$187,648	

Mental Health Services - Child Medicaid 0731
 
Initiative: Provides funds to increase the personal needs allowances of residents in residential care facilities from $70 to $90.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$179,922	
			
GENERAL FUND TOTAL	$0	$179,922	

Mental Health Services - Community Medicaid 0732
 
Initiative: Provides funds to increase the personal needs allowances of residents in residential care facilities from $70 to $90.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$293,021	
			
GENERAL FUND TOTAL	$0	$293,021	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$660,591	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$660,591	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides funds to increase the personal needs allowances of residents in residential care facilities from $70 to $90.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$598,089	
			
GENERAL FUND TOTAL	$0	$598,089	

Nursing Facilities 0148
 
Initiative: Provides funds to increase the personal needs allowances of residents in nursing facilities from $40 to $50.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$242,137	
			
GENERAL FUND TOTAL	$0	$242,137	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$406,503	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$406,503	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$840,226	
FEDERAL EXPENDITURES FUND	$0	$406,503	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$1,246,729	

SECTION TOTALS	2015-16	2016-17	
			
GENERAL FUND	$0	$1,500,817	
FEDERAL EXPENDITURES FUND	$0	$406,503	
			
SECTION TOTAL - ALL FUNDS	$0	$1,907,320	
 
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Amend the amendment by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
Part J requires the Department of Health and Human Services to amend its rules 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 is required to determine the number of hours of specific support services on the basis of the increased combined annual limit.
Part K directs the Department of Health and Human Services to amend its rules to provide for increases in the personal needs allowances of residents in nursing facilities and residential care facilities. The rules are designated as routine technical rules.
This amendment provides funding for the initiatives in this amendment by reducing the amount transferred to the Maine Budget Stabilization Fund by $4,505,567 to $39,994,433.
FISCAL NOTE REQUIRED
(See attached)