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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. Annual 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 and in the department's rule Chapter 115: Principles of Reimbursement for Residential Care Facilities - Room and Board Costs to provide for ongoing, annual rate changes to adjust for inflation. For the state fiscal year ending June 30, 2019, the amount of the adjustment is 2.1%. For each year thereafter, the department shall set the inflation adjustment cost-of-living percentage change in reimbursement in accordance with the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, Long-Term Care Hospital Market Basket change as published in the Federal Register.
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 2.1% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2 for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19	
All Other	$0	$38,102	
			
GENERAL FUND TOTAL	$0	$38,102	

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$0	$68,747	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$68,747	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funds for a 2.1% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19	
All Other	$0	$791,503	
			
GENERAL FUND TOTAL	$0	$791,503	

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$0	$1,747,713	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,747,713	

OTHER SPECIAL REVENUE FUNDS	2017-18	2018-19	
All Other	$0	$177,155	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$177,155	

PNMI Room and Board Z009
 
Initiative: Provides funds for a 2.1% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2 for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19	
All Other	$0	$9,291	
			
GENERAL FUND TOTAL	$0	$9,291	

PNMI Room and Board Z009
 
Initiative: Provides funds for a 2.1% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19	
All Other	$0	$236,206	
			
GENERAL FUND TOTAL	$0	$236,206	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2017-18	2018-19	
			
GENERAL FUND	$0	$1,075,102	
FEDERAL EXPENDITURES FUND	$0	$1,816,460	
OTHER SPECIAL REVENUE FUNDS	$0	$177,155	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$3,068,717	
 
’
 
SUMMARY
This amendment, which is the minority report of the committee, removes from the bill the 4% increase in fiscal year 2017-18 for reimbursement for adult family care homes, residential care facilities and certain private nonmedical institutions. It includes a reimbursement increase of 2.1% in fiscal year 2018-19. It establishes an annual increase beginning in fiscal year 2019-20 using the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, Long-Term Care Hospital Market Basket change as published in the Federal Register.
FISCAL NOTE REQUIRED
(See attached)