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Amend the bill by striking out the title and substituting the following:
‘Resolve, To Ensure Access to Behavioral Health Services’
Amend the bill by striking out everything after the title and before the summary and inserting the following:
‘Sec. 1 Department of Health and Human Services to increase MaineCare rates. Resolved: That, no later than June 1, 2018, the Department of Health and Human Services shall amend the rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 13, Targeted Case Management Services; Section 17, Allowances for Community Support Services; Section 23, Developmental and Behavioral Clinic Services; Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations; Section 65, Behavioral Health Services; and Section 97, Private Non-Medical Institution Services, Appendix B and Appendix E to increase reimbursement rates to ensure a net increase in funding from fiscal year 2008-09 to fiscal year 2018-19 of 2% as long as no rate for a service is lower than the rate reimbursed as of January 1, 2017. The rules must specify that the increase in reimbursement rates must be applied to wages and benefits for employees who provide direct services and not to administrators or managers; and be it further
Sec. 2 Increase to employee wages. Resolved: That to qualify for the rate increase pursuant to section 1, a agency providing services must demonstrate, to the satisfaction of the Department of Health and Human Services, that an increase in wages and benefits for employees providing direct services has been granted that equals the amount of increase received as a result of the increased reimbursement. The increase must be granted or paid out retroactively from the date the department begins reimbursing at the increased rates; and be it further
Sec. 3 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 appropriations and allocations to increase certain reimbursement rates by June 1, 2018 to reflect a 2% increase over rates in fiscal year 2008-09.

GENERAL FUND	2017-18	2018-19	
All Other	$349,890	$6,036,063	
			
GENERAL FUND TOTAL	$349,890	$6,036,063	

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$631,294	$11,974,266	
			
FEDERAL EXPENDITURES FUND TOTAL	$631,294	$11,974,266	

OTHER SPECIAL REVENUE FUNDS	2017-18	2018-19	
All Other	$0	$600,591	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$600,591	

PNMI Room and Board Z009
 
Initiative: Provides appropriations and allocations to increase certain reimbursement rates by June 1, 2018 to reflect a 2% increase from rates in fiscal year 2008-09.

GENERAL FUND	2017-18	2018-19	
All Other	$0	$17,135	
			
GENERAL FUND TOTAL	$0	$17,135	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2017-18	2018-19	
			
GENERAL FUND	$349,890	$6,053,198	
FEDERAL EXPENDITURES FUND	$631,294	$11,974,266	
OTHER SPECIAL REVENUE FUNDS	$0	$600,591	
			
DEPARTMENT TOTAL - ALL FUNDS	$981,184	$18,628,055	
 
’
 
SUMMARY
This amendment, which is the majority report of the committee, strikes the bill and makes it a resolve. The amendment retains the section in the bill that increases reimbursement rates by June 1, 2018. The increase in that section is changed from 20% to 2%, which must be applied to employee wages and benefits. The amendment specifies that increases to Section 97, Private Non-Medical Institution Services include only Appendix B and Appendix E. The amendment adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)