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Amend the bill by striking out all of section 3.
Amend the bill by striking out all of section 4 and inserting the following:
‘Sec. 4. MaineCare reimbursement rates for outpatient opioid treatment. The Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services regarding the reimbursement rate paid to outpatient opioid treatment providers to increase the rate from $60 to $72 a week.’
Amend the bill by inserting after section 6 the following:
‘Sec. 7. 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 funding to increase the MaineCare reimbursement rate for outpatient opioid treatment to $72 per week.

GENERAL FUND	2017-18	2018-19	
All Other	$572,529	$572,690	
			
GENERAL FUND TOTAL	$572,529	$572,690	

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$1,033,443	$1,033,282	
			
FEDERAL EXPENDITURES FUND TOTAL	$1,033,443	$1,033,282	

Office of MaineCare Services 0129
 
Initiative: Provides funding for a 3rd-party consultant to conduct a rate study regarding reimbursement to outpatient opioid treatment providers.

GENERAL FUND	2017-18	2018-19	
All Other	$62,500	$0	
			
GENERAL FUND TOTAL	$62,500	$0	

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$62,500	$0	
			
FEDERAL EXPENDITURES FUND TOTAL	$62,500	$0	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2017-18	2018-19	
			
GENERAL FUND	$635,029	$572,690	
FEDERAL EXPENDITURES FUND	$1,095,943	$1,033,282	
			
DEPARTMENT TOTAL - ALL FUNDS	$1,730,972	$1,605,972	
 
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment removes the section from the bill that relates to pharmacy oversight. It changes the increase in reimbursement in the bill for methadone providers from $80 to $72 a week. It removes the language that gives the Department of Health and Human Services the authority to increase reimbursement by rulemaking.
FISCAL NOTE REQUIRED
(See attached)