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Amend the bill by adding after section 2 the following:
‘Sec. 3. State plan amendment. No later than January 1, 2020, the Department of Health and Human Services shall apply to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for a state plan amendment to allow for Medicaid reimbursement for all chiropractic services performed by chiropractic doctors licensed under the Maine Revised Statutes, Title 32, chapter 9 within their scope of practice.
Sec. 4. Contingent effective date. That section of this Act that amends the Maine Revised Statutes, Title 22, section 3174-AAA, subsection 1 does not take effect unless:
1. The United States Department of Health and Human Services, Centers for Medicare and Medicaid Services approves a state plan amendment to allow for Medicaid reimbursement for all chiropractic services performed by chiropractic doctors licensed under Title 32, chapter 9 within their scope of practice; and
2. The Commissioner of Health and Human Services notifies the Secretary of State, the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of Statutes that written approval for the state plan amendment has been received.
Sec. 5. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to allow for all chiropractic services that are within the scope of practice of chiropractic doctors and performed by a licensed chiropractic doctor to be reimbursed under the MaineCare program.

GENERAL FUND	2019-20	2020-21	
All Other	$128,684	$257,367	
			
GENERAL FUND TOTAL	$128,684	$257,367	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$226,796	$453,592	
			
FEDERAL EXPENDITURES FUND TOTAL	$226,796	$453,592	
 
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment, which is the majority report of the committee, requires the Department of Health and Human Services to apply for a state plan amendment to allow for Medicaid reimbursement for all chiropractic services within the scope of practice of chiropractic doctors no later than January 1, 2020. If the state plan amendment is not approved by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, chiropractic doctors will not be reimbursed by MaineCare for any additional chiropractic services not currently eligible for reimbursement. The amendment also adds an appropriations and allocations section.