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Amend the bill by striking out the title and substituting the following:
‘Resolve, To Require Reimbursement for Bed-hold Days in Adult Family Care Homes’
Amend the bill by striking out everything after the title and inserting the following:
‘Sec. 1 Adult family care home reimbursement for bed-hold days. Resolved:  That, no later than January 1, 2020, the Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services to reimburse for days a resident is absent from a facility due to hospitalization, visits with family or friends or other appropriate causes determined by the department for up to 30 bed-hold days per calendar year. The rate of reimbursement must be at least equal to the rate for bed-hold days provided to residential care facilities under the department's rule Chapter 115: Principles of Reimbursement for Residential Care Facilities.
Sec. 2 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides appropriations and allocations to reimburse adult family care homes for up to 30 bed-hold days per calendar year in the same manner as residential care facilities are reimbursed.

GENERAL FUND	2019-20	2020-21	
All Other	$16,414	$33,056	
			
GENERAL FUND TOTAL	$16,414	$33,056	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$29,155	$58,082	
			
FEDERAL EXPENDITURES FUND TOTAL	$29,155	$58,082	

Office of MaineCare Services 0129
 
Initiative: Provides one-time appropriations and allocations for required technology updates.

GENERAL FUND	2019-20	2020-21	
All Other	$56,627	$0	
			
GENERAL FUND TOTAL	$56,627	$0	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$169,883	$0	
			
FEDERAL EXPENDITURES FUND TOTAL	$169,883	$0	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF			
DEPARTMENT TOTALS	2019-20	2020-21	
			
GENERAL FUND	$73,041	$33,056	
FEDERAL EXPENDITURES FUND	$199,038	$58,082	
			
DEPARTMENT TOTAL - ALL FUNDS	$272,079	$91,138	
 
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment removes the section of the bill that reimburses nursing homes for bad debt incurred and changes the bill to a resolve. It changes the title to reflect the remaining provision to provide for reimbursement for bed-hold days in adult family care homes. It also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)