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Amend the amendment by striking out all of section 5 and inserting the following:
‘Sec. 5. Rulemaking. The Department of Health and Human Services shall amend its rule in 10-144 C.M.R. Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities to determine, of the funds provided in section 6, the proportional amount to be distributed to each provider based on sections 1 to 4 of this Act.
Sec. 6. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides one-time appropriations and allocations for residential care facility wage allowances.

GENERAL FUND	2019-20	2020-21	
All Other	$142,896	$187,720	
			
GENERAL FUND TOTAL	$142,896	$187,720	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$251,844	$330,844	
			
FEDERAL EXPENDITURES FUND TOTAL	$251,844	$330,844	

Nursing Facilities 0148
 
Initiative: Provides one-time appropriations and allocations for nursing facility wage allowances.

GENERAL FUND	2019-20	2020-21	
All Other	$377,104	$332,280	
			
GENERAL FUND TOTAL	$377,104	$332,280	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$664,620	$585,621	
			
FEDERAL EXPENDITURES FUND TOTAL	$664,620	$585,621	

Nursing Facilities 0148
 
Initiative: Provides one-time appropriations and allocations for nursing facility supplemental wage allowance.

GENERAL FUND	2019-20	2020-21	
All Other	$5,400,000	$5,400,000	
			
GENERAL FUND TOTAL	$5,400,000	$5,400,000	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$9,517,127	$9,517,127	
			
FEDERAL EXPENDITURES FUND TOTAL	$9,517,127	$9,517,127	

Nursing Facilities 0148
 
Initiative: Provides one-time deappropriations and deallocations for funding carried forward in the baseline for the nursing facility supplemental wage allowance.

GENERAL FUND	2019-20	2020-21	
All Other	($5,400,000)	($5,400,000)	
			
GENERAL FUND TOTAL	($5,400,000)	($5,400,000)	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	($9,517,127)	($9,517,127)	
			
FEDERAL EXPENDITURES FUND TOTAL	($9,517,127)	($9,517,127)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF			
DEPARTMENT TOTALS	2019-20	2020-21	
			
GENERAL FUND	$520,000	$520,000	
FEDERAL EXPENDITURES FUND	$916,464	$916,465	
			
DEPARTMENT TOTAL - ALL FUNDS	$1,436,464	$1,436,465	
 
’
 
SUMMARY
This amendment directs the Department of Health and Human Services to amend its rules to determine, of the funds provided in section 6, the proportional amount to be distributed to each provider based on the supplemental allowances and additional special wage allowances established in the bill as amended by Committee Amendment "A". This amendment also replaces the appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)