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Amend the bill by striking out all of Part X (page 81, lines 1 to 28 in L.D.)
Amend the bill in Part M in section 1 in that part designated "HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)" in the 23rd occurrence of that part relating to "Medical Care - Payments to Providers 0147" by striking out the initiative (page 72, lines 26 to 29 in L.D.) and inserting the following:
 
‘Initiative: Reduces funding as a result of a one-time transfer from the Dirigo Health Fund to the Medical Care - Payments to Providers program as a result of reducing eligibility for Medicaid services for parents with a maximum income of 200% to a maximum income of 133% of the nonfarm income official poverty line effective October 1, 2012.’
Amend the bill in Part Z in section 1 in §6914 in the 3rd paragraph in the 2nd line (page 82, line 28 in L.D.) by striking out the following: "$7,210,000" and inserting the following: '$2,397,939'
Amend the bill in Part Z by striking out all of section 2.
Amend the bill in Part BB by inserting after section 2 the following:
‘Sec. BB-3. Transition of categorically eligible individuals. In recognition of the expiration on December 31, 2013 of the federal waiver for the MaineCare childless adult waiver program, the Department of Health and Human Services, in accordance with federal requirements, shall submit a plan by June 30, 2013 to transition categorically eligible individuals who are enrolled in the program to available MaineCare coverage options by December 31, 2013.’
Amend the bill in Part II in section 1 in Sec. JJJ-1 in the 3rd line (page 86, line 10 in L.D.) by striking out the following: "$102,000,000" and inserting the following: '$103,500,000'
Amend the bill in Part II in section 1 in Sec. JJJ-1 in the 5th line (page 86, line 12 in L.D.) by striking out the following: "$102,000,000" and inserting the following: '$103,500,000'
Amend the bill by inserting after Part II the following:
PART JJ
‘
Sec. JJ-1.  36 MRSA §2896  is enacted to read:
§ 2896. Hospital assessment; 2012-2013
 
1.  Assessment.     For state fiscal year 2012-13, an assessment is imposed against each hospital in the State. The assessment is equal to 0.39% of net operating revenue as identified on the hospital's most recent audited financial statement for the hospital's fiscal year that ended during calendar year 2008.
 
2.  Return required.     A person subject to the assessment imposed under this section shall submit to the assessor a return on a form prescribed and furnished by the assessor. The assessment is payable in 2 payments. The first payment is due by September 30, 2012. The 2nd payment is due by March 30, 2013.
 
3.  Application of revenues.     All revenues received by the assessor under subsection 1 must be credited to the General Fund.
PART KK
Sec. KK-1. 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 restore the 3% reduction in funding to certain institutes for mental disease.

GENERAL FUND	2011-12	2012-13	
All Other	$70,000	$280,000	
			
GENERAL FUND TOTAL	$70,000	$280,000	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$120,580	$482,320	
			
FEDERAL EXPENDITURES FUND TOTAL	$120,580	$482,320	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to allow for reimbursement to hospitals when a MaineCare patient is subsequently readmitted to the hospital from 3 days to 14 days following an inpatient admission for the same diagnosis.

GENERAL FUND	2011-12	2012-13	
All Other	$170,190	$907,680	
			
GENERAL FUND TOTAL	$170,190	$907,680	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$294,842	$1,563,418	
			
FEDERAL EXPENDITURES FUND TOTAL	$294,842	$1,563,418	

Medical Care - Payments to Providers 0147
 
Initiative: Restores funding reduced in this Act for outpatient services at acute care hospitals.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$3,180,269	
			
GENERAL FUND TOTAL	$0	$3,180,269	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$5,478,236	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$5,478,236	

Medical Care - Payments to Providers 0147
 
Initiative: Restores funding reduced in this Act from reducing reimbursement for critical access hospitals from 109% to 105%.

GENERAL FUND	2011-12	2012-13	
All Other	$290,834	$1,179,804	
			
GENERAL FUND TOTAL	$290,834	$1,179,804	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$503,794	$1,987,455	
			
FEDERAL EXPENDITURES FUND TOTAL	$503,794	$1,987,455	

Medical Care - Payments to Providers 0147
 
Initiative: Restores funding reduced in this Act from limiting reimbursement for hospital admissions to 5 per member per year.

GENERAL FUND	2011-12	2012-13	
All Other	$91,890	$490,081	
			
GENERAL FUND TOTAL	$91,890	$490,081	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$159,176	$825,573	
			
FEDERAL EXPENDITURES FUND TOTAL	$159,176	$825,573	

Medical Care - Payments to Providers 0147
 
Initiative: Restores funding reduced in this Act from reducing funding for outpatient services at acute care hospitals by 5%, effective July 1, 2012.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$3,180,269	
			
GENERAL FUND TOTAL	$0	$3,180,269	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$5,357,366	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$5,357,366	

Medical Care - Payments to Providers 0147
 
Initiative: Restores funding reduced in this Act from reducing reimbursement for hospital inpatient services by 10%.

GENERAL FUND	2011-12	2012-13	
All Other	$768,208	$3,127,406	
			
GENERAL FUND TOTAL	$768,208	$3,127,406	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$2,098,929	$5,268,314	
			
FEDERAL EXPENDITURES FUND TOTAL	$2,098,929	$5,268,314	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2011-12	2012-13	
			
GENERAL FUND	$1,391,122	$12,345,509	
FEDERAL EXPENDITURES FUND	$3,177,321	$20,962,682	
			
DEPARTMENT TOTAL - ALL FUNDS	$4,568,443	$33,308,191	
 
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment:
1. Reduces from $7,210,000 to $2,397,939 the amount of the one-time transfer required by Dirigo Health in fiscal year 2012-13 to the Medical Care - Payments to Providers, Other Special Revenue Funds account in the Department of Health and Human Services for the purpose of providing a state match for federal Medicaid services;
2. Corrects the stated effective date of the eligibility reduction for Medicaid services for parents with a maximum income of 200% to a maximum income of 133% of the nonfarm income official poverty line in the Part M initiative reducing the funding in the Medical Care - Payments to Providers account as a result of the one-time transfer. The amendment maintains the amount of the funding reduction in the Part M initiative at $7,210,000;
3. Eliminates the provision that extends the 1.87% access payment to support the cost of Dirigo Health through June 30, 2013 and allows the rate to decrease to 1.64% on July 1, 2012 as scheduled;
4. Requires the Department of Health and Human Services to submit a plan by June 30, 2013 to transition categorically eligible individuals who are enrolled in the MaineCare childless adult waiver program to available MaineCare coverage options by December 31, 2013;
5. Increases from $102,000,000 to $103,500,000 the interfund advance from Other Special Revenue Funds to the General Fund unappropriated surplus required for one day at the end of fiscal year 2011-12;
6. Eliminates the proposed reductions in MaineCare payments to hospitals; and
7. Imposes on each hospital in the State a temporary assessment beginning July 1, 2012 equal to 0.39% of net operating revenue as identified on the hospital's audited financial statement.
FISCAL NOTE REQUIRED
(See attached)