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Amend the bill by striking out all of Part AA (page 83, lines 16 to 40 in L.D.)
Amend the bill by inserting at the end before the emergency clause the following:
PART JJ
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Sec. JJ-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: Restores funding reduced in this Act 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 September 1, 2012.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$7,210,000	
			
GENERAL FUND TOTAL	$0	$7,210,000	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$12,421,096	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$12,421,096	

Medical Care - Payments to Providers 0147
 
Initiative: Reduces funding from increasing the number of MaineCare members receiving care management services under the department's emergency department collaborative management initiative to encourage more appropriate utilization of emergency departments, promote better health outcomes and increase savings.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($2,228,571)	
			
GENERAL FUND TOTAL	$0	($2,228,571)	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	($3,838,870)	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,838,870)	

Medical Care - Payments to Providers 0147
 
Initiative: Reduces funding by reducing reimbursement rates for hospital emergency room visits that are more appropriately treated in a primary care setting to $100 per visit.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($6,000,000)	
			
GENERAL FUND TOTAL	$0	($6,000,000)	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	($10,335,421)	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	($10,335,421)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2011-12	2012-13	
			
GENERAL FUND	$0	($1,018,571)	
FEDERAL EXPENDITURES FUND	$0	($1,753,195)	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	($2,771,766)	
 
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Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment restores funding for MaineCare eligibility for parents earning up to 200% of the nonfarm income official poverty line, and offsets those costs by increasing savings through hospital emergency care management and reimbursement reform for hospital emergency care services.
FISCAL NOTE REQUIRED
(See attached)