PLEASE NOTE: Legislative Information cannot perform research, provide legal advice, or interpret Maine law. For legal assistance, please contact a qualified attorney.
Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1.  22 MRSA §3174-UU  is enacted to read:
§ 3174-UU. Methadone reimbursement limitations
Effective January 1, 2013, reimbursement under the MaineCare program for methadone for the treatment of addiction to opiates as defined in Title 17-A, section 1101, subsection 7 is limited to a lifetime maximum of 24 months, except that reimbursement may be provided for longer than 24 months if prior authorization is received from the department.
The department shall adopt rules to implement this section. Rules adopted pursuant to this section are major substantive rules as defined in Title 5, chapter 375, subchapter 2-A. Prior to adopting rules under this section, the department shall seek input from stakeholders and experts in the field of substance abuse addiction and recovery, including, but not limited to, representatives of the Office of Substance Abuse and individuals with expertise in medication-assisted treatment.
Sec. 2. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Developmental Services Waiver - MaineCare 0987
 
Initiative: Provides funds for services under Chapter II, Section 21 of the MaineCare Benefits Manual, Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$697,527	
			
GENERAL FUND TOTAL	$0	$697,527	

Developmental Services Waiver - Supports Z006
 
Initiative: Provides funds for services under Chapter II, Section 29 of the MaineCare Benefits Manual, Support Benefits for Adults with Intellectual Disabilities or Autistic Disorder.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$232,509	
			
GENERAL FUND TOTAL	$0	$232,509	

Mental Health Services - Community Medicaid 0732
 
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($573,308)	
			
GENERAL FUND TOTAL	$0	($573,308)	

Office of Substance Abuse - Medicaid Seed 0844
 
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($165,355)	
			
GENERAL FUND TOTAL	$0	($165,355)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2011-12	2012-13	
			
GENERAL FUND	$0	$191,373	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$191,373	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Medical Care - Payments to Providers 0147
 
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($753,765)	
			
GENERAL FUND TOTAL	$0	($753,765)	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	($2,514,090)	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	($2,514,090)	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funds to offset a reduction made in Public Law 2011, c. 477, Part M that reduced MaineCare reimbursement for methadone for the treatment of addiction to opioids from $70 per week to $60 per week in order to maintain reimbursement at $70 per week, retroactive to April 1, 2012.

GENERAL FUND	2011-12	2012-13	
All Other	$0	$562,392	
			
GENERAL FUND TOTAL	$0	$562,392	

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$968,760	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$968,760	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funds for services under Chapter II, Section 29 of the MaineCare Benefits Manual, Support Benefits for Adults with Intellectual Disabilities or Autistic Disorder.

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$386,333	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$386,333	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funds for services under Chapter II, Section 21 of the MaineCare Benefits Manual, Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.

FEDERAL EXPENDITURES FUND	2011-12	2012-13	
All Other	$0	$1,158,997	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,158,997	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2011-12	2012-13	
			
GENERAL FUND	$0	($191,373)	
FEDERAL EXPENDITURES FUND	$0	$0	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	($191,373)	

SECTION TOTALS	2011-12	2012-13	
			
GENERAL FUND	$0	$0	
FEDERAL EXPENDITURES FUND	$0	$0	
			
SECTION TOTAL - ALL FUNDS	$0	$0	
 
’
 
SUMMARY
This amendment is the minority report of the committee. The amendment removes from the bill the requirement that methadone services reimbursed under the MaineCare program be accessed at the clinic closest to the home of the MaineCare member. The amendment removes from the bill the directive to the Department of Health and Human Services to review MaineCare transportation services because a similar directive was included by the committee in the committee amendment to L.D. 1694. The amendment changes the rulemaking to major substantive rules and adds a requirement that the Department of Health and Human Services seek input for the prior authorization rules from stakeholders and experts in the field of substance abuse addiction and recovery, including, but not limited to, representatives of the Office of Substance Abuse and individuals with expertise in medication-assisted treatment. The amendment restores the $10 per week rate cut to methadone clinics enacted in Public Law 2011, chapter 477, and provides funding for services to persons with intellectual disabilities. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)