An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government and To Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2012 and June 30, 2013
Emergency preamble. Whereas, acts and resolves of the Legislature do not become effective until 90 days after adjournment unless enacted as emergencies; and
Whereas, the 90-day period may not terminate until after the beginning of the next fiscal year; and
Whereas, certain obligations and expenses incident to the operation of state departments and institutions will become due and payable immediately; and
Whereas, in the judgment of the Legislature, these facts create an emergency within the meaning of the Constitution of Maine and require the following legislation as immediately necessary for the preservation of the public peace, health and safety; now, therefore,
PART A
Sec. A-1. Appropriations and allocations. The following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
Developmental Services - Community 0122
Initiative: Reduces funding for reimbursement in rental assistance to United States Department of Housing and Urban Development levels.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,200,000) |
 |
|
|
| GENERAL FUND TOTAL | $0 | ($1,200,000) |
Developmental Services Waiver - MaineCare 0987
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$5,808,535 | $6,299,768 |
|
|
|
| GENERAL FUND TOTAL | $5,808,535 | $6,299,768 |
Developmental Services Waiver - MaineCare 0987
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $1,190,669 |
|
|
|
| GENERAL FUND TOTAL | $0 | $1,190,669 |
Developmental Services Waiver - MaineCare 0987
Initiative: Reduces funding to reflect savings from payment reform in the Developmental Services Waiver - MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($3,000,000) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($3,000,000) |
Developmental Services Waiver - Supports Z006
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$1,967,371 | $5,658,034 |
|
|
|
| GENERAL FUND TOTAL | $1,967,371 | $5,658,034 |
Developmental Services Waiver - Supports Z006
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $91,346 |
|
|
|
| GENERAL FUND TOTAL | $0 | $91,346 |
Disproportionate Share - Dorothea Dix Psychiatric Center 0734
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
Personal Services
|
$0 | $73,700 |
|
|
|
| GENERAL FUND TOTAL | $0 | $73,700 |
Disproportionate Share - Riverview Psychiatric Center 0733
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
Personal Services
|
$0 | $111,280 |
|
All Other
|
$0 | $40,232 |
|
|
|
| GENERAL FUND TOTAL | $0 | $151,512 |
Dorothea Dix Psychiatric Center 0120
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
Personal Services
|
$0 | ($73,700) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $0 | ($73,700) |
FHM - Substance Abuse 0948
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | $17,976 |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | $17,976 |
Medicaid Services - Developmental Services 0705
Initiative: Reduces funding by eliminating targeted case management services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($389,340) | ($1,772,320) |
|
|
|
| GENERAL FUND TOTAL | ($389,340) | ($1,772,320) |
Medicaid Services - Developmental Services 0705
Initiative: Reduces funding by eliminating private nonmedical institution services as an optional service in the MaineCare program effective July 1, 2012.
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($83,408) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $0 | ($83,408) |
Medicaid Services - Developmental Services 0705
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $1,201,050 |
|
|
|
| GENERAL FUND TOTAL | $0 | $1,201,050 |
Medicaid Services - Developmental Services 0705
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $592,079 |
|
|
|
| GENERAL FUND TOTAL | $0 | $592,079 |
Mental Health Services - Child Medicaid 0731
Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for persons 19 and 20 years of age with income less than or equal to 150% of the nonfarm income official poverty line.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($64,775) | ($351,600) |
|
|
|
| GENERAL FUND TOTAL | ($64,775) | ($351,600) |
Mental Health Services - Child Medicaid 0731
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$5,290,051 | $4,709,869 |
|
|
|
| GENERAL FUND TOTAL | $5,290,051 | $4,709,869 |
Mental Health Services - Child Medicaid 0731
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $470,754 |
|
|
|
| GENERAL FUND TOTAL | $0 | $470,754 |
Mental Health Services - Child Medicaid 0731
Initiative: Reduces funding by reducing optional coverage for children who are behaviorally challenged and who are in a residential setting.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($500,000) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($500,000) |
Mental Health Services - Children 0136
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health Fund to provide MaineCare seed for the program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($17,392) | ($94,426) |
|
|
|
| GENERAL FUND TOTAL | ($17,392) | ($94,426) |
Mental Health Services - Children 0136
Initiative: Reduces funding by reducing contracts for residential services.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,250,000) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($1,250,000) |
Mental Health Services - Community 0121
Initiative: Reduces funding by limiting the availability of mental health crisis intervention to persons who experience severe and persistent mental illness.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($2,084,746) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($2,084,746) |
| FEDERAL BLOCK GRANT FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($91,369) |
|
|
|
| FEDERAL BLOCK GRANT FUND TOTAL | $0 | ($91,369) |
Mental Health Services - Community Medicaid 0732
Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for persons 19 and 20 years of age with income less than or equal to 150% of the nonfarm income official poverty line.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($37,593) | ($204,059) |
|
|
|
| GENERAL FUND TOTAL | ($37,593) | ($204,059) |
Mental Health Services - Community Medicaid 0732
Initiative: Reduces funding by eliminating private nonmedical institution services as an optional service in the MaineCare program effective July 1, 2012.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($12,754,745) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($12,754,745) |
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($341,170) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $0 | ($341,170) |
Mental Health Services - Community Medicaid 0732
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $614,409 |
|
|
|
| GENERAL FUND TOTAL | $0 | $614,409 |
Office of Substance Abuse - Medicaid Seed 0844
Initiative: Reduces funding by eliminating private nonmedical institution services as an optional service in the MaineCare program effective July 1, 2012.
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($89,487) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $0 | ($89,487) |
Office of Substance Abuse - Medicaid Seed 0844
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$983,953 | $869,928 |
|
|
|
| GENERAL FUND TOTAL | $983,953 | $869,928 |
Office of Substance Abuse - Medicaid Seed 0844
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $53,748 |
|
|
|
| GENERAL FUND TOTAL | $0 | $53,748 |
Riverview Psychiatric Center 0105
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
Personal Services
|
$0 | ($111,280) |
|
All Other
|
$0 | ($40,232) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $0 | ($151,512) |
Traumatic Brain Injury Seed Z042
Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $1,669 |
|
|
|
| GENERAL FUND TOTAL | $0 | $1,669 |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) | ||
| DEPARTMENT TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$13,540,810 | ($1,233,361) |
|
FUND FOR A HEALTHY MAINE
|
$0 | $17,976 |
|
OTHER SPECIAL REVENUE FUNDS
|
$0 | ($739,277) |
|
FEDERAL BLOCK GRANT FUND
|
$0 | ($91,369) |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $13,540,810 | ($2,046,031) |
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Bureau of Medical Services 0129
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health Fund to provide MaineCare seed for the program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($44,413) | ($241,124) |
|
|
|
| GENERAL FUND TOTAL | ($44,413) | ($241,124) |
Departmentwide 0640
Initiative: Reduces funding from salary savings. Notwithstanding any other provision of law, the State Budget Officer shall calculate the amount of savings in this Part that applies to each General Fund account in the Department of Health and Human Services and shall transfer the amounts by financial order upon the approval of the Governor. These transfers are considered adjustments to appropriations in fiscal year 2011-12.
| GENERAL FUND | 2011-12 | 2012-13 |
|
Personal Services
|
($5,000,000) | ($3,000,000) |
|
|
|
| GENERAL FUND TOTAL | ($5,000,000) | ($3,000,000) |
FHM - Bureau of Health 0953
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($10,783,273) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($10,783,273) |
FHM - Donated Dental 0958
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($36,463) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($36,463) |
FHM - Drugs for the Elderly and Disabled Z015
Initiative: Reduces funding by eliminating the coinsurance deductible and copay for prescription drugs and the payment of Medicare Part D premiums for certain individuals receiving benefits from the Low-cost Drugs To Maine's Elderly program.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
($247,964) | ($1,322,475) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | ($247,964) | ($1,322,475) |
FHM - Drugs for the Elderly and Disabled Z015
Initiative: Reduces funding by reducing the number of prescriptions for brand name drugs for which reimbursement is allowed from 4 to 2 per month unless the prescription is determined to be medically necessary.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
($55,880) | ($279,402) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | ($55,880) | ($279,402) |
FHM - Drugs for the Elderly and Disabled Z015
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($10,332,353) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($10,332,353) |
FHM - Family Planning 0956
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($401,430) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($401,430) |
FHM - Head Start 0959
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
($700,000) | ($1,354,580) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | ($700,000) | ($1,354,580) |
FHM - Immunization Z048
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,078,884) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($1,078,884) |
FHM - Medical Care 0960
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | $113,010 |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | $113,010 |
FHM - Medical Care 0960
Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in the Medical Care - Payments to Providers program and reducing funding in the FHM - Medical Care program to reflect a redistribution of funding within the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$1,003,844 | $25,031,096 |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $1,003,844 | $25,031,096 |
FHM - Purchased Social Services 0961
Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine.
| FUND FOR A HEALTHY MAINE | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($3,942,236) |
|
|
|
| FUND FOR A HEALTHY MAINE TOTAL | $0 | ($3,942,236) |
Head Start 0545
Initiative: Eliminates funding for the Head Start program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($800,000) | ($2,448,875) |
|
|
|
| GENERAL FUND TOTAL | ($800,000) | ($2,448,875) |
IV-E Foster Care/Adoption Assistance 0137
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $13,579 |
|
|
|
| GENERAL FUND TOTAL | $0 | $13,579 |
Low-cost Drugs To Maine's Elderly 0202
Initiative: Reduces funding by eliminating the coinsurance deductible and copay for prescription drugs and the payment of Medicare Part D premiums for certain individuals receiving benefits from the Low-cost Drugs To Maine's Elderly program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($836,743) | ($4,462,786) |
|
|
|
| GENERAL FUND TOTAL | ($836,743) | ($4,462,786) |
Low-cost Drugs To Maine's Elderly 0202
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$1,401,437 | $0 |
|
|
|
| GENERAL FUND TOTAL | $1,401,437 | $0 |
Medical Care - Payments to Providers 0147
Initiative: Adjusts funding for the 2012-2013 biennium only for the Cub Care program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health Fund to provide MaineCare seed for the program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($410,995) | ($2,231,331) |
|
|
|
| GENERAL FUND TOTAL | ($410,995) | ($2,231,331) |
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
$472,800 | $2,556,881 |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $472,800 | $2,556,881 |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for families who are covered above mandatory federal levels.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($2,184,239) | ($8,533,575) |
|
|
|
| GENERAL FUND TOTAL | ($2,184,239) | ($8,533,575) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($5,791,515) | ($30,571,405) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($5,791,515) | ($30,571,405) |
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
($1,159,127) | ($9,614,390) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | ($1,159,127) | ($9,614,390) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for persons 19 and 20 years of age with income less than or equal to 150% of the nonfarm income official poverty line.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($993,649) | ($5,393,575) |
|
|
|
| GENERAL FUND TOTAL | ($993,649) | ($5,393,575) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($1,898,564) | ($10,021,863) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($1,898,564) | ($10,021,863) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating adult family care as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($40,810) | ($220,068) |
|
|
|
| GENERAL FUND TOTAL | ($40,810) | ($220,068) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($68,641) | ($362,332) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($68,641) | ($362,332) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating ambulatory surgical center services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($17,200) | ($93,274) |
|
|
|
| GENERAL FUND TOTAL | ($17,200) | ($93,274) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($28,155) | ($148,619) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($28,155) | ($148,619) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating consumer-directed attendant services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($449,605) | ($2,440,130) |
|
|
|
| GENERAL FUND TOTAL | ($449,605) | ($2,440,130) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($772,450) | ($4,077,499) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($772,450) | ($4,077,499) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating targeted case management services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($94,312) | ($429,320) |
|
|
|
| GENERAL FUND TOTAL | ($94,312) | ($429,320) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($908,725) | ($4,846,533) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($908,725) | ($4,846,533) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating dental services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($410,611) | ($2,225,611) |
|
|
|
| GENERAL FUND TOTAL | ($410,611) | ($2,225,611) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($652,668) | ($3,445,208) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($652,668) | ($3,445,208) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($78,846) | ($426,996) |
|
|
|
| GENERAL FUND TOTAL | ($78,846) | ($426,996) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($124,966) | ($659,650) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($124,966) | ($659,650) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating vision services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($151,826) | ($823,447) |
|
|
|
| GENERAL FUND TOTAL | ($151,826) | ($823,447) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($250,663) | ($1,323,161) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($250,663) | ($1,323,161) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($97,657) | ($529,071) |
|
|
|
| GENERAL FUND TOTAL | ($97,657) | ($529,071) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($158,352) | ($835,885) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($158,352) | ($835,885) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating podiatry services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($68,407) | ($370,903) |
|
|
|
| GENERAL FUND TOTAL | ($68,407) | ($370,903) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($110,904) | ($585,423) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($110,904) | ($585,423) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating private nonmedical institution services as an optional service in the MaineCare program effective July 1, 2012.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($47,637,039) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($47,637,039) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($104,043,080) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($104,043,080) |
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
($319,609) | ($5,113,739) |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | ($319,609) | ($5,113,739) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating sexually transmitted disease screening clinic services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($40,397) | ($217,951) |
|
|
|
| GENERAL FUND TOTAL | ($40,397) | ($217,951) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($45,771) | ($241,610) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($45,771) | ($241,610) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating chiropractic services as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($69,199) | ($375,344) |
|
|
|
| GENERAL FUND TOTAL | ($69,199) | ($375,344) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($114,901) | ($606,525) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($114,901) | ($606,525) |
Medical Care - Payments to Providers 0147
Initiative: Adjusts funding in fiscal year 2011-12 as a result of contributions from the Dirigo Health Fund to provide MaineCare seed for the childless adult waiver.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($10,000,000) | $0 |
|
|
|
| GENERAL FUND TOTAL | ($10,000,000) | $0 |
| OTHER SPECIAL REVENUE FUNDS | 2011-12 | 2012-13 |
|
All Other
|
$10,000,000 | $0 |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $10,000,000 | $0 |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by 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: Reduces funding by reducing the number of prescriptions for brand name drugs for which reimbursement is allowed from 4 to 2 per month unless the prescription is determined to be medically necessary.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($1,168,120) | ($5,840,598) |
|
|
|
| GENERAL FUND TOTAL | ($1,168,120) | ($5,840,598) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($2,023,465) | ($9,838,860) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($2,023,465) | ($9,838,860) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by limiting reimbursement to 15 outpatient hospital visits per year.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($277,540) | ($1,480,214) |
|
|
|
| GENERAL FUND TOTAL | ($277,540) | ($1,480,214) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($480,766) | ($2,493,515) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($480,766) | ($2,493,515) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by 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: Reduces funding by limiting the use of Suboxone for the treatment of opioid dependency to coverage for a 2-year period.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($147,563) | $0 |
|
|
|
| GENERAL FUND TOTAL | ($147,563) | $0 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($1,082,650) | $0 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($1,082,650) | $0 |
Medical Care - Payments to Providers 0147
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$91,805,960 | $38,142,642 |
|
|
|
| GENERAL FUND TOTAL | $91,805,960 | $38,142,642 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$207,077,368 | $124,626,202 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $207,077,368 | $124,626,202 |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding from the elimination of the childless adult waiver program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($22,000,000) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($22,000,000) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($37,060,403) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($37,060,403) |
Medical Care - Payments to Providers 0147
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $6,997,873 |
|
|
|
| GENERAL FUND TOTAL | $0 | $6,997,873 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($10,382,324) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($10,382,324) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by eliminating the reimbursement for smoking cessation products.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($80,000) | ($430,000) |
|
|
|
| GENERAL FUND TOTAL | ($80,000) | ($430,000) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($138,580) | ($724,363) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($138,580) | ($724,363) |
Medical Care - Payments to Providers 0147
Initiative: Reduces 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: Reduces funding by reducing optional coverage for children who are behaviorally challenged and who are in a residential setting.
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($842,282) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($842,282) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding to reflect savings from payment reform in the Developmental Services Waiver - MaineCare program.
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($5,053,691) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($5,053,691) |
Medical Care - Payments to Providers 0147
Initiative: Reduces funding by 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) |
Medical Care - Payments to Providers 0147
Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in the Medical Care - Payments to Providers program and reducing funding in the FHM - Medical Care program to reflect a redistribution of funding within the Fund for a Healthy Maine.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($1,003,844) | ($25,031,096) |
|
|
|
| GENERAL FUND TOTAL | ($1,003,844) | ($25,031,096) |
MR/Elderly PNMI Room and Board Z009
Initiative: Reduces funding by eliminating adult family care as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($22,609) | ($121,918) |
|
|
|
| GENERAL FUND TOTAL | ($22,609) | ($121,918) |
MR/Elderly PNMI Room and Board Z009
Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($4,088) | ($22,141) |
|
|
|
| GENERAL FUND TOTAL | ($4,088) | ($22,141) |
MR/Elderly PNMI Room and Board Z009
Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($4,890) | ($26,490) |
|
|
|
| GENERAL FUND TOTAL | ($4,890) | ($26,490) |
MR/Elderly PNMI Room and Board Z009
Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for individuals in the medically needy category.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($2,533,359) | ($13,511,247) |
|
|
|
| GENERAL FUND TOTAL | ($2,533,359) | ($13,511,247) |
MR/Elderly PNMI Room and Board Z009
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $8,210,778 |
|
|
|
| GENERAL FUND TOTAL | $0 | $8,210,778 |
Nursing Facilities 0148
Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($7,516) | ($40,706) |
|
|
|
| GENERAL FUND TOTAL | ($7,516) | ($40,706) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($11,088) | ($58,532) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($11,088) | ($58,532) |
Nursing Facilities 0148
Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
($9,087) | ($49,230) |
|
|
|
| GENERAL FUND TOTAL | ($9,087) | ($49,230) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
($13,732) | ($72,488) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | ($13,732) | ($72,488) |
Nursing Facilities 0148
Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $7,036,142 |
|
|
|
| GENERAL FUND TOTAL | $0 | $7,036,142 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $11,852,830 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | $11,852,830 |
Nursing Facilities 0148
Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $1,538,014 |
|
|
|
| GENERAL FUND TOTAL | $0 | $1,538,014 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,538,014) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($1,538,014) |
State-funded Foster Care/Adoption Assistance 0139
Initiative: Eliminates funding for the supplemental services for children with complex emotional and behavioral needs.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,999,984) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($1,999,984) |
State-funded Foster Care/Adoption Assistance 0139
Initiative: Reduces funding by reducing contracts in the family reunification program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,007,112) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($1,007,112) |
State-funded Foster Care/Adoption Assistance 0139
Initiative: Reduces funding by reducing contracts in the alternative response program.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($1,290,000) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($1,290,000) |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) | ||
| DEPARTMENT TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$65,008,940 | ($100,989,688) |
|
FEDERAL EXPENDITURES FUND
|
$189,638,913 | ($106,792,941) |
|
FUND FOR A HEALTHY MAINE
|
$0 | ($4,386,990) |
|
OTHER SPECIAL REVENUE FUNDS
|
$8,994,064 | ($12,171,248) |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $263,641,917 | ($224,340,867) |
| SECTION TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$78,549,750 | ($102,223,049) |
|
FEDERAL EXPENDITURES FUND
|
$189,638,913 | ($106,792,941) |
|
FUND FOR A HEALTHY MAINE
|
$0 | ($4,369,014) |
|
OTHER SPECIAL REVENUE FUNDS
|
$8,994,064 | ($12,910,525) |
|
FEDERAL BLOCK GRANT FUND
|
$0 | ($91,369) |
|
|
|
| SECTION TOTAL - ALL FUNDS | $277,182,727 | ($226,386,898) |
PART B
Sec. B-1. 22 MRSA §3173-A, as reallocated by PL 1979, c. 127, §145 and amended by PL 2003, c. 689, Pt. B, §6, is repealed.
PART C
Sec. C-1. 22 MRSA §3173-C, sub-§7, as amended by PL 2009, c. 415, Pt. A, §12, is further amended to read:
The department may adopt rules to adjust the copayments set forth in this subsection. The rules may adjust amounts to ensure that copayments are deemed nominal in amount and may include monthly limits or exclusions per service category. The need to maintain provider participation in the Medicaid program to the extent required by 42 United States Code, Section 1396a(a)(30)(A) or any successor provision of law must be considered in any reduction in reimbursement to providers or imposition of copayments.
PART D
Sec. D-1. 22 MRSA §3174-A, as amended by PL 2001, c. 559, Pt. X, §5, is repealed.
Sec. D-2. Effective date. This Part takes effect July 1, 2012.
PART E
Sec. E-1. 22 MRSA §3174-F, as amended by PL 1997, c. 159, §§1 and 2 and PL 2003, c. 689, Pt. B, §6, is repealed.
PART F
Sec. F-1. 22 MRSA §3174-G, sub-§1, ¶D, as repealed and replaced by PL 2007, c. 695, Pt. C, §10, is amended to read:
Sec. F-2. 22 MRSA §3174-G, sub-§1, ¶¶E and F, as amended by PL 2011, c. 380, Pt. KK, §2, are repealed.
PART G
Sec. G-1. 22 MRSA §254-D, as amended by PL 2007, c. 240, Pt. RR, §1, is repealed.
Sec. G-2. 22 MRSA §258, sub-§1, ¶A, as amended by PL 2005, c. 401, Pt. C, §2, is repealed.
Sec. G-3. 22 MRSA §258, sub-§§3 to 5, as enacted by PL 2001, c. 293, §5, are amended to read:
Sec. G-4. 22 MRSA §1711-E, sub-§4, ¶C, as enacted by PL 2007, c. 460, §1, is amended to read:
Sec. G-5. 22 MRSA §2681, sub-§3, as amended by PL 2005, c. 401, Pt. C, §3, is further amended to read:
Sec. G-6. 22 MRSA §2681, sub-§9, as amended by PL 2005, c. 401, Pt. C, §4, is further amended to read:
Sec. G-7. 22 MRSA §2685, sub-§2, ¶E, as enacted by PL 2007, c. 327, §1, is repealed.
Sec. G-8. 22 MRSA §2685, sub-§4, as enacted by PL 2007, c. 327, §1, is amended to read:
Sec. G-9. 22 MRSA §2685, sub-§5, as amended by PL 2011, c. 461, §2, is further amended to read:
Sec. G-10. 22 MRSA §3174-G, sub-§1-B, as amended by PL 2005, c. 401, Pt. C, §5, is repealed.
Sec. G-11. 22 MRSA §3174-G, sub-§1-C, as amended by PL 2005, c. 401, Pt. C, §6, is repealed.
Sec. G-12. 22 MRSA §3174-G, sub-§2, as enacted by PL 1989, c. 502, Pt. A, §72 and amended by PL 1997, c. 530, Pt. A, §34, is repealed.
Sec. G-13. 22 MRSA §3174-G, sub-§3, as enacted by PL 1989, c. 502, Pt. A, §72, is repealed.
Sec. G-14. 22 MRSA §3174-KK, sub-§3, as amended by PL 2005, c. 683, Pt. A, §35, is further amended to read:
Sec. G-15. 24-A MRSA §4317, sub-§3, as amended by PL 2011, c. 443, §5, is further amended to read:
Sec. G-16. 24-A MRSA §5002-B, sub-§2-A, as amended by PL 2005, c. 401, Pt. C, §7, is repealed.
PART H
Sec. H-1. 22 MRSA §3174-Q, sub-§2, as amended by PL 2009, c. 571, Pt. PPP, §1, is further amended to read:
If the department takes action to eliminate or modify a service under this subsection, it shall provide notice of the rule-making proceedings to members of the Legislature.
PART I
Sec. I-1. 22 MRSA §3174-FF, as amended by PL 2007, c. 71, §1, is repealed.
PART J
Sec. J-1. 22 MRSA §3174-HH, as enacted by PL 2005, c. 401, Pt. B, §1, is repealed.
PART K
Sec. K-1. 22 MRSA §3174-RR, sub-§1, as reallocated by RR 2011, c. 1, §32, is amended to read:
Reimbursement must be provided to independent practice dental hygienists directly or to a federally qualified health center pursuant to section 3174-V when an independent practice dental hygienist is employed as a core provider at the center.
PART L
Sec. L-1. Emergency rule-making authority; health and human services matters. The Department of Health and Human Services is authorized to adopt emergency rules on or before June 30, 2013 under the Maine Revised Statutes, Title 5, sections 8054 and 8073 in order to implement those provisions of this Act over which the department has subject matter jurisdiction for which specific authority has not been provided in any other part of this Act. Notwithstanding Title 5, section 8054, subsections 1 and 2, the Department of Health and Human Services is not required to find that immediate adoption is necessary to avoid a threat to public health, safety or general welfare.
PART M
Sec. M-1. 22 MRSA §1714-B, as amended by PL 2009, c. 213, Pt. CC, §1, is further amended to read:
§ 1714-B. Critical access hospital reimbursement
For state fiscal years beginning on or after July 1, 2005 through June 30, 2009, the department shall reimburse licensed critical access hospitals at 117% of MaineCare allowable costs for both inpatient and outpatient services provided to patients covered by the MaineCare program. For state fiscal years beginning on or after July 1, 2009, for each critical access hospital fiscal year up to but not including the hospital fiscal year beginning on or after April 1, 2011, the department shall reimburse licensed critical access hospitals at 109% 105% of MaineCare allowable costs for both inpatient and outpatient services provided to patients covered by the MaineCare program. Of the total allocated from hospital tax revenues under Title 36, chapter 375, $1,000,000 in state and federal funds must be distributed annually among critical access hospitals for staff enhancement payments. This section is repealed April 1, 2012.
Sec. M-2. 22 MRSA §3174-NN, as enacted by PL 2009, c. 213, Pt. CC, §5, is repealed.
Sec. M-3. 22 MRSA §3174-OO, as enacted by PL 2009, c. 213, Pt. CC, §6, is repealed.
PART N
Sec. N-1. 8 MRSA §1036, sub-§2, ¶E, as amended by PL 2011, c. 380, Pt. II, §1, is further amended to read:
PART O
Sec. O-1. Lapse available balance. Notwithstanding any other provision of law, at the close of fiscal year 2011-12, the State Controller shall lapse $5,000,000 from the Bureau of Medical Services account within the Department of Health and Human Services to the unappropriated surplus of the General Fund.
PART P
Sec. P-1. PL 2011, c. 380, Pt. JJJ, §1 is amended to read:
Sec. JJJ-1. Transfer from Other Special Revenue Funds to unappropriated surplus of the General Fund. Notwithstanding any other provision of law, the State Controller shall transfer $43,000,000 $102,000,000 on June 30, 2012 from Other Special Revenue Funds to the unappropriated surplus of the General Fund. On July 1, 2012, the State Controller shall transfer $43,000,000 $102,000,000 from the General Fund unappropriated surplus to Other Special Revenue Funds as repayment. This transfer is considered an interfund advance.
PART Q
Sec. Q-1. Transfer from unappropriated surplus; Maine Budget Stabilization Fund. Notwithstanding any other provision of law, the State Controller shall transfer $39,500,000 during fiscal year 2012-13 from the General Fund unappropriated surplus to the Maine Budget Stabilization Fund within the Department of Administrative and Financial Services in order to ensure that funds will be available to fund necessary services through the Department of Health and Human Services for the State's most vulnerable citizens.
Emergency clause. In view of the emergency cited in the preamble, this legislation takes effect when approved, except as otherwise indicated.
SUMMARY
This Part makes appropriations and allocations.
This Part repeals the requirement that MaineCare cover optional services under the MaineCare program for adults for physical and occupational therapy services provided to residents of intermediate care or skilled nursing facilities.
This Part repeals provisions requiring copayments from MaineCare members for physical therapy services, occupational therapy services, speech therapy services, podiatry services, chiropractic services, optical services and optometric services. These services are proposed for elimination from the MaineCare program subject to federal guidelines and approval.
This Part repeals the requirement that the Department of Health and Human Services administer a program of medical coverage for persons residing in cost reimbursement boarding homes effective July 1, 2012.
This Part repeals the requirement that the MaineCare program provide coverage for adult dental services as a service to Medicaid-eligible people.
This Part does the following.
1. It reduces eligibility for Medicaid services of a parent or caretaker relative of an eligible child from a maximum income of 200% of the nonfarm income official poverty line to the minimum federal requirement of no less than standard of need for Aid to Families with Dependent Children as of 1996, which is approximately 51% of the nonfarm income official poverty line.
2. It eliminates medical coverage for childless adults from 20 to 64 years of age.
This Part does the following.
1. It repeals the elderly low-cost drug program.
2. It repeals the requirement that the Department of Health and Human Services apply for a federal waiver to use federal matching dollars to enhance the elderly low-cost drug program.
3. It repeals the restriction on the use of a resource test by the Department of Health and Human Services for children and pregnant women eligible for Medicaid coverage.
This Part authorizes the Department of Health and Human Services to make changes to MaineCare service provisions if necessary to comply with state balanced budget provisions.
This Part repeals the MaineCare Basic program.
This Part repeals the provision authorizing the Department of Health and Human Services to provide prescription drug services for MaineCare members through the elderly low-cost drug program.
This Part eliminates the requirement that the MaineCare program cover optional dental services provided by independent practice dental hygienists to persons who are older than 21 years of age.
This Part gives the Department of Health and Human Services the authority to adopt emergency rules to implement any provisions of this legislation over which it has specific authority that has not been addressed by some other part of this legislation.
This Part does the following.
1. It reduces the reimbursement rate for critical access hospitals from 109% to 105% of MaineCare allowable costs and strikes the provision that repeals, effective April 1, 2012, the section that establishes this reimbursement rate.
2. It repeals the provision that requires the Department of Health and Human Services to phase in a system to reimburse critical access hospitals for inpatient services under the MaineCare program based on diagnosis-related groupings.
3. It repeals the provision that requires the Department of Health and Human Services to phase in a system to reimburse critical access hospitals for outpatient services under the MaineCare program based on ambulatory payment classifications.
This Part eliminates the transfer of up to $4,500,000 of slot machine income to the Fund for a Healthy Maine for the fiscal year ending June 30, 2013.
This Part lapses $5,000,000 from the Bureau of Medical Services account within the Department of Health and Human Services to the unappropriated surplus of the General Fund at the end of fiscal year 2011-12.
This Part increases 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 from $43,000,000 to $102,000,000.
This Part transfers $39,500,000 from the General Fund unappropriated surplus to the Maine Budget Stabilization Fund during fiscal year 2012-13 in order to ensure funds will be available to fund services through the Department of Health and Human Services for the State's most vulnerable citizens.