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Amend the amendment by striking out all of the first indented paragraph after the title (page 1, lines 11 to 13 in amendment) and inserting the following:
‘
Amend the bill by striking out all of section 1 (page 1, lines 2 to 8 in L.D.) and inserting the following:
‘Sec. 1. 22 MRSA §3174-JJ, as reallocated by RR 2005, c. 1, §6, is amended to read:
§ 3174-JJ.MaineCare reimbursement for ambulance services
The department shall reimburse for ambulance services under MaineCare at a level that is not less than the average allowable reimbursement rate under Medicare for such services or at the highest percent of that level that is possible within resources appropriated for those purposes. Beginning March 1, 2015, the department shall reimburse for ambulance services under MaineCare at a level that is not less than 65% of the average allowable reimbursement rate under Medicare for such services.
Amend the amendment by striking out all of section 2 (page 1, lines 15 to 28 in amendment) and inserting the following:
‘Sec. 2. 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 increase MaineCare reimbursement rates for ambulance services to not less than 65% of Medicare reimbursement rate levels effective March 1, 2015.

GENERAL FUND	2013-14	2014-15	
All Other	$0	$60,000	
			
GENERAL FUND TOTAL	$0	$60,000	

FEDERAL EXPENDITURES FUND	2013-14	2014-15	
All Other	$0	$96,047	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$96,047	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2013-14	2014-15	
			
GENERAL FUND	$0	$60,000	
FEDERAL EXPENDITURES FUND	$0	$96,047	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$156,047	
 
’
 
SUMMARY
This amendment delays until March 1, 2015 increasing MaineCare reimbursement for ambulance services to 65% of the average allowable Medicare rate.
FISCAL NOTE REQUIRED
(See attached)