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Amend the bill in section 1 in subsection 3 by striking out all of paragraph F (page 2, lines 10 and 11 in L.D.) and inserting the following:
 
‘F. Establish a nursing facility's base year every 2 years and increase the rate of reimbursement beginning July 1, 2014 and every year thereafter.’
Amend the bill in section 2 in subsection 1 in the first line (page 2, line 18 in L.D.) by inserting after the following: "year" the following: 'every 2 years'
Amend the bill in section 2 in subsection 1 in the 2nd line (page 2, line 19 in L.D.) by striking out the following: "2 years" and inserting the following: 'year'
Amend the bill in section 2 by striking out all of subsection 5 and inserting the following:
‘5. The rule must be amended in Sections 91 and 91.1 to provide for ongoing, annual rate changes beginning July 1, 2014 to adjust for inflation and to set the inflation adjustment cost-of-living percentage change in nursing facility reimbursement each year in accordance with the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index.’
Amend the bill in section 2 by inserting after subsection 7 the following:
‘The rate of reimbursement for nursing facilities that results from amending the rules to reflect rebasing the nursing facility's base year pursuant to this section may not result for any nursing facility in a rate of reimbursement that is lower than the rate in effect on April 1, 2014.’
Amend the bill by striking out all of section 7 and inserting the following:
‘Sec. 7. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Nursing Facilities 0148
 
Initiative: Provides funding for increased reimbursements under the MaineCare program for nursing facilities.

GENERAL FUND	2013-14	2014-15	
All Other	$0	$13,821,246	
			
GENERAL FUND TOTAL	$0	$13,821,246	

FEDERAL EXPENDITURES FUND	2013-14	2014-15	
All Other	$0	$22,357,658	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$22,357,658	

Nursing Facilities 0148
 
Initiative: Adjusts funds to reflect additional nursing home provider tax revenue.

GENERAL FUND	2013-14	2014-15	
All Other	$0	($2,170,734)	
			
GENERAL FUND TOTAL	$0	($2,170,734)	

OTHER SPECIAL REVENUE FUNDS	2013-14	2014-15	
All Other	$0	$2,170,734	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$2,170,734	

Nursing Facilities 0148
 
Initiative: Provides funds for increased nursing home costs.

GENERAL FUND	2013-14	2014-15	
All Other	$0	$406,345	
			
GENERAL FUND TOTAL	$0	$406,345	

FEDERAL EXPENDITURES FUND	2013-14	2014-15	
All Other	$0	$939,022	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$939,022	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2013-14	2014-15	
			
GENERAL FUND	$0	$12,056,857	
FEDERAL EXPENDITURES FUND	$0	$23,296,680	
OTHER SPECIAL REVENUE FUNDS	$0	$2,170,734	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	$37,524,271	
 
’
 
SUMMARY
This amendment is the unanimous report of the committee. This amendment clarifies that the rules regarding the principles of reimbursement for nursing facilities must establish a nursing facility's base year every 2 years and increase the rate of reimbursement beginning July 1, 2014 and every year thereafter. The amendment also clarifies that the rate of reimbursement for nursing facilities that results from amending the rules to reflect rebasing the nursing facility's base year may not result for any nursing facility in a rate of reimbursement that is lower than the rate in effect on April 1, 2014. The amendment also clarifies that the rules regarding the principles of reimbursement for nursing facilities must be amended in Sections 91 and 91.1 to provide for ongoing, annual rate changes beginning July 1, 2014 to adjust for inflation and to set the inflation adjustment cost-of-living percentage change in nursing facility reimbursement each year in accordance with the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index. This amendment replaces the appropriations and allocations section in the bill.
FISCAL NOTE REQUIRED
(See attached)