‘Sec. 1. Annual cost-of-living adjustment. The Department of Health and Human Services shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services and Chapter III, Section 97, Appendix C: Principles of Reimbursement for Medical and Remedial Service Facilities and in the department's rule Chapter 115: Principles of Reimbursement for Residential Care Facilities - Room and Board Costs to provide for ongoing, annual rate changes to adjust for inflation. For the state fiscal year ending June 30, 2019, the amount of the adjustment is 2.1%. For each year thereafter, the department shall set the inflation adjustment cost-of-living percentage change in reimbursement in accordance with the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, Long-Term Care Hospital Market Basket change as published in the Federal Register.

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 funds for a 2.1% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2 for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19
All Other	$0	$38,102
GENERAL FUND TOTAL	$0	$38,102

FEDERAL EXPENDITURES FUND	2017-18	2018-19
All Other	$0	$68,747
FEDERAL EXPENDITURES FUND TOTAL	$0	$68,747

Medical Care - Payments to Providers 0147

Initiative: Provides funds for a 2.1% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19
All Other	$0	$791,503
GENERAL FUND TOTAL	$0	$791,503

FEDERAL EXPENDITURES FUND	2017-18	2018-19
All Other	$0	$1,747,713
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,747,713

OTHER SPECIAL REVENUE FUNDS	2017-18	2018-19
All Other	$0	$177,155
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$177,155

PNMI Room and Board Z009

Initiative: Provides funds for a 2.1% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2 for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19
All Other	$0	$9,291
GENERAL FUND TOTAL	$0	$9,291

PNMI Room and Board Z009

Initiative: Provides funds for a 2.1% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions for the state fiscal year ending June 30, 2019.

GENERAL FUND	2017-18	2018-19
All Other	$0	$236,206
GENERAL FUND TOTAL	$0	$236,206

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2017-18	2018-19
GENERAL FUND	$0	$1,075,102
FEDERAL EXPENDITURES FUND	$0	$1,816,460
OTHER SPECIAL REVENUE FUNDS	$0	$177,155
DEPARTMENT TOTAL - ALL FUNDS	$0	$3,068,717

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