128th MAINE LEGISLATURE
		LD 1466		LR 1387(02)
	An Act To Address Severe and Ongoing Shortfalls in the Funding of Direct Care Workers in Long-term Care Settings and To Establish the Commission To Study Long-term Care Workforce Issues
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
Legislative Cost/Study
			FY 2017-18	FY 2018-19	Projections  FY 2019-20	Projections  FY 2020-21
Net Cost (Savings)
	General Fund		$27,334,571	$37,286,002	$47,277,606	$55,530,669
Appropriations/Allocations
	General Fund		$27,334,571	$37,286,002	$47,277,606	$55,530,669
	Federal Expenditures Fund		$20,085,327	$35,811,906	$47,987,727	$61,827,858
	Other Special Revenue Funds		$2,434,721	$3,824,697	$4,993,336	$6,161,975
Revenue
	Federal Expenditures Fund		$20,085,327	$35,811,906	$47,987,727	$61,827,858
	Other Special Revenue Funds		$2,434,721	$3,824,697	$4,993,336	$6,161,975
Legislative Cost/Study
	The general operating expenses of this study are projected to be $2,750 in fiscal year 2017-18. The Legislature's proposed budget includes $10,000 in fiscal year 2017-18 for legislative studies. Whether this amount is sufficient to fund all studies will depend on the number of studies authorized by the Legislative Council and the Legislature. The additional costs of providing staffing assistance to the study during the interim can be absorbed utilizing existing budgeted staff resources.
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of $27,334,571 in fiscal year 2017-18 and $37,286,002 in fiscal year 2018-19 for an increase to rates for certain services.  Federal Expenditures Fund allocations are also included for the FMAP match and Other Special Revenue Funds allocations for the healthcare provider tax and the service provider tax.
	Additional costs to the Department of Labor related to the Commissioner or the commissioner's designee participating on the commission can be absorbed within existing budgeted resources.