| 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
  129th MAINE LEGISLATURE | 
 
 
   | 
   | 
  LD 1660 | 
   | 
  LR 1174(02) | 
   | 
   | 
 
 
   | 
  An Act To Improve
  Access to Physician Assistant Care | 
 
 
   | 
  Fiscal Note for
  Bill as Amended by Committee Amendment " " | 
 
 
   | 
  Committee: Health Coverage, Insurance and
  Financial Services | 
 
 
   | 
  Fiscal Note Required: Yes | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
  |   | 
    | 
    | 
    | 
    | 
    | 
    | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
  | Fiscal Note | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
   | 
   | 
  FY 2019-20 | 
  FY 2020-21 | 
  Projections  FY 2021-22 | 
  Projections  FY 2022-23 | 
 
 
  | Net Cost
  (Savings) | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
  General Fund | 
   | 
  $26,139  | 
  $0  | 
  $0  | 
  $0  | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
  | Appropriations/Allocations | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
  General Fund | 
   | 
  $26,139  | 
  $0  | 
  $0  | 
  $0  | 
 
 
   | 
  Federal Expenditures Fund | 
   | 
  $78,418  | 
  $0  | 
  $0  | 
  $0  | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
  | Revenue | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
  Federal Expenditures Fund | 
   | 
  $78,418  | 
  $0  | 
  $0  | 
  $0  | 
 
 
   | 
  Other Special Revenue Funds | 
   | 
  $0  | 
  ($51,000) | 
  ($51,000) | 
  ($51,000) | 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   | 
 
 
  | Fiscal Detail
  and Notes | 
   | 
   | 
   | 
   | 
   | 
 
 
   | 
  The bill includes
  a one-time General Fund appropriation to the Department of Health and Human
  Services of $26,139 in fiscal year 2019-20 for technology changes required to
  allow physician assistants to be reimbursed directly for services. A one-time
  Federal Expenditures Fund allocation is also included for the FMAP
  match.  | 
 
 
   | 
  The impact of the
  change in certain application and registration fees is a net reduction in
  dedicated revenue of $35,000 annually to the Board of Licensure in Medicine
  and $16,000 annually to the Board of Osteopathic Licensure, both affiliated
  boards of the Department of Professional and Financial Regulation. | 
 
 
 
   | 
   | 
   | 
   | 
   | 
   | 
   |