121st Maine Legislature
		Office of Fiscal and Program Review
		LD 808
		An Act To Control County Jail Health Care Expenses
		LR 0915(02)
		Fiscal Note for Bill as Amended by Committee Amendment " "
		Committee: Criminal Justice and Public Safety
		Fiscal Note Required: Yes
Fiscal Note
Exempt State Mandate
State Mandate
	New or Expanded Activity				Unit Affected	Costs
	This bill requires the counties to acquire and maintain Mainecare pricing information and modify existing reimbursement systems.  The additional costs of the state mandate are expected to be minor.  Pursuant to the Mandate Preamble, the two-thirds vote of all members elected to each House exempts the State from the constitutional requirement to fund 90% of the additional local costs.				County	Insignificant
Fiscal Detail and Notes
	While the bill helps limit county jail health care costs, limiting the amount paid for medical services provided to a prisoner outside a county jail to the Mainecare reimbursement rate applicable to that provider will impose certain recordkeeping functions on the counties, generating additional administrative costs.  Any additional costs to the Department of Human Services in implementing the provisions of this bill can be absorbed within existing budgeted resources.