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Amend the bill by striking out the title and substituting the following:
‘Resolve, To Ensure Appropriate Reimbursement of Rising Heating Costs for Long-term Care Facilities’
Further amend the bill by striking out everything after the title and before the summary and inserting in its place the following:
‘Sec. 1 Rules governing reimbursement of heating costs. Resolved: That the Department of Health and Human Services shall amend its rules governing principles of reimbursement for nursing facilities and residential care facilities to rebase the heating costs incorporated in the routine cost component. 
For nursing facilities, the routine cost component base and the related cap that is subject to annual adjustment under the MaineCare principles of reimbursement must be adjusted upward to fully incorporate each facility’s actual heating costs incurred during its fiscal year ending in 2005, as long as the adjusted amount is not less than the amount prior to rebasing. All other cost elements must remain the same after rebasing.
For medical and remedial private nonmedical institutions that do not receive MaineCare reimbursement as residential care facilities but instead are reimbursed room and board costs under the section of the department’s rules entitled, “Principles of Reimbursement for Residential Care Facilities - Room and Board Costs,” the routine cost component base and the related cap of the room and board cost reimbursement must be adjusted upward to fully incorporate each facility’s actual heating costs incurred during its fiscal year ending in 2005, as long as the adjusted amount is not less than the amount prior to rebasing. All other cost elements must remain the same after rebasing; and be it further
Sec. 2 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Nursing Facilities 0148
 
Initiative: Appropriates and allocates funds for the costs of rebasing heating costs incorporated in the routine cost component for nursing facilities.
 	 	 	
 GENERAL FUND 	 2005-06 	 2006-07 	
All Other
	$0	$308,453	
 	 	 	
GENERAL FUND TOTAL	$0	$308,453	
 	 	 	
 FEDERAL EXPENDITURES FUND 	 2005-06 	 2006-07 	
All Other
	$0	$529,278	
 	 	 	
FEDERAL EXPENDITURES FUND TOTAL	$0	$529,278	
 
State Boarding Homes Z009
 
Initiative: Appropriates and allocates funds for the costs of rebasing heating costs incorporated in the routine cost component for residential care facilities.
 	 	 	
 GENERAL FUND 	 2005-06 	 2006-07 	
All Other
	$0	$494,508	
 	 	 	
GENERAL FUND TOTAL	$0	$494,508	
 	 	 	
 HEALTH AND HUMAN SERVICES, DEPARTMENT OF 	 	 	
 DEPARTMENT TOTALS 	 2005-06 	 2006-07 	
GENERAL FUND
	$0	$802,961	
FEDERAL EXPENDITURES FUND
	$0	$529,278	
 	 	 	
 DEPARTMENT TOTAL - ALL FUNDS 	$0	$1,332,239	
’
 
SUMMARY
This amendment replaces the bill and changes it to a resolve. It removes the emergency language in the bill and adds an appropriations and allocations section. It requires the Department of Health and Human Services to amend its principles of reimbursement for long-term care facilities to rebase the heating cost element of the routine cost component for nursing facilities and medical and remedial private nonmedical institutions.