| This bill provides that a nursing facility or a private |
| nonmedical institution is entitled to reimbursement through the |
| MaineCare program to provide a return on equity capital. It |
| requires the Department of Health and Human Services to include |
| in its calculation of reimbursement for services provided by |
| nursing facilities an allowance for the cost of a medical |
| director. It allows a nursing facility to enter into a contract |
| with a resident or a resident's legal representative that |
| provides that payment of the nursing facility's services is the |
| highest priority for the application of a resident's financial |
| resources. It provides that if timely payment has not been made |
| to the nursing facility, the resident or resident's legal |
| representative may be obligated to pay the resident's income or |
| other assets directly to the nursing facility, including through |
| direct deposit or electronic transfer means; to designate the |
| nursing facility as the representative payee for Social Security |
| or other payments; to otherwise apply the resident's resources to |
| fulfill the resident's obligations; or to pay to the nursing |
| facility money that has been improperly diverted. The bill |