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Amend the bill by striking out all of sections 4 to 6.
Amend the bill by striking out all of section 8 and inserting the following:
‘Sec. 8. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Mental Health Services - Child Medicaid 0731
 
Initiative: Provides funding related to consolidating crisis services to one provider per district. The corresponding federal match increase is in the Medical Care - Payments to Providers program.

GENERAL FUND	2007-08	2008-09	
All Other	$0	$200,000	
 	  	  	
GENERAL FUND TOTAL	$0	$200,000	

Mental Health Services - Community 0121
 
Initiative: Provides funding for community integration services for consumers who are not eligible for MaineCare.

GENERAL FUND	2007-08	2008-09	
All Other	$0	$500,000	
 	  	  	
GENERAL FUND TOTAL	$0	$500,000	

Mental Retardation Waiver - MaineCare 0987
 
Initiative: Increases funding for MaineCare home- and community-based waiver services. The corresponding federal match increase is in the Medical Care - Payments to Providers program.

GENERAL FUND	2007-08	2008-09	
All Other	$0	$155,815	
 	  	  	
GENERAL FUND TOTAL	$0	$155,815	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)	 	 	
DEPARTMENT TOTALS	2007-08	2008-09	
 	 	 	
GENERAL FUND	$0	$855,815	
 	  	  	
DEPARTMENT TOTAL - ALL FUNDS	$0	$855,815	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Medical Care - Payments to Providers 0147
 
Initiative: Increases funding for MaineCare home- and community-based waiver services. The corresponding state funding increases are in the Mental Retardation Waiver - MaineCare program.

FEDERAL EXPENDITURES FUND	2007-08	2008-09	
All Other	$0	$278,617	
 	  	  	
FEDERAL EXPENDITURES FUND TOTAL	$0	$278,617	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding for hospital-based physicians.

GENERAL FUND	2007-08	2008-09	
All Other	$0	$7,282,509	
 	  	  	
GENERAL FUND TOTAL	$0	$7,282,509	

FEDERAL EXPENDITURES FUND	2007-08	2008-09	
All Other	$0	$13,022,827	
 	  	  	
FEDERAL EXPENDITURES FUND TOTAL	$0	$13,022,827	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding related to consolidating crisis services to one provider per district. The corresponding state match increase is in the Mental Health Services - Community Medicaid program.

FEDERAL EXPENDITURES FUND	2007-08	2008-09	
All Other	$0	$357,625	
 	  	  	
FEDERAL EXPENDITURES FUND TOTAL	$0	$357,625	

Medical Care - Payments to Providers 0147
 
Initiative: Reduces funding by managing enrollment in the childless adult waiver program and maximizing the use of the federal allocation in the qualified individual program and other efficiencies in the MaineCare program. This initiative relates to the curtailments ordered in Financial Order 003806 F8.

GENERAL FUND	2007-08	2008-09	
All Other	$0	($8,138,324)	
 	  	  	
GENERAL FUND TOTAL	$0	($8,138,324)	

FEDERAL EXPENDITURES FUND	2007-08	2008-09	
All Other	$0	($14,553,225)	
 	  	  	
FEDERAL EXPENDITURES FUND TOTAL	$0	($14,553,225)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)	 	 	
DEPARTMENT TOTALS	2007-08	2008-09	
 	 	 	
GENERAL FUND	$0	($855,815)	
FEDERAL EXPENDITURES FUND	$0	($894,156)	
 	  	  	
DEPARTMENT TOTAL - ALL FUNDS	$0	($1,749,971)	

SECTION TOTALS	2007-08	2008-09	
 	 	 	
GENERAL FUND	$0	$0	
FEDERAL EXPENDITURES FUND	$0	($894,156)	
 	  	  	
SECTION TOTAL - ALL FUNDS	$0	($894,156)	
 
’
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment retains those portions of the bill that give the community service networks the responsibility of providing consolidated mental health crisis services for children and adults, beginning March 1, 2009, through a memorandum of understanding among providers of mental health services in the network that includes provisions to ensure coordination, eliminate duplication and provide a minimum level of crisis services established by the Department of Health and Human Services and provides funding for hospital-based physicians in order to protect access to health care. Rather than updating the base year for the hospital tax, this amendment reduces funding by managing enrollment in the childless adult waiver program and maximizing the use of the federal allocation in the qualified individual program and other efficiencies in the MaineCare program.
FISCAL NOTE REQUIRED
(See attached)