123rd MAINE LEGISLATURE
		LD 652		LR 2109(04)
	Resolve, To Ensure Appropriate Personal Needs Allowances for Persons Residing in Long-term Care Facilities
	Fiscal Note for Bill as Amended by Committee Amendment "    "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			2007-08	2008-09	Projections 2009-10	Projections 2010-11
Net Cost (Savings)
	General Fund		$0	$797,277	$837,140	$878,997
Appropriations/Allocations
	General Fund		$0	$797,277	$837,140	$878,997
	Federal Expenditures Fund		$0	$350,403	$367,924	$386,320
Fiscal Detail and Notes
	Provides an appropriation of $594,120 in fiscal year 2008-09 for the additional costs the State will need to pick up as a result of a $15 per month increase in the personal needs allowance for residential care/boarding home residents.  This assumes 2,960 residents will be allowed to keep an additional $15 for their personal needs allowance and 511 residents, for whom the State already pays an additional $5 per month, would be able to keep an additional $10.  These costs to the State are not Medicaid matchable.
	Also provides an appropriation of  $203,157 in fiscal year 2008-09 for the State's share of the cost of increasing the minimum personal needs allowance for MaineCare nursing home residents to $50 per month.  The current nursing home personal needs allowance is $40 per month.  It is assumed that 4,613 nursing home residents would retain an additional $10 per month, resulting in the MaineCare program picking up a total cost of $553,560 per year that is split between the state and federal governments based on the federal medical assistance percentage (FMAP).  The first year effective date is assumed to be July 1, 2008.