124th MAINE LEGISLATURE
		LD 233		LR 262(03)
	An Act To Include Independent Practice Dental Hygienists in MaineCare
	Fiscal Note for Bill as Amended by Committee Amendment "   "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			2009-10	2010-11	Projections 2011-12	Projections 2012-13
Net Cost (Savings)
	General Fund		$198,378	$395,175	$592,763	$790,351
Appropriations/Allocations
	General Fund		$198,378	$395,175	$592,763	$790,351
	Federal Expenditures Fund		$365,997	$733,575	$1,100,362	$1,467,149
Fiscal Detail and Notes
	Provides appropriations of $198,378 in 2009-10 and $395,175 in 2010-11 for the state share of the costs of providing MaineCare reimbursement to federally qualified health centers (FQHCs) for the services of dental hygienists practicing independently.  Assumes initially five dental hygienists will be employed by FQHCs and provide services to an average of 15 adults and 30 children per week at an estimated per visit cost of $43 for the adults and $129 for the children, and that 50% of this initial utilization would replace existing services and 50% would reflect an increase in MaineCare dental hygienists services provided. Further assumes that an additional five dental hygienists will be employed by FQHCs each year in subsequent years.