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Amend the bill in section 5 in paragraph C in the 4th and 5th lines (page 1, lines 24 and 25 in L.D.) by striking out the following: ", as established by rule by the department for the MaineCare program under Title 22" and inserting the following: 'under the Medicare fee schedule'
Amend the bill by adding after section 6 the following:
‘Sec. 7. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
 
Disproportionate Share - Dorothea Dix Psychiatric Center 0734
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($5,630)	
			
GENERAL FUND TOTAL	$0	($5,630)	

Disproportionate Share - Riverview Psychiatric Center 0733
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($45,191)	
			
GENERAL FUND TOTAL	$0	($45,191)	

Dorothea Dix Psychiatric Center 0120
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($2,970)	
			
GENERAL FUND TOTAL	$0	($2,970)	

Dorothea Dix Psychiatric Center 0120
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

OTHER SPECIAL REVENUE FUNDS	2011-12	2012-13	
All Other	$0	($9,810)	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($9,810)	

Dorothea Dix Psychiatric Center 0120
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

OTHER SPECIAL REVENUE FUNDS	2011-12	2012-13	
All Other	$0	($1,590)	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($1,590)	

Riverview Psychiatric Center 0105
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

GENERAL FUND	2011-12	2012-13	
All Other	$0	($9,288)	
			
GENERAL FUND TOTAL	$0	($9,288)	

Riverview Psychiatric Center 0105
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

OTHER SPECIAL REVENUE FUNDS	2011-12	2012-13	
All Other	$0	($78,181)	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($78,181)	

Riverview Psychiatric Center 0105
 
Initiative: Reduces funding from savings from limiting reimbursement for medical services provided to a resident of a state institution outside of a state institution to the Medicare rate.

OTHER SPECIAL REVENUE FUNDS	2011-12	2012-13	
All Other	$0	($7,340)	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($7,340)	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)			
DEPARTMENT TOTALS	2011-12	2012-13	
			
GENERAL FUND	$0	($63,079)	
OTHER SPECIAL REVENUE FUNDS	$0	($96,921)	
			
DEPARTMENT TOTAL - ALL FUNDS	$0	($160,000)	
 
’
 
SUMMARY
This amendment, which is the majority report of the committee, sets a reimbursement rate for medical services provided to a resident of a state institution off the premises of the state institution at the level of Medicare rather than at the rates set by the Department of Health and Human Services for the MaineCare program. It also adds an appropriations and allocations section to the bill.
FISCAL NOTE REQUIRED
(See attached)