129th MAINE LEGISLATURE
		LD 1135		LR 1597(01)
	Resolve, To Increase Funding for Assertive Community Treatment
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Madigan of Waterville
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
		FY 2018-19	FY 2019-20	FY 2020-21	Projections  FY 2021-22	Projections  FY 2022-23
Net Cost (Savings)
	General Fund	$255,000	$820,000	$0	$0	$0
Appropriations/Allocations
	General Fund	$255,000	$820,000	$0	$0	$0
	Federal Expenditures Fund	$411,000	$1,444,200	$0	$0	$0
Revenue
	Federal Expenditures Fund	$411,000	$1,444,200	$0	$0	$0
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services (DHHS) of $255,000 in fiscal year 2018-19 and $820,000 in fiscal year 2019-20 for a one-time increase to certain rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 17 by 25% until June 30, 2020. Federal Expenditures Fund allocations are also included for the FMAP match. A more current estimate would increase the FY 2018-19 General Fund appropriation by $271,389 to $526,389 and the FY 2019-20 General Fund appropriation by $1,085,557 to $1,905,557. This change was precipitated by PL 2017 c. 460 which increased rates for services in Sections 17, 23 and 65 which are included in the Clinic Upper Payment Limit calculations.  The impact of those increases put the department at or slightly above the amount allowed to be paid by the Centers for Medicare and Medicaid Services.  As a result, the rate increase in this bill would have to be paid with state general fund money only. Additionally, the DHHS will require General Fund appropriations of $1,905,557 beginning in FY 2020-21 for the estimated cost of the new rates identifed in the rate study required in section 2 of the bill.