130th MAINE LEGISLATURE
		LD 949		LR 1294(02)
	Resolve, To Restore the MaineCare Nursing Facility COVID-19 Temporary Rate Increase
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2021-22	FY 2022-23	Projections  FY 2023-24	Projections  FY 2024-25
Net Cost (Savings)
	General Fund		$0	$0	$0	$0
Appropriations/Allocations
	General Fund		$20,000,000	$0	$0	$0
	Federal Expenditures Fund		$70,980,484	$0	$0	$0
	Other Special Revenue Funds		$5,759,393	$0	$0	$0
Revenue
	Federal Expenditures Fund		$70,980,484	$0	$0	$0
	Other Special Revenue Funds		$5,759,393	$0	$0	$0
Transfers
	General Fund		$20,000,000	$0	$0	$0
Fiscal Detail and Notes
	The bill includes a one-time General Fund appropriation to the Department of Health and Human Services of $20,000,000 in fiscal year 2021-22 for emergency rate relief for nursing facilities to provide funding to account for increased costs related to COVID-19. Federal Expenditures Fund allocations are also included for the FMAP match and Other Special Revenue Funds allocations for the Health Care Provider Tax.
	The bill also includes a one-time Federal Expenditures Fund allocation to the Department of Health and Human Services of $12,500,000 in fiscal year 2021-22 for available federal funding from the Coronavirus Aid, Relief and Economic Security Act, or CARES Act, for facility grants to nursing facilities and private non-medical institutions, Appendix C facilities for COVID-19 related expenses. Other Special Revenue Funds allocations are also included for the Health Care Provider Tax and the Service Provider Tax.
	Additionally, the bill requires $20,000,000 of unencumbered balance forward from the Department of Health and Human Services, Nursing Facilities, General Fund carrying account, All Other line category to lapse to the unappropriated surplus of the General Fund no later than December 31, 2021.