121st Maine Legislature
		Office of Fiscal and Program Review
		LD 716
		An Act To Continue Necessary State Funding of Freestanding, Nonprofit Psychiatric Hospitals for Services Provided to Indigent Patients and for Other Purposes
		LR 1302(01)
		Fiscal Note for Original Bill
		Sponsor: Sen. Martin of Aroostook
		Committee: Appropriations and Financial Affairs
		Fiscal Note Required: Yes
Fiscal Note
					Projections	Projections
			2003-04	2004-05	2005-06	2006-07
Net Cost (Savings)
	General Fund		$13,000,000	$18,000,000	$18,000,000	$18,000,000
Appropriations/Allocations
	General Fund		$13,000,000	$18,000,000	$18,000,000	$18,000,000
Fiscal Detail and Notes
	The bill provides for reimbursement for the State's 2 freestanding non-profit psychiatric hopsitals from the carrying balance of the Medical Care - Payments to Providers (MAP) account.  There is no carrying balance currently estimated for 2002-03 for this account. The bill also appropriates $13,000,000 in fiscal year 2003-04 and $18,000,000 in fiscal year 2004-05 to provide safety net crisis and intermediate services at nonstate mental health institutions.  The governor's current services "Part I" budget for the 2004-2005 biennium (PL 2003, c. 20) includes annual General Fund appropriations of $2,000,000 and corresponding Federal Expenditures Fund allocations of $3,893,186 in fiscal year 2003-04 and $3,884,084 in fiscal year 2004-05 for the Department of Human Services to increase payments for inpatient psychiatric services provided in community hospitals.  Section K-16 of c. 20, includes language regarding the pursuit of federal funding for the DSH shortfall for IMDs.
	In addition,  if the intent of the bill is to provide funding for the state operated psychiatric facilities, the bill should be amended to appropriate funding to those facilities, rather than to the Mental Health Services - Community program.