| This bill provides that a nursing facility or a private  | 
| nonmedical institution is entitled to reimbursement through the  | 
| MaineCare program to provide a return on equity capital.  It  | 
| requires the Department of Health and Human Services to include  | 
| in its calculation of reimbursement for services provided by  | 
| nursing facilities an allowance for the cost of a medical  | 
| director.  It allows a nursing facility to enter into a contract  | 
| with a resident or a resident's legal representative that  | 
| provides that payment of the nursing facility's services is the  | 
| highest priority for the application of a resident's financial  | 
| resources.  It provides that if timely payment has not been made  | 
| to the nursing facility, the resident or resident's legal  | 
| representative may be obligated to pay the resident's income or  | 
| other assets directly to the nursing facility, including through  | 
| direct deposit or electronic transfer means; to designate the  | 
| nursing facility as the representative payee for Social Security  | 
| or other payments; to otherwise apply the resident's resources to  | 
| fulfill the resident's obligations; or to pay to the nursing  | 
| facility money that has been improperly diverted.  The bill  |