122nd MAINE LEGISLATURE
		LD 1991		LR 2791(02)
	Resolve, To Ensure the Availability of Consumer-directed Personal Assistance Services
	Fiscal Note for Bill as Amended by Committee Amendment "   "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
					Projections	Projections
			2005-06	2006-07	2007-08	2008-09
Net Cost (Savings)
	General Fund		$0	$1,112,287	$1,201,270	$1,297,371
Appropriations/Allocations
	General Fund		$0	$1,112,287	$1,201,270	$1,297,371
	Federal Expenditures Fund		$0	$754,145	$814,476	$879,634
Revenue
	Federal Expenditures Fund		$0	$754,145	$814,476	$879,634
Fiscal Detail and Notes
	Includes a fiscal year 2006-07 General Fund appropriation of $1,112,287 to increase the MaineCare reimbursement rate for personal care attendants serving persons in the adults with disabilities waiver and the consumer-directed personal assistance services programs from $9.00 per hour to $10.00 per hour beginning July, 1, 2006.  While the bill indicates the increase is from $7.71 per hour to $10.00 per hour, PL 2005, c. 519, Part VVV already appropriated funds for an increase to $9.00 per hour and only the incremental amount of funding is reflected here.
	PL 2005, c. 519, part VVV, also provided for an increase in the reimbursement rate for providers of consumer-directed personal care assistance services funded by the Department of Labor from $7.71 per hour to $9.00 per hour. Because the number of authorized hours per consumer has decreased, the Department has assumed the Rehabilitation Services - Home Based Care program will be able to absorb the cost of the rate increase up to $10.00 per hour within existing General Fund appropriations.  Additional costs to the Department of Labor associated with conducting the required survey can be absorbed within existing budgeted resources.  However, there may be increased costs to the program associated with implementing the recommendations of the working group.  The amount can not be determined at this time.