HP0796, LD 1133, item 2, Document Text

Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:

‘Sec. 1. 34-B MRSA §1226 is enacted to read:

§ 1226. Resources available for patients entering residential care facilities

1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.

A. "Hospital" means a hospital licensed under Title 22, chapter 405 or a nonstate mental health institution as defined in section 3801, subsection 6.

B. "Patient" means a person who is 18 years of age or older, who is receiving inpatient services in a hospital for a severe and persistent mental illness as defined in section 3801, subsection 8-A and who the hospital has determined to be ready for discharge from the hospital.

C. "Residential service provider" means a facility licensed under Title 22, section 7801, subsection 1, paragraph A or A-1.

2. Application for additional services. A residential service provider may apply to the department for services in order to temporarily meet a patient's needs when the patient requires reasonable accommodations or a higher level of care for admission or readmission to the residential service provider.

If the services necessary to meet a patient's needs under this subsection are reimbursable by the MaineCare program, the department shall direct the residential service provider to first seek reimbursement from the MaineCare program. The department shall provide technical support to the residential service provider in order to determine whether MaineCare reimbursement is available.

The department shall adopt rules to implement this subsection. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

3. Repeal. This section is repealed July 1, 2020.

Sec. 2. Rulemaking. The Department of Health and Human Services shall adopt rules to implement the Maine Revised Statutes, Title 34-B, section 1226 no later than January 1, 2019.

Sec. 3. Report. The Department of Health and Human Services shall report in writing by January 15, 2020 to the joint standing committee of the Legislature having jurisdiction over health and human services matters on the implementation of the Maine Revised Statutes, Title 34-B, section 1226, including, but not limited to, the number of applications received; the number of patients served; the costs of patient services provided, including whether the services were reimbursable by the MaineCare program; and the types of services received by patients.’

SUMMARY

This amendment replaces the bill. It provides that a residential service provider may apply to the Department of Health and Human Services for temporary services in order to meet the needs of an adult patient who is ready for discharge from psychiatric hospitalization when the patient requires reasonable accommodations or a higher level of care for admission or readmission to the residential service provider's facility. It provides that if the services are reimbursable by the MaineCare program, the residential service provider must seek reimbursement first and it directs the department to provide the residential service provider with technical support in seeking MaineCare reimbursement. It directs the department to adopt rules to implement these provisions no later than January 1, 2019. It directs the department to report to the joint standing committee of the Legislature having jurisdiction over health and human services matters by January 15, 2020. It provides that these provisions are repealed July 1, 2020.

HP0796 LD 1133	Session - 128th Maine Legislature C "A", Filing Number H-760, Sponsored by		LR 871 Item 2
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