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128th MAINE LEGISLATURE |
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LD 925 |
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LR 1296(03) |
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An Act Making
Certain Appropriations and Allocations and Changing Certain Provisions of the
Law Necessary to the Proper Operations of State Government |
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Fiscal Note for
Bill as Engrossed with:
C "A" (H-791) |
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Committee: Appropriations and Financial Affairs |
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| Fiscal Note |
| Legislative Cost/Study |
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FY 2017-18 |
FY 2018-19 |
Projections FY 2019-20 |
Projections FY 2020-21 |
| Net Cost
(Savings) |
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General Fund |
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$0 |
$37,019,197 |
$51,638,173 |
$61,929,622 |
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Fund for a Healthy Maine |
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$0 |
$4,600,000 |
$0 |
$0 |
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| Appropriations/Allocations |
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General Fund |
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$0 |
$37,019,197 |
$51,638,173 |
$61,929,622 |
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Federal Expenditures Fund |
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$0 |
$51,139,503 |
$87,559,826 |
$100,366,108 |
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Fund for a Healthy Maine |
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$0 |
$4,600,000 |
$0 |
$0 |
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Other Special Revenue Funds |
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$0 |
$3,828,229 |
$6,961,854 |
$8,163,823 |
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| Revenue |
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Federal Expenditures Fund |
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$0 |
$51,139,503 |
$87,559,826 |
$100,366,108 |
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Other Special Revenue Funds |
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$0 |
$3,828,229 |
$6,961,854 |
$8,163,823 |
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| Correctional
and Judicial Impact Statements |
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Part F of the
bill increases the class of a crime from Class B to Class A; increases
correctional costs.
The collection of additional fines may also increase General Fund revenue
by minor amounts. |
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| Legislative
Cost/Study |
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The general
operating expenses of the study required in Part B of the bill are projected
to be $2,750 in fiscal year 2018-19. The general operating expenses of the
study required in Part L of the bill are projected to be $7,250 in fiscal
year 2018-19. The Legislature's budget includes approximately $10,000 in
fiscal year 2018-19 for legislative studies. Whether this amount is
sufficient to fund all studies will depend on the number of studies
authorized by the Legislative Council and the Legislature. |
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| Fiscal Detail
and Notes |
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Part A of the
bill includes General Fund appropriations to the Department of Health and
Human Services of $5,158,782 in fiscal year 2018-19 to begin serving 50
additional members each month, beginning October 1, 2018, from the waiting
list for community-based services provided under the MaineCare Benefits
Manual, Chapters II and III, Section 21 relating to home and community
benefits for members with intellectual disabilities or autistic disorder
until a total of 300 new members have been added. Federal Expenditures Fund
allocations are also included for the FMAP match and Other Special Revenue
Funds allocations are also included for the service provider tax.
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Part B of the
bill includes General Fund appropriations to the Department of Health and
Human Services of $11,100,000 in fiscal year 2018-19 for an increase to rates
for certain services. Federal Expenditures Fund allocations are also included
for the FMAP match and Other Special Revenue Funds allocations for the
healthcare provider tax and the service provider tax.
Additional costs to the Department of Labor related to the Commissioner or
the commissioner's designee participating on the commission can be absorbed
within existing budgeted resources. |
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Part C of the
bill includes General Fund appropriations of $2,273,686 to the Department of
Health and Human Services (DHHS) and $568,421 to the General Purpose Aid for
Local Schools program within the Department of Education in fiscal year
2018-19 to establish reimbursement rates and increase exisiting reimbursement
rates in the Department of Health and Human Services rule Chapter 101:
MaineCare Benefits Manual, Chapter III, Section 28 for children's
habilitative services and specialized children's habilitative services in
accordance with the April 24, 2017 report "Rate Study for Behavioral
Health and Targeted Case Management Services: Final Proposed Rates for Formal
Rulemaking" prepared for the department by Burns & Associates, Inc.
Federal Expenditures Fund allocations are also included for the FMAP match
and Other Special Revenue Funds allocations for the service provider tax. |
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Part D of the
bill includes General Fund appropriations to the Department of Health and
Human Services of $6,053,198 in fiscal year 2018-19 to increase certain
reimbursement rates by July 1, 2018 to reflect a 2% increase over rates in
fiscal year 2008-09. Federal Expenditures Fund allocations are also included
for the FMAP match and Other Special Revenue Funds allocations for the
service provier tax. |
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Part E of the
bill includes General Fund appropriations to the Department of Health and
Human Services of $568,004 in fiscal year 2018-19 for a 15% rate increase for
the medication management services provided under rule Chapter 101: MaineCare
Benefits Manual, Chapter III, Section 65: Behavioral Health Services. Federal
Expenditures Fund allocations are also included for the FMAP match. |
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Part F of the
bill includes a General Fund appropriation of $11,000 in fiscal year 2018-19
for the Maine Commission on Indigent Legal Services to support the
anticipated increase in costs resulting from additional prosecutions
involving death or serious bodily injury to a person. |
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Part G of the
bill includes an ongoing General Fund appropriation to the Department of
Health and Human Services of $6,663,000 beginning in fiscal year 2018-19 to
hubs and spokes to cover costs of intensive, intermediate and long-term
treatment, including, but not limited to, the cost of medication, screening,
behavioral health treatment, urine drug screens, office visits and recovery
support services for individuals with opioid use disorder, including those
who are uninsured. The department may use a portion of these funds to support
training and education of hubs and spokes. |
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Part H of the
bill includes a one-time General Fund appropriation to the Department of
Health and Human Services of $500,000 in fiscal year 2018-19 for increased
funding over current levels for the provision of assisted living services. |
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Part I of the
bill includes one-time General Fund appropriations to the Department of
Health and Human Services of $262,306 in fiscal year 2018-19 for a one-time
increase to certain rates under rule Chapter 101, MaineCare Benefits Manual,
Chapters II and III, Section 65 by 20% until June 30th, 2019 and to contract
with a third party to conduct a rate study of those rates to be completed no
later than December 1st, 2018. Federal Expenditures Fund allocations are also
included for the FMAP match. |
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Part J of the
bill includes General Fund appropriations to the Department of Health and
Human Services of $150,000 in fiscal year 2018-19 for case management and
other ancillary services provided by the Office of Substance Abuse and Mental
Health Services, for a maximum of 30 participants, for drug courts
established by the Judicial Department. These funds can be used either to
provide services at a new drug court in the state or to provide services for
an increased number of participants in existing drug courts in the
State.
Part J of the bill also includes General Fund appropriations to the
Judicial Branch of $10,800 in fiscal year 2018-19 for active retired judges
to cover other court time of full-time sitting judges assigned either to a
new drug court in the State or to existing drug courts in the State that are
expanded to allow for an increased number of participants up to a maximum of
30. |
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Part K of the
bill requires the Department of Corrections to provide a one-time payment to
the Maine Public Employees Retirement System (MainePERS) for the unfunded
actuarial cost of allowing eligible employees at certain state correctional
facilities that close as a result of legislative action who have not reached
their normal retirement age to retire and receive their full retirement
benefit. Funding for the one-time payment will be collected through a
one-time increase in the percentage assessment of the department's employer
share contribution rate for the unfunded actuarial liability. The cost to the
Department of Corrections cannot be determined at this time and will depend
on the actual closure of these state correctional facilities through legislative
action, the timing of the closure and the number of employees that would be
eligible for the benefit provision as a result of the closure. |
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Part L of the
bill includes a one-time General Fund appropriation of $3,700,000 in fiscal
year 2018-19 to the Child Development Services Program within the Department
of Education to address a budgetary shortfall. |
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Part M of the
bill includes a one-time Fund for a Healthy Maine allocation of $4,000,000 in
fiscal year 2018-19 to a newly created Lead Abatement Fund within the Maine
State Housing Authority to provide grants for the abatement of lead paint
hazards in residential housing and for the cost of establishing and
administering the program. Sufficient funds are available within the Fund for
a Healthy Maine to cover the one-time allocation. |
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Part N of the
bill provides a Fund for a Healthy Maine allocation of $600,000 in fiscal
year 2018-19 to restore funding on a one-time basis to the State's
school-based health centers to the level of funding provided in fiscal year
2016-17. |
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