129th MAINE LEGISLATURE
		LD 1350		LR 749(02)
	An Act To Improve Rural Health Care
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2019-20	FY 2020-21	Projections  FY 2021-22	Projections  FY 2022-23
Net Cost (Savings)
	General Fund		$1,374,645	$2,931,005	$2,921,472	$2,921,472
Appropriations/Allocations
	General Fund		$1,374,645	$2,798,005	$2,788,472	$2,788,472
	Federal Expenditures Fund		$2,935,669	$5,833,622	$5,832,155	$5,832,055
Revenue
	General Fund		$0	($133,000)	($133,000)	($133,000)
	Federal Expenditures Fund		$2,936,669	$5,833,622	$5,832,155	$5,832,155
	Other Special Revenue Funds		$0	($7,000)	($7,000)	($7,000)
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of  $1,374,645 in fiscal year 2019-20 and $2,787,005 in fiscal year 2020-21 for the Department of Health and Human Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45 regarding the department's total annual obligation to rural and nonrural hospitals and acute care critical access hospitals and to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 103 regarding the department's reimbursement methodology to provide an alternative payment methodology option for rural health clinics. Federal Expenditures Fund allocations are also included for the FMAP match.
	The bill provides a subtraction modification from income tax for student loan payments made by a taxpayer's employer directly to a lender on behalf of a qualified health care employee.  It would result in a reduction of General Fund revenue of $133,000 in fiscal year 2020-21 and a reduction in Local Government Fund revenue of $7,000 in fiscal year 2020-21. The bill includes a one-time General Fund appropriation of $11,000 in fiscal year 2020-21 for computer programming to update the individual income tax return.