PART A - §26

Sec. A-26. Appropriations and allocations. The following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Additional Support for People in Retraining and Employment 0146

Initiative: Transfers one part-time Office Assistant II position from the Additional Support for People in Retraining and Employment program to the Office of Child and Family Services - Regional program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(0.500)
Personal Services	$0	($21,805)
All Other	$0	($3,060)
GENERAL FUND TOTAL	$0	($24,865)

Additional Support for People in Retraining and Employment 0146

Initiative: Transfers one Family Independence Specialist position from the Bureau of Family Independence - Regional program, Other Special Revenue Funds to the Additional Support for People in Retraining and Employment program, Federal Block Grant Fund.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$63,179
All Other	$0	$1,508
FEDERAL BLOCK GRANT FUND TOTAL	$0	$64,687

Additional Support for People in Retraining and Employment 0146

Initiative: Transfers one Customer Representative Associate II - Human Services position from the Bureau of Family Independence - Regional program to the Additional Support for People in Retraining and Employment program.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$48,463
FEDERAL BLOCK GRANT FUND TOTAL	$0	$48,463

Bureau of Child and Family Services - Central 0307

Initiative: Transfers one Human Services Caseworker Supervisor position from the IV-E Foster Care/Adoption Assistance program to the Child and Family Services - Central program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$92,168
All Other	$0	$3,060
GENERAL FUND TOTAL	$0	$95,228

Bureau of Child and Family Services - Central 0307

Initiative: Transfers one Customer Representative Associate II - Human Services position from the Bureau of Family Independence - Regional program to the Bureau of Child and Family Services - Central program. The General Fund position cost is offset by a reduction in the All Other line category.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$58,889
All Other	$0	($58,889)
GENERAL FUND TOTAL	$0	$0

Bureau of Child and Family Services - Regional 0452

Initiative: Transfers one part-time Office Assistant II position from the Additional Support for People in Retraining and Employment program to the Bureau of Child and Family Services - Regional program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	0.500
Personal Services	$0	$21,805
All Other	$0	$3,060
GENERAL FUND TOTAL	$0	$24,865

Bureau of Child and Family Services - Regional 0452

Initiative: Transfers one Clinical Social Worker position from the IV-E Foster Care/Adoption Assistance program and 2 Clinical Social Worker positions from the Bureau of Child and Family Services - Regional program to the Mental Health Services - Children program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(2.000)
Personal Services	$0	($131,534)
All Other	$0	($6,120)
GENERAL FUND TOTAL	$0	($137,654)

Bureau of Child and Family Services - Regional 0452

Initiative: Transfers one Human Services Caseworker position from the State-funded Foster Care/Adoption Assistance program to the Bureau of Child and Family Services - Regional program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$64,257
GENERAL FUND TOTAL	$0	$64,257

Bureau of Child and Family Services - Regional 0452

Initiative: Eliminates 2 Social Services Manager I positions in the State-funded Foster Care/Adoption Assistance program, one Social Services Manager I position in the Bureau of Child and Family Services - Regional program and one Physician III position in the Multicultural Services program that is funded 85% General Fund in that program and 15% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($91,960)
GENERAL FUND TOTAL	$0	($91,960)

Bureau of Family Independence - Regional 0453

Initiative: Transfers one Family Independence Specialist position from the Bureau of Family Independence - Regional program, Other Special Revenue Funds to the Additional Support for People in Retraining and Employment program, Federal Block Grant Fund.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($63,179)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($63,179)

Bureau of Family Independence - Regional 0453

Initiative: Transfers one Family Independence Unit Supervisor position and one Family Independence Specialist position from Other Special Revenue Funds in the Bureau of Family Independence - Regional program to Other Special Revenue Funds in the Office of Integrated Access and Support - Central Office program and transfers one Office Assistant II position from the Office of Integrated Access and Support - Central Office program to the Bureau of Family Independence - Regional program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($92,155)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($92,155)

Bureau of Family Independence - Regional 0453

Initiative: Transfers one Customer Representative Associate II - Human Services position from the Bureau of Family Independence - Regional program to the Bureau of Child and Family Services - Central program. The General Fund position cost is offset by a reduction in the All Other line category.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($58,889)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($58,889)

Bureau of Family Independence - Regional 0453

Initiative: Transfers one Customer Representative Associate II - Human Services position from the Bureau of Family Independence - Regional program to the Additional Support for People in Retraining and Employment program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($48,463)
GENERAL FUND TOTAL	$0	($48,463)

Bureau of Family Independence - Regional 0453

Initiative: Establishes 6 limited-period Customer Service Representative Associate II positions in the Bureau of Family Independence - Regional program to expedite disability determinations and reduce the time period for determination of disability by an average of 15 days and achieve one-time savings by decreasing payments for benefits with state funds. These positions are established for fiscal year 2010-11.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$169,239
All Other	$0	$16,581
GENERAL FUND TOTAL	$0	$185,820

Bureau of Family Independence - Regional 0453

Initiative: Adjusts funding from savings achieved through the administrative consolidation of the Low-income Home Energy Assistance Program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($500,000)
GENERAL FUND TOTAL	$0	($500,000)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$500,000
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$500,000

Bureau of Medical Services 0129

Initiative: Transfers one Housing Research Developer position from 50% General Fund and 50% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program to 50% General Fund in the Office of Elder Services Central Office program and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$39,659
All Other	$0	$3,596
FEDERAL EXPENDITURES FUND TOTAL	$0	$43,255

Bureau of Medical Services 0129

Initiative: Transfers one Paralegal position, 3 Office Associate II positions and one Nursing Education Consultant position from 25% General Fund and 25% Federal Expenditures Fund in the Office of MaineCare Services program and 50% Federal Expenditures Fund in the Division of Licensing and Regulatory Services program to 100% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	($75,392)
All Other	$0	($3,825)
GENERAL FUND TOTAL	$0	($79,217)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($75,368)
All Other	$0	($8,399)
FEDERAL EXPENDITURES FUND TOTAL	$0	($83,767)

Bureau of Medical Services 0129

Initiative: Reallocates 50% of the cost of one Social Services Program Specialist I position and related All Other from the Bureau of Medical Services program to the Division of Licensing and Regulatory Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($39,994)
All Other	$0	($5,177)
FEDERAL EXPENDITURES FUND TOTAL	$0	($45,171)

Bureau of Medical Services 0129

Initiative: Reallocates 50% of the cost of 6 Social Services Program Specialist I positions, one Social Services Program Specialist II position, one Health Services Consultant position, one Office Associate II position, one Public Service Manager II position, 2 Health Facility Specialist positions and one Clerk IV position and related All Other from the Bureau of Medical Services program, Federal Expenditures Fund to the Division of Licensing and Regulatory Services program, Other Special Revenue Funds.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($485,401)
All Other	$0	($47,897)
FEDERAL EXPENDITURES FUND TOTAL	$0	($533,298)

Bureau of Medical Services 0129

Initiative: Reallocates the General Fund portion of one Social Services Program Manager position, one Comprehensive Health Planner II position, 2 Medical Care Coordinator positions and one Senior Medical Claims Adjuster position from the Maine Rx Plus program to the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$163,485
GENERAL FUND TOTAL	$0	$163,485

Bureau of Medical Services 0129

Initiative: Adjusts funding for the decrease in the federal financial participation rate from 75% to 50% on the Maine Integrated Health Management Solution (MIHMS) system until fiscal year 2011-12, when the certification process will be completed.

GENERAL FUND	2009-10	2010-11
All Other	$0	$3,884,463
GENERAL FUND TOTAL	$0	$3,884,463

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($3,884,463)
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,884,463)

Bureau of Medical Services 0129

Initiative: Reallocates 50% of the cost of one Public Service Coordinator I position from the Bureau of Medical Services program to the State-Funded Foster Care/Adoption Assistance program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	($48,963)
All Other	$0	($1,530)
GENERAL FUND TOTAL	$0	($50,493)

Bureau of Medical Services 0129

Initiative: Reallocates funding for one Management Analyst II position from 75% Federal Expenditures Fund and 25% General Fund to 50% Federal Expenditures Fund and 50% General Fund within the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$20,254
All Other	$0	$9,180
GENERAL FUND TOTAL	$0	$29,434

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($20,254)
All Other	$0	($15,530)
FEDERAL EXPENDITURES FUND TOTAL	$0	($35,784)

Bureau of Medical Services 0129

Initiative: Transfers one Social Services Program Specialist II position funded 50% General Fund and 50% Other Special Revenue Funds in the Office of Management and Budget program to 50% General Fund and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$46,715
All Other	$0	$3,060
GENERAL FUND TOTAL	$0	$49,775

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$46,713
FEDERAL EXPENDITURES FUND TOTAL	$0	$46,713

Bureau of Medical Services 0129

Initiative: Establishes one Office Associate II position and one Office Specialist I position funded 50% General Fund in the Long Term Care - Human Services program and 50% Federal Expenditures Fund in the Bureau of Medical Services program to provide essential administrative support functions.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	2.000
Personal Services	$0	$59,862
All Other	$0	($59,862)
FEDERAL EXPENDITURES FUND TOTAL	$0	$0

Bureau of Medical Services 0129

Initiative: Adjusts funding for the continued operation of the Maine Integrated Health Management Solution (MIHMS) system through a transfer from the Information Technology program to the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	$3,545,210
GENERAL FUND TOTAL	$0	$3,545,210

Bureau of Medical Services 0129

Initiative: Continues 2 limited-period Medical Support Associate positions and 2 limited-period Office Associate II positions from June 30, 2010 to August 30, 2010 and one limited-period Office Associate II position from January 30, 2010 to August 30, 2010.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$18,490
All Other	$0	($18,490)
GENERAL FUND TOTAL	$0	$0

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$18,495
FEDERAL EXPENDITURES FUND TOTAL	$0	$18,495

Bureau of Medical Services 0129

Initiative: Eliminates 2 Social Services Manager I positions in the State-Funded Foster Care/Adoption Assistance program, one Social Services Manager I position in the Bureau of Child and Family Services - Regional program and one Physician III position in the Multicultural Services program that is funded 85% General Fund in that program and 15% Federal Expenditures Fund in the Bureau of Medical Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($34,689)
FEDERAL EXPENDITURES FUND TOTAL	$0	($34,689)

Bureau of Medical Services 0129

Initiative: Reallocates 50% of the cost of one Social Services Program Manager position and one Comprehensive Health Planner II position from the Federal Block Grant Fund to the Federal Expenditures Fund within the Bureau of Medical Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$94,436
All Other	$0	$2,254
FEDERAL EXPENDITURES FUND TOTAL	$0	$96,690

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
Personal Services	$0	($94,436)
All Other	$0	($2,254)
FEDERAL BLOCK GRANT FUND TOTAL	$0	($96,690)

Bureau of Medical Services 0129

Initiative: Reallocates 12.5% of the cost of one Public Service Manager II position and related All Other costs from the Office of Elder Services Central Office program to the Bureau of Medical Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$13,137
All Other	$0	$977
FEDERAL EXPENDITURES FUND TOTAL	$0	$14,114

Bureau of Medical Services 0129

Initiative: Establishes 2 Auditor II positions in the Office of Management and Budget program to continue the department's focus on identifying fraud, waste and abuse. Position costs are allocated 50% General Fund in the Office of Management and Budget program and 50% Federal Expenditures Fund in the Bureau of Medical Services program. The work of the new staff will increase collections and allow for a reduction in the Medical Care - Payments to Providers program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$69,930
All Other	$0	$6,970
FEDERAL EXPENDITURES FUND TOTAL	$0	$76,900

Bureau of Medical Services 0129

Initiative: Establishes 6 limited-period Customer Service Representative Associate II positions in the Bureau of Family Independence - Regional program to expedite disability determinations and reduce the time period for determination of disability by an average of 15 days and achieve one-time savings by decreasing payments for benefits with state funds. These positions are established for fiscal year 2010-11.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$169,239
All Other	$0	$16,581
FEDERAL EXPENDITURES FUND TOTAL	$0	$185,820

Bureau of Medical Services 0129

Initiative: Provides funding to begin the necessary planning for managed care.

GENERAL FUND	2009-10	2010-11
All Other	$0	$1,000,000
GENERAL FUND TOTAL	$0	$1,000,000

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$1,000,000
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,000,000

Bureau of Medical Services 0129

Initiative: Appropriates funds for the costs of convening a working group of stakeholders, to conduct the analysis and study and to make recommendations regarding the delivery of mental health and substance abuse outpatient services.

GENERAL FUND	2009-10	2010-11
All Other	$100,000	$100,000
GENERAL FUND TOTAL	$100,000	$100,000

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$100,000	$100,000
FEDERAL EXPENDITURES FUND TOTAL	$100,000	$100,000

Bureau of Medical Services 0129

Initiative: Reduces funding due to savings in performing assessments for medical eligibility for nursing home care services.

GENERAL FUND	2009-10	2010-11
All Other	$0	($151,000)
GENERAL FUND TOTAL	$0	($151,000)

Bureau of Medical Services 0129

Initiative: Reduces funding from savings in the Department of Health and Human Services’ contract with the University of Maine at Farmington.

GENERAL FUND	2009-10	2010-11
All Other	($23,700)	($23,700)
GENERAL FUND TOTAL	($23,700)	($23,700)

Bureau of Medical Services 0129

Initiative: Reduces funding from savings in the Department of Health and Humans Services’ contract with the University of Southern Maine Muskie School of Public Service regarding organizational effectiveness.

GENERAL FUND	2009-10	2010-11
All Other	$0	($30,000)
GENERAL FUND TOTAL	$0	($30,000)

Child Support 0100

Initiative: Reallocates 33.3% of the cost of 4 Office Associate II positions, 2 Office Assistant II positions, 2 Social Services Program Specialist II positions, one Public Service Manager I position, one Counsel position, 3 Support Enforcement District Supervisor positions, 3 Social Services Program Specialist I positions and 10 Human Services Enforcement Agent positions from Other Special Revenue Funds to the General Fund within the Child Support program and partially offsets the General Fund cost through a reduction in the All Other line category of the Child Support and Information Technology programs.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$624,240
All Other	$0	($26,494)
GENERAL FUND TOTAL	$0	$597,746

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($624,240)
All Other	$0	$624,240
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$0

Community Services Block Grant 0716

Initiative: Establishes one Social Services Program Specialist I position in the Community Services Block Grant program to provide adequate oversight and management of the Community Services Block Grant.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$69,848
All Other	$0	$6,577
FEDERAL BLOCK GRANT FUND TOTAL	$0	$76,425

Division of Data, Research and Vital Statistics Z037

Initiative: Transfers one Office Assistant II position and 2 Comprehensive Health Planner II positions from Other Special Revenue Funds to the Federal Expenditures Fund within the Division of Data, Research and Vital Statistics program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	3.000
Personal Services	$0	$223,622
All Other	$0	$21,239
FEDERAL EXPENDITURES FUND TOTAL	$0	$244,861

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(3.000)
Personal Services	$0	($223,622)
All Other	$0	($21,239)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($244,861)

Division of Data, Research and Vital Statistics Z037

Initiative: Provides funding on a one-time basis for program operating costs for the Health - Bureau of program and the Division of Data, Research and Vital Statistics program.

GENERAL FUND	2009-10	2010-11
All Other	$340,000	$0
GENERAL FUND TOTAL	$340,000	$0

Division of Data, Research and Vital Statistics Z037

Initiative: Provides funding for operating expenses of the Division of Data, Research and Vital Statistics to offset revenues reduced by restoring vital records fees, effective April 1, 2010, to the $15 level in effect in September 2009.

GENERAL FUND	2009-10	2010-11
All Other	$34,330	$102,990
GENERAL FUND TOTAL	$34,330	$102,990

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	($34,330)	($102,990)
OTHER SPECIAL REVENUE FUNDS TOTAL	($34,330)	($102,990)

Division of Licensing and Regulatory Services Z036

Initiative: Transfers and reallocates the cost of 55 positions and related All Other within the Division of Licensing and Regulatory Services program. Position detail is on file in the Bureau of the Budget.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($26,315)
GENERAL FUND TOTAL	$0	($26,315)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(51.000)
Personal Services	$0	($2,777,409)
All Other	$0	($314,282)
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,091,691)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	52.000
Personal Services	$0	$2,803,724
All Other	$0	$314,282
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$3,118,006

Division of Licensing and Regulatory Services Z036

Initiative: Transfers one Housing Research Developer position from 50% General Fund and 50% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program to 50% General Fund in the Office of Elder Services Central Office program and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($39,662)
All Other	$0	($2,588)
GENERAL FUND TOTAL	$0	($42,250)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($39,659)
All Other	$0	($2,588)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($42,247)

Division of Licensing and Regulatory Services Z036

Initiative: Transfers 9 Community Care Worker positions, one Social Services Program Specialist II position and one Office Associate II position from the Federal Block Grant Fund to Other Special Revenue Funds within the Division of Licensing and Regulatory Services program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	11.000
Personal Services	$0	$785,542
All Other	$0	$73,719
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$859,261

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(11.000)
Personal Services	$0	($785,542)
All Other	$0	($73,719)
FEDERAL BLOCK GRANT FUND TOTAL	$0	($859,261)

Division of Licensing and Regulatory Services Z036

Initiative: Transfers one Paralegal position, 3 Office Associate II positions and one Nursing Education Consultant position from 25% General Fund and 25% Federal Expenditures Fund in the Office of MaineCare Services program and 50% Federal Expenditures Fund in the Division of Licensing and Regulatory Services program to 100% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(5.000)
Personal Services	$0	($150,778)
All Other	$0	($16,851)
FEDERAL EXPENDITURES FUND TOTAL	$0	($167,629)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	5.000
Personal Services	$0	$301,538
All Other	$0	$33,699
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$335,237

Division of Licensing and Regulatory Services Z036

Initiative: Transfers 4 Community Care Worker positions and one Social Services Program Specialist II position from the FHM - Service Center program to the Division of Licensing and Regulatory Services program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	5.000
Personal Services	$0	$373,509
All Other	$0	$48,680
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$422,189

Division of Licensing and Regulatory Services Z036

Initiative: Reallocates 50% of the cost of one Social Services Program Specialist I position and related All Other from the Bureau of Medical Services program to the Division of Licensing and Regulatory Services program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$39,994
All Other	$0	$6,255
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$46,249

Division of Licensing and Regulatory Services Z036

Initiative: Reallocates 50% of the cost of 6 Social Services Program Specialist I positions, one Social Services Program Specialist II position, one Health Services Consultant position, one Office Associate II position, one Public Service Manager II position, 2 Health Facility Specialist positions and one Clerk IV position and related All Other from the Bureau of Medical Services program, Federal Expenditures Fund to the Division of Licensing and Regulatory Services program, Other Special Revenue Funds.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$485,401
All Other	$0	$47,897
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$533,298

Division of Licensing and Regulatory Services Z036

Initiative: Adjusts funding to correct an initiative included in Public Law 2009, chapter 213, Part A.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$48,572	$47,620
All Other	($48,572)	($47,620)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$0

Division of Purchased Services Z035

Initiative: Transfers 4 Public Service Coordinator I positions from the General Fund to Other Special Revenue Funds; 2 Management Analyst II positions and one Comprehensive Health Planner II position from the Federal Block Grant Fund to Other Special Revenue Funds; and one Planning and Research Associate I position funded 36.29% Federal Block Grant Fund and 63.71% General Fund to Other Special Revenue Funds within the Division of Purchased Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	(4.000)	(4.000)
Personal Services	($427,758)	($423,706)
All Other	($15,300)	($15,300)
GENERAL FUND TOTAL	($443,058)	($439,006)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	8.000	8.000
Personal Services	$695,308	$692,041
All Other	$81,401	$81,323
OTHER SPECIAL REVENUE FUNDS TOTAL	$776,709	$773,364

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	(4.000)	(4.000)
Personal Services	($267,550)	($268,335)
All Other	($75,964)	($74,949)
FEDERAL BLOCK GRANT FUND TOTAL	($343,514)	($343,284)

Drinking Water Enforcement 0728

Initiative: Reallocates 50% of the cost of 4 Environmental Specialist III positions, one Environmental Specialist IV position, one Environmental Engineer position and one Office Assistant II position from the Federal Expenditures Fund in the Health - Bureau of program to Other Special Revenue Funds in the Drinking Water Enforcement program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$266,316
All Other	$0	$20,673
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$286,989

Drinking Water Enforcement 0728

Initiative: Reallocates 50% of the cost of 2 Environmental Specialist III positions and one Office Specialist I position from Other Special Revenue Funds in the Drinking Water Enforcement program to the Federal Expenditures Fund in the Health - Bureau of program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($108,825)
All Other	$0	($8,825)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($117,650)

FHM - Bureau of Health 0953

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

FUND FOR A HEALTHY MAINE	2009-10	2010-11
Personal Services	$0	$96,270
All Other	$0	($96,270)
FUND FOR A HEALTHY MAINE TOTAL	$0	$0

FHM - Bureau of Health 0953

Initiative: Allocates funds for the FHM - Bureau of Health Oral Health Program to partially restore funds deallocated for fiscal year 2010-11 in Public Law 2009, chapter 213.

FUND FOR A HEALTHY MAINE	2009-10	2010-11
All Other	$0	$45,000
FUND FOR A HEALTHY MAINE TOTAL	$0	$45,000

FHM - Medical Care 0960

Initiative: Adjusts funding available as the result of the extension of the enhanced Federal Medical Assistance Percentage for an additional 2 quarters.

FUND FOR A HEALTHY MAINE	2009-10	2010-11
All Other	$0	($1,097,080)
FUND FOR A HEALTHY MAINE TOTAL	$0	($1,097,080)

FHM - Service Center 0957

Initiative: Transfers 4 Community Care Worker positions and one Social Services Program Specialist II position from the FHM - Service Center program to the Division of Licensing and Regulatory Services program.

FUND FOR A HEALTHY MAINE	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(5.000)
Personal Services	$0	($373,509)
All Other	$0	($38,837)
FUND FOR A HEALTHY MAINE TOTAL	$0	($412,346)

General Assistance - Reimbursement to Cities and Towns 0130

Initiative: Provides funding in the General Assistance - Reimbursement to Cities and Towns program for increased costs in benefits and offsets the appropriation with a reduction in the appropriation for the State Supplement to Federal Supplemental Security Income program.

GENERAL FUND	2009-10	2010-11
All Other	$880,000	$380,000
GENERAL FUND TOTAL	$880,000	$380,000

General Assistance - Reimbursement to Cities and Towns 0130

Initiative: Appropriates funds on a one-time basis for increased costs in benefits.

GENERAL FUND	2009-10	2010-11
All Other	$0	$1,074,696
GENERAL FUND TOTAL	$0	$1,074,696

General Assistance - Reimbursement to Cities and Towns 0130

Initiative: Transfers 2 Field Examiner II positions, one Family Independence Program Manager position and one Accounting Associate I position and related All Other from the Office of Integrated Access and Support Central Office program to the General Assistance program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	4.000
Personal Services	$0	$279,139
All Other	$0	$627,864
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$907,003

Health - Bureau of 0143

Initiative: Transfers one Planning and Research Assistant position and related All Other funds from the Federal Expenditures Fund to Other Special Revenue Funds within the Health - Bureau of program and transfers one Management Analyst II position from the Maternal and Child Health program to the Health - Bureau of program and reallocates 50% of the cost of the position from the Federal Expenditures Fund to Other Special Revenue Funds within the Health - Bureau of program to correctly account for the cost allocation plan.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($96,000)
All Other	$0	($546,463)
FEDERAL EXPENDITURES FUND TOTAL	$0	($642,463)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	2.000
Personal Services	$0	$96,001
All Other	$0	$546,463
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$642,464

Health - Bureau of 0143

Initiative: Reallocates 25% of the cost of one Chemist II position from Other Special Revenue Funds to the Federal Expenditures Fund within the Health - Bureau of program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$21,322
All Other	$0	$1,834
FEDERAL EXPENDITURES FUND TOTAL	$0	$23,156

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($21,322)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($21,322)

Health - Bureau of 0143

Initiative: Reallocates 50% of the cost of one Social Services Program Specialist I position and related All Other from the Bureau of Medical Services program to the Division of Licensing and Regulatory Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$1,772
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,772

Health - Bureau of 0143

Initiative: Reallocates 50% of the cost of 4 Environmental Specialist III positions, one Environmental Specialist IV position, one Environmental Engineer position and one Office Assistant II position from the Federal Expenditures Fund in the Health - Bureau of program to Other Special Revenue Funds in the Drinking Water Enforcement program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($266,316)
All Other	$0	($18,118)
FEDERAL EXPENDITURES FUND TOTAL	$0	($284,434)

Health - Bureau of 0143

Initiative: Reallocates 50% of the cost of 2 Environmental Specialist III positions and one Office Specialist I position from Other Special Revenue Funds in the Drinking Water Enforcement program to the Federal Expenditures Fund in the Health - Bureau of program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$108,825
All Other	$0	$10,548
FEDERAL EXPENDITURES FUND TOTAL	$0	$119,373

Health - Bureau of 0143

Initiative: Reorganizes one Public Health Physician position from part-time to full-time.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$117,475
All Other	$0	$8,104
FEDERAL EXPENDITURES FUND TOTAL	$0	$125,579

Health - Bureau of 0143

Initiative: Reorganizes one Toxicologist position from part-time to full-time.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	0.500
Personal Services	$0	$38,419
All Other	$0	$6,217
FEDERAL EXPENDITURES FUND TOTAL	$0	$44,636

Health - Bureau of 0143

Initiative: Transfers one Office Assistant II position from the Federal Expenditures Fund to Other Special Revenue Funds and reallocates 50% of the cost of one Public Health Educator III position from the Federal Expenditures Fund to Other Special Revenue Funds within the Health - Bureau of program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($88,755)
All Other	$0	($7,765)
FEDERAL EXPENDITURES FUND TOTAL	$0	($96,520)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$88,755
All Other	$0	$10,069
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$98,824

Health - Bureau of 0143

Initiative: Reorganizes one Public Health Educator III position to a Comprehensive Health Planner II position.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$7,517
All Other	$0	$179
FEDERAL EXPENDITURES FUND TOTAL	$0	$7,696

Health - Bureau of 0143

Initiative: Provides funding for the reorganization of one Public Health Physician position funded 90% General Fund and 10% Federal Expenditures Fund to a Public Service Coordinator III position funded 61% General Fund and 39% Federal Expenditures Fund.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	($456)
GENERAL FUND TOTAL	$0	($456)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$77,430
All Other	$0	$1,772
FEDERAL EXPENDITURES FUND TOTAL	$0	$79,202

Health - Bureau of 0143

Initiative: Reallocates 50% of the cost of one Microbiologist II position from Other Special Revenue Funds to the Federal Expenditures Fund within the Health - Bureau of program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$39,106
All Other	$0	$3,583
FEDERAL EXPENDITURES FUND TOTAL	$0	$42,689

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($39,106)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($39,106)

Health - Bureau of 0143

Initiative: Reallocates 20% of the cost of one Quality Assurance Officer position from Other Special Revenue Funds to the Federal Expenditures Fund within the same program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$16,709
All Other	$0	$399
FEDERAL EXPENDITURES FUND TOTAL	$0	$17,108

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($16,709)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($16,709)

Health - Bureau of 0143

Initiative: Transfers one Toxicologist position from the Federal Expenditures Fund to Other Special Revenue Funds within the Health - Bureau of program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($83,310)
FEDERAL EXPENDITURES FUND TOTAL	$0	($83,310)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$83,310
All Other	$0	$7,289
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$90,599

Health - Bureau of 0143

Initiative: Reorganizes one Laboratory Technician II position to a Chemist I position.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$14,852
All Other	$0	$355
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$15,207

Health - Bureau of 0143

Initiative: Reorganizes one Public Service Executive III position to a salary that is comparable to other medical personnel and offsets the additional Personal Services cost with a reduction in the All Other line category.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$33,427
All Other	$0	($33,427)
GENERAL FUND TOTAL	$0	$0

Health - Bureau of 0143

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	2.000
Personal Services	$0	($32,248)
All Other	$0	$4,531
FEDERAL EXPENDITURES FUND TOTAL	$0	($27,717)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$19,451
All Other	$0	$1,524
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$20,975

Health - Bureau of 0143

Initiative: Reduces funding not required for matching purposes.

GENERAL FUND	2009-10	2010-11
All Other	$0	($500,000)
GENERAL FUND TOTAL	$0	($500,000)

Health - Bureau of 0143

Initiative: Provides funding on a one-time basis for program operating costs for the Health - Bureau of program and the Division of Data, Research and Vital Statistics program.

GENERAL FUND	2009-10	2010-11
All Other	$1,660,000	$0
GENERAL FUND TOTAL	$1,660,000	$0

Health - Bureau of 0143

Initiative: Reallocates 25% of the cost of one Office Specialist 1 Manager Supervisor position from the Federal Expenditures Fund to Other Special Revenue Funds within the same program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($18,289)
FEDERAL EXPENDITURES FUND TOTAL	$0	($18,289)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$18,289
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$18,289

Information Technology Y16T

Initiative: Transfers one Paralegal position, 3 Office Associate II positions and one Nursing Education Consultant position from 25% General Fund and 25% Federal Expenditures Fund in the Office of MaineCare Services program and 50% Federal Expenditures Fund in the Division of Licensing and Regulatory Services program to 100% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($2,646)
GENERAL FUND TOTAL	$0	($2,646)

Information Technology Y16T

Initiative: Reallocates funding for one Management Analyst II position from 75% Federal Expenditures Fund and 25% General Fund to 50% Federal Expenditures Fund and 50% General Fund within the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	$6,350
GENERAL FUND TOTAL	$0	$6,350

Information Technology Y16T

Initiative: Transfers one Clinical Social Worker position from the IV-E Foster Care/Adoption Assistance program and 2 Clinical Social Worker positions from the Bureau of Child and Family Services - Regional program to the Mental Health Services - Children program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($4,233)
GENERAL FUND TOTAL	$0	($4,233)

Information Technology Y16T

Initiative: Transfers one Human Services Caseworker Supervisor position from the IV-E Foster Care/Adoption Assistance program to the Child and Family Services - Central program.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,117
GENERAL FUND TOTAL	$0	$2,117

Information Technology Y16T

Initiative: Reallocates 33.3% of the cost of 4 Office Associate II positions, 2 Office Assistant II positions, 2 Social Services Program Specialist II positions, one Public Service Manager I position, one Counsel position, 3 Support Enforcement District Supervisor positions, 3 Social Services Program Specialist I positions and 10 Human Services Enforcement Agent positions from Other Special Revenue Funds to the General Fund within the Child Support program and partially offsets the General Fund cost through a reduction in the All Other line category of the Child Support and Information Technology programs.

GENERAL FUND	2009-10	2010-11
All Other	$0	($572,687)
GENERAL FUND TOTAL	$0	($572,687)

Information Technology Y16T

Initiative: Transfers one Social Services Program Specialist II position funded 50% General Fund and 50% Other Special Revenue Funds in the Office of Management and Budget program to 50% General Fund and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	$1,058
GENERAL FUND TOTAL	$0	$1,058

Information Technology Y16T

Initiative: Adjusts funding for the continued operation of the Maine Integrated Health Management Solution (MIHMS) system through a transfer from the Information Technology program to the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($3,545,210)
GENERAL FUND TOTAL	$0	($3,545,210)

Information Technology Y16T

Initiative: Transfers 4 Public Service Coordinator I positions from the General Fund to Other Special Revenue Funds; 2 Management Analyst II positions and one Comprehensive Health Planner II position from the Federal Block Grant Fund to Other Special Revenue Funds; and one Planning and Research Associate I position funded 36.29% Federal Block Grant Fund and 63.71% General Fund to Other Special Revenue Funds within the Division of Purchased Services program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($10,583)
GENERAL FUND TOTAL	$0	($10,583)

Information Technology Y16T

Initiative: Establishes 2 Auditor II positions in the Office of Management and Budget program to continue the department's focus on identifying fraud, waste and abuse. Position costs are allocated 50% General Fund in the Office of Management and Budget program and 50% Federal Expenditures Fund in the Bureau of Medical Services program. The work of the new staff will increase collections and allow for a reduction in the Medical Care - Payments to Providers program.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,117
GENERAL FUND TOTAL	$0	$2,117

Information Technology Y16T

Initiative: Transfers one Accounting Technician position and one Public Service Manager III position from the OMB Division of Regional Business Operations program to the Office of Management and Budget program and one Public Service Executive II position from the OMB Division of Regional Business Operations program to the Mental Health Services - Community program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($2,117)
GENERAL FUND TOTAL	$0	($2,117)

Information Technology Y16T

Initiative: Adjusts funding in the Office of Management and Budget, OMB Division of Regional Business Operations and Information Technology programs to properly align technology and general operating expenditures.

GENERAL FUND	2009-10	2010-11
All Other	$0	($3,258,435)
GENERAL FUND TOTAL	$0	($3,258,435)

IV-E Foster Care/Adoption Assistance 0137

Initiative: Transfers one Clinical Social Worker position from the IV-E Foster Care/Adoption Assistance program and 2 Clinical Social Worker positions from the Bureau of Child and Family Services - Regional program to the Mental Health Services - Children program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($86,181)
All Other	$0	($5,177)
FEDERAL EXPENDITURES FUND TOTAL	$0	($91,358)

IV-E Foster Care/Adoption Assistance 0137

Initiative: Transfers one Human Services Caseworker Supervisor position from the IV-E Foster Care/Adoption Assistance program to the Child and Family Services - Central program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($92,168)
All Other	$0	($5,177)
FEDERAL EXPENDITURES FUND TOTAL	$0	($97,345)

IV-E Foster Care/Adoption Assistance 0137

Initiative: Reduces funding by streamlining adoptive family recruitment using technology.

GENERAL FUND	2009-10	2010-11
All Other	($112,500)	($450,000)
GENERAL FUND TOTAL	($112,500)	($450,000)

IV-E Foster Care/Adoption Assistance 0137

Initiative: Adjusts funding on a one-time basis as a result of the receipt of additional funding from the American Recovery and Reinvestment Act of 2009.

GENERAL FUND	2009-10	2010-11
All Other	($2,866,740)	($1,678,000)
GENERAL FUND TOTAL	($2,866,740)	($1,678,000)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$2,866,740	$1,678,000
FEDERAL EXPENDITURES FUND ARRA TOTAL	$2,866,740	$1,678,000

IV-E Foster Care/Adoption Assistance 0137

Initiative: Adjusts funding available as the result of the extension of the enhanced Federal Medical Assistance Percentage for an additional 2 quarters.

GENERAL FUND	2009-10	2010-11
All Other	$0	($151,783)
GENERAL FUND TOTAL	$0	($151,783)

Long Term Care - Human Services 0420

Initiative: Establishes one Office Associate II position and one Office Specialist I position funded 50% General Fund in the Long Term Care - Human Services program and 50% Federal Expenditures Fund in the Bureau of Medical Services program to provide essential administrative support functions.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$59,856
All Other	$0	($59,856)
GENERAL FUND TOTAL	$0	$0

Long Term Care - Human Services 0420

Initiative: Reduces funding by managing utilization of the homemakers program.

GENERAL FUND	2009-10	2010-11
All Other	($187,500)	$0
GENERAL FUND TOTAL	($187,500)	$0

Long Term Care - Human Services 0420

Initiative: Reduces funding for non-MaineCare adult day services and other supportive and administrative services.

GENERAL FUND	2009-10	2010-11
All Other	$0	($225,000)
GENERAL FUND TOTAL	$0	($225,000)

Long Term Care - Human Services 0420

Initiative: Provides funding for home-based services in the Office of Elder Services.

GENERAL FUND	2009-10	2010-11
All Other	$0	$1,000,000
GENERAL FUND TOTAL	$0	$1,000,000

Low-cost Drugs To Maine's Elderly 0202

Initiative: Continues 2 limited-period Medical Support Associate positions and 2 limited-period Office Associate II positions from June 30, 2010 to August 30, 2010 and one limited-period Office Associate II position from January 30, 2010 to August 30, 2010.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$9,704
All Other	$0	($9,704)
GENERAL FUND TOTAL	$0	$0

Maine Children's Growth Council Z074

Initiative: Provides funding for a grant from the National Governor's Association.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$10,000
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$10,000

Maine Rx Plus Program 0927

Initiative: Reallocates the General Fund portion of one Social Services Program Manager position, one Comprehensive Health Planner II position, 2 Medical Care Coordinator positions and one Senior Medical Claims Adjuster position from the Maine Rx Plus program to the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	($163,485)
GENERAL FUND TOTAL	$0	($163,485)

Maternal and Child Health 0191

Initiative: Transfers one Planning and Research Assistant position and related All Other funds from the Federal Expenditures Fund to the Other Special Revenue Funds within the Health - Bureau of program and transfers one Management Analyst II position from the Maternal and Child Health program to the Health - Bureau of program and reallocates 50% of the cost of the position from the Federal Expenditures Fund to Other Special Revenue Funds within the Health - Bureau of program to correctly account for the cost allocation plan.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
FEDERAL BLOCK GRANT FUND TOTAL	$0	$0

Maternal and Child Health Block Grant Match Z008

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$193,528
All Other	$0	($193,528)
GENERAL FUND TOTAL	$0	$0

Maternal and Child Health Block Grant Match Z008

Initiative: Reduces funding not required for matching purposes.

GENERAL FUND	2009-10	2010-11
All Other	($400,000)	($100,000)
GENERAL FUND TOTAL	($400,000)	($100,000)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding in the Medical Care - Payments to Providers program to correct an over-allocation from State Fiscal Stabilization Funds.

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	($450,000)	$0
FEDERAL EXPENDITURES FUND ARRA TOTAL	($450,000)	$0

Medical Care - Payments to Providers 0147

Initiative: Provides funding to support changes in the eligibility criteria for the Children's Health Insurance Program.

GENERAL FUND	2009-10	2010-11
All Other	$71,384	$71,384
GENERAL FUND TOTAL	$71,384	$71,384

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
All Other	$218,678	$218,678
FEDERAL BLOCK GRANT FUND TOTAL	$218,678	$218,678

Medical Care - Payments to Providers 0147

Initiative: Provides funding on a one-time basis to reimburse ambulatory care clinics for the administration of the H1N1 vaccine.

GENERAL FUND	2009-10	2010-11
All Other	$330,591	$0
GENERAL FUND TOTAL	$330,591	$0

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$854,619	$0
FEDERAL EXPENDITURES FUND TOTAL	$854,619	$0

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$129,790	$0
FEDERAL EXPENDITURES FUND ARRA TOTAL	$129,790	$0

Medical Care - Payments to Providers 0147

Initiative: Provides funding for the increase in Medicare Part B premium payments.

GENERAL FUND	2009-10	2010-11
All Other	$1,741,141	$4,165,856
GENERAL FUND TOTAL	$1,741,141	$4,165,856

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$4,491,021	$9,002,128
FEDERAL EXPENDITURES FUND TOTAL	$4,491,021	$9,002,128

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$693,617	$683,574
FEDERAL EXPENDITURES FUND ARRA TOTAL	$693,617	$683,574

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding between fiscal years to enable the accelerated claims run-out process for the Maine Claims Management System (MeCMS).

GENERAL FUND	2009-10	2010-11
All Other	$6,622,154	($6,622,154)
GENERAL FUND TOTAL	$6,622,154	($6,622,154)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$17,119,084	($17,119,084)
FEDERAL EXPENDITURES FUND TOTAL	$17,119,084	($17,119,084)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$2,599,867	($2,599,867)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$2,599,867	($2,599,867)

Medical Care - Payments to Providers 0147

Initiative: Provides funding for the increased cost of Medicare Part D payments.

GENERAL FUND	2009-10	2010-11
All Other	$0	$320,079
GENERAL FUND TOTAL	$0	$320,079

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by centralizing the administration of shared living services. The corresponding state funding decrease is in the Mental Retardation Waiver - MaineCare program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($2,001,656)
FEDERAL EXPENDITURES FUND TOTAL	$0	($2,001,656)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($156,953)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($156,953)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding to reflect the savings associated with the creation of a children's waiver.

GENERAL FUND	2009-10	2010-11
All Other	$0	($489,780)
GENERAL FUND TOTAL	$0	($489,780)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,058,129)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,058,129)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($80,349)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($80,349)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding due to a retroactive increase in the Federal Medical Assistance Percentage rate for the 4th quarter of state fiscal year 2008-09.

GENERAL FUND	2009-10	2010-11
All Other	($6,782,239)	$0
GENERAL FUND TOTAL	($6,782,239)	$0

Medical Care - Payments to Providers 0147

Initiative: Establishes 6 limited-period Customer Service Representative Associate II positions in the Bureau of Family Independence - Regional program to expedite disability determinations and reduce the time period for determination of disability by an average of 15 days and achieve one-time savings by decreasing payments for benefits with state funds. These positions are established for fiscal year 2010-11.

GENERAL FUND	2009-10	2010-11
All Other	$0	($2,550,000)
GENERAL FUND TOTAL	$0	($2,550,000)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding to reflect an update of the hospital tax base year from 2006 to 2008.

GENERAL FUND	2009-10	2010-11
All Other	$0	($11,351,537)
GENERAL FUND TOTAL	$0	($11,351,537)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$11,351,537
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$11,351,537

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding to distribute the departmentwide deappropriation included in Public Law 2009, chapter 213, Part A related to a social security income cost-of-living increase.

GENERAL FUND	2009-10	2010-11
All Other	($4,000,000)	($4,000,000)
GENERAL FUND TOTAL	($4,000,000)	($4,000,000)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by modifying the methodology used to reimburse nonhospital-based physicians.

GENERAL FUND	2009-10	2010-11
All Other	$0	($1,547,500)
GENERAL FUND TOTAL	$0	($1,547,500)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($3,452,500)
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,452,500)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by reducing administrative and program-related costs for services to persons with high-cost budgets. The corresponding state funding decrease is in the Mental Retardation Waiver - MaineCare program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($717,216)
FEDERAL EXPENDITURES FUND TOTAL	$0	($717,216)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($56,183)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($56,183)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding through the imposition of a per member limit for outpatient mental health visits to 18 hours of services per year for persons 20 years of age and under. The department shall authorize treatment above 18 hours per year when continued treatment to the member is necessary to correct or ameliorate a mental health condition, as required by 42 United States Code, Section 1396d(r)(5). The corresponding state funding decrease is in the Mental Health Services - Child Medicaid program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,527,638)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,527,638)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by instituting several practice changes aimed at limiting the ability of individuals to shelter assets and then receive long-term care services.

GENERAL FUND	2009-10	2010-11
All Other	$0	($2,150,000)
GENERAL FUND TOTAL	$0	($2,150,000)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($4,796,688)
FEDERAL EXPENDITURES FUND TOTAL	$0	($4,796,688)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by increasing the management of atypical antipsychotic drugs for new users and by increasing the management of antibiotics.

GENERAL FUND	2009-10	2010-11
All Other	$0	($1,000,000)
GENERAL FUND TOTAL	$0	($1,000,000)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($2,231,018)
FEDERAL EXPENDITURES FUND TOTAL	$0	($2,231,018)

Medical Care - Payments to Providers 0147

Initiative: Provides funding for the Medical Care - Payments to Providers and Nursing Facilities programs.

GENERAL FUND	2009-10	2010-11
All Other	$6,782,239	$0
GENERAL FUND TOTAL	$6,782,239	$0

Medical Care - Payments to Providers 0147

Initiative: Establishes 2 Auditor II positions in the Office of Management and Budget program to continue the department's focus on identifying fraud, waste and abuse. Position costs are allocated 50% General Fund in the Office of Management and Budget program and 50% Federal Expenditures Fund in the Bureau of Medical Services program. The work of the new staff will increase collections and allow for a reduction in the Medical Care - Payments to Providers program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($1,200,000)
GENERAL FUND TOTAL	$0	($1,200,000)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($2,677,221)
FEDERAL EXPENDITURES FUND TOTAL	$0	($2,677,221)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding in the various MaineCare accounts to reflect modifications to projections of MaineCare-dedicated tax revenues, to comport with Revenue Forecasting Committee reprojections.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	($2,541,330)	($2,926,549)
OTHER SPECIAL REVENUE FUNDS TOTAL	($2,541,330)	($2,926,549)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding due to savings from amending the Probate Code as it relates to spousal elective share.

GENERAL FUND	2009-10	2010-11
All Other	$0	($175,200)
GENERAL FUND TOTAL	$0	($175,200)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($390,874)
FEDERAL EXPENDITURES FUND TOTAL	$0	($390,874)

Medical Care - Payments to Providers 0147

Initiative: Provides funding to increase hospital reimbursement.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,283,021
GENERAL FUND TOTAL	$0	$2,283,021

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$4,923,642
FEDERAL EXPENDITURES FUND TOTAL	$0	$4,923,642

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$385,692
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$385,692

Medical Care - Payments to Providers 0147

Initiative: Reduces funding based on a 10% reduction to the rates paid to providers under the following sections of the MaineCare Benefits Manual, Chapters II and III: 3, Ambulatory Care Clinic Services; 15, Chiropractic Services; 23, Developmental and Behavioral Evaluation Clinics; 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations; 30, Family Planning Agency Services; 35, Hearing Aids and Services; 37, Children's Home Based Mental Health; 62, Genetic Testing and Clinical Genetic Services; 68, Occupational Therapy Services; 85, Physical Therapy Services; 95, Podiatric Services; 113, Transportation Services; and 150, STD Screening Clinic Services.

GENERAL FUND	2009-10	2010-11
All Other	$0	($1,994,571)
GENERAL FUND TOTAL	$0	($1,994,571)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($5,879,861)
FEDERAL EXPENDITURES FUND TOTAL	$0	($5,879,861)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($461,086)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($461,086)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by standardizing the reimbursement rates for private nonmedical institutions billing under the MaineCare Benefits Manual, Chapter III, Section 97, Appendix B: Principles of Reimbursement for Substance Abuse Treatment Facilities and Appendix E: Principles of Reimbursment for Community Residences for Persons with Mental Illness.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,121,506)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,121,506)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($87,853)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($87,853)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding by allowing the program allowance to be part of personal care services when developing rates for the MaineCare Benefits Manual, Chapter III, Section 97, Appendix C: Principles of Reimbursement for Medical Care and Remedial Care Facilities.

GENERAL FUND	2009-10	2010-11
All Other	$1,248,575	$1,248,575
GENERAL FUND TOTAL	$1,248,575	$1,248,575

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$2,692,065	$2,692,065
FEDERAL EXPENDITURES FUND TOTAL	$2,692,065	$2,692,065

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$210,898	$210,898
FEDERAL EXPENDITURES FUND ARRA TOTAL	$210,898	$210,898

Medical Care - Payments to Providers 0147

Initiative: Provides funding under the MaineCare Benefits Manual, Chapter III, Section 97, Appendix C: Principles of Reimbursment for Medical Care and Remedial Care Facilities, to reverse an initiative that was included in Public Law 2009, chapter 213.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,292,299
GENERAL FUND TOTAL	$0	$2,292,299

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$5,070,222
FEDERAL EXPENDITURES FUND TOTAL	$0	$5,070,222

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$509,272
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$509,272

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by lowering reimbursement rates under the MaineCare Benefits Manual, Chapter III, Section 97, Appendix D: Principles of Reimbursement for Child Care Facilities, by 3% for treatment foster care and 2% for other facilities. The reductions to treatment foster care rates are not to be passed on as reductions to the foster parents.

GENERAL FUND	2009-10	2010-11
All Other	$0	($622,049)
GENERAL FUND TOTAL	$0	($622,049)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,609,838)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,609,838)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	($124,410)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($124,410)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($126,106)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($126,106)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home and Community Benefits for Members with Mental Retardation or Autistic Disorder. Reimbursement rates will be reduced by 2% for day habilitation and work supports and 1% for residential providers; all other services will be reduced by 10%. The corresponding state funding decreases are in the Mental Retardation Waiver - MaineCare program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($3,114,851)
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,114,851)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($244,001)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($244,001)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding under the MaineCare Benefits Manual, Chapters II and III, Section 65, Behavioral Health Services, by 10%, excluding children's comprehensive community support and multi-systems therapy, which will be reduced by 2%. Outpatient therapy, children's assertive community treatment services, crisis services and medication management will not be reduced. The corresponding state funding decreases are in the Mental Health Services - Child Medicaid program and the Mental Health Services - Community Medicaid program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,535,755)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,535,755)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($120,203)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($120,203)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding under the MaineCare Benefits Manual, Chapters II and III, Section 17, Community Support Services, by lowering reimbursement rates by 4%, except for community integration, which is reduced by 3%. The corresponding state funding reduction is in the Mental Health Services - Community Medicaid program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,240,807)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,240,807)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($97,198)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($97,198)

Medical Care - Payments to Providers 0147

Initiative: Provides funding to increase enrollment under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home and Community Benefits for Members with Mental Retardation or Autistic Disorder, by approximately 100 members and in the MaineCare Benefits Manual, Chapters II and III, Section 29, Community Support Benefits for Members with Mental Retardation and Autistic Disorder, by approximately 60 members. The corresponding state funding increases are in the Mental Retardation Waiver - MaineCare program and the Mental Retardation Waiver - Supports program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$4,727,565
FEDERAL EXPENDITURES FUND TOTAL	$0	$4,727,565

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$370,332
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$370,332

Medical Care - Payments to Providers 0147

Initiative: Provides funding to address a federal compliance issue with the reimbursement of ambulance services.

GENERAL FUND	2009-10	2010-11
All Other	$0	$889,449
GENERAL FUND TOTAL	$0	$889,449

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$1,918,216
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,918,216

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$150,263
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$150,263

Medical Care - Payments to Providers 0147

Initiative: Reduces funding from savings realized from the application of the enhanced Federal Medical Assistance Percentage rate to state Medicare Part D payments.

GENERAL FUND	2009-10	2010-11
All Other	($11,708,148)	($16,128,958)
GENERAL FUND TOTAL	($11,708,148)	($16,128,958)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding as the result of the disallowance of federal financial participation for targeted case management claims in fiscal years 2001-02 and 2002-03.

GENERAL FUND	2009-10	2010-11
All Other	$0	($29,736,437)
GENERAL FUND TOTAL	$0	($29,736,437)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding available as the result of the extension of the enhanced Federal Medical Assistance Percentage for an additional 2 quarters.

GENERAL FUND	2009-10	2010-11
All Other	$0	($44,765,452)
GENERAL FUND TOTAL	$0	($44,765,452)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$72,149,104
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$72,149,104

Medical Care - Payments to Providers 0147

Initiative: Reduces funding by limiting reimbursement to hospitals when a MaineCare patient is subsequently readmitted to the hospital within 3 days following an inpatient admission for the same diagnosis.

GENERAL FUND	2009-10	2010-11
All Other	$0	($200,000)
GENERAL FUND TOTAL	$0	($200,000)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($431,327)
FEDERAL EXPENDITURES FUND TOTAL	$0	($431,327)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($33,788)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($33,788)

Medical Care - Payments to Providers 0147

Initiative: Adjusts funding due to receipt of revenue from settlements reached with pharmaceutical manufacturers related to the MaineCare program.

GENERAL FUND	2009-10	2010-11
All Other	$0	($100,000)
GENERAL FUND TOTAL	$0	($100,000)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$100,000
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$100,000

Medical Care - Payments to Providers 0147

Initiative: Reduces funding through the imposition of a per member limit for outpatient mental health visits of 18 hours of services per year for adults. The department shall authorize services above 18 hours per year when continued treatment to the member is reasonably expected to bring about significant improvement and is medically necessary to avoid exacerbation of a mental health condition and the likely continuation of outpatient treatment. The corresponding state funding decrease is in the Mental Health Services - Community Medicaid program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($1,656,526)
FEDERAL EXPENDITURES FUND TOTAL	$0	($1,656,526)

MR/Elderly PNMI Room and Board Z009

Initiative: Reduces funding based on a 10% reduction to the rates paid to providers of boarding home and related services.

GENERAL FUND	2009-10	2010-11
All Other	$0	($225,909)
GENERAL FUND TOTAL	$0	($225,909)

MR/Elderly PNMI Room and Board Z009

Initiative: Adjusts funding by allowing the program allowance to be part of personal care services when developing rates for the MaineCare Benefits Manual, Chapter III, Section 97, Appendix C: Principles of Reimbursement for Medical Care and Remedial Care Facilities.

GENERAL FUND	2009-10	2010-11
All Other	($4,314,296)	($4,314,296)
GENERAL FUND TOTAL	($4,314,296)	($4,314,296)

Multicultural Services Z034

Initiative: Provides funding for grants and overhead costs in the Multicultural Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$454,309
FEDERAL EXPENDITURES FUND TOTAL	$0	$454,309

Multicultural Services Z034

Initiative: Eliminates 2 Social Services Manager I positions in the State-Funded Foster Care/Adoption Assistance program, one Social Services Manager I position in the Bureau of Child and Family Services - Regional program and one Physician III position in the Multicultural Services program that is funded 85% General Fund in that program and 15% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($196,580)
GENERAL FUND TOTAL	$0	($196,580)

Multicultural Services Z034

Initiative: Transfers one Social Services Manager I position from the Multicultural Services program to the Office of Management and Budget program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($100,426)
All Other	$0	($3,060)
GENERAL FUND TOTAL	$0	($103,486)

Nursing Facilities 0148

Initiative: Reduces funding due to a retroactive increase in the Federal Medical Assistance Percentage rate for the 4th quarter of state fiscal year 2008-09.

GENERAL FUND	2009-10	2010-11
All Other	($682,231)	$0
GENERAL FUND TOTAL	($682,231)	$0

Nursing Facilities 0148

Initiative: Provides funding for the Medical Care - Payments to Providers and Nursing Facilities programs.

GENERAL FUND	2009-10	2010-11
All Other	$682,231	$0
GENERAL FUND TOTAL	$682,231	$0

Nursing Facilities 0148

Initiative: Adjusts funding in the various MaineCare accounts to reflect modifications to projections of MaineCare-dedicated tax revenues, to comport with Revenue Forecasting Committee reprojections.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$413,910	($330,071)
OTHER SPECIAL REVENUE FUNDS TOTAL	$413,910	($330,071)

Nursing Facilities 0148

Initiative: Reduces funding by eliminating staff enhancement payments to nursing facilities.

GENERAL FUND	2009-10	2010-11
All Other	$0	($2,310,712)
GENERAL FUND TOTAL	$0	($2,310,712)

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	($6,228,721)
FEDERAL EXPENDITURES FUND TOTAL	$0	($6,228,721)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	($577,678)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($577,678)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	($488,442)
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	($488,442)

Nursing Facilities 0148

Initiative: Adjusts funding available as the result of the extension of the enhanced Federal Medical Assistance Percentage for an additional 2 quarters.

GENERAL FUND	2009-10	2010-11
All Other	$0	($14,179,840)
GENERAL FUND TOTAL	$0	($14,179,840)

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$14,179,840
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$14,179,840

Nursing Facilities 0148

Initiative: Provides funding to increase nursing facility routine cost component reimbursement.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,270,224
GENERAL FUND TOTAL	$0	$2,270,224

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$6,119,582
FEDERAL EXPENDITURES FUND TOTAL	$0	$6,119,582

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$0	$567,556
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$567,556

FEDERAL EXPENDITURES FUND ARRA	2009-10	2010-11
All Other	$0	$479,884
FEDERAL EXPENDITURES FUND ARRA TOTAL	$0	$479,884

Office of Elder Services Adult Protective Services Z040

Initiative: Transfers funding for operating costs from the Office of Elder Services Central Office program to the Office of Elder Services Adult Protective Services program.

GENERAL FUND	2009-10	2010-11
All Other	$188,679	$188,679
GENERAL FUND TOTAL	$188,679	$188,679

Office of Elder Services Adult Protective Services Z040

Initiative: Transfers funding from the Office of Elder Services Central Office program to the Office of Elder Services Adult Protective Services program and to the OMB Division of Regional Business Operations program for rent.

GENERAL FUND	2009-10	2010-11
All Other	$59,833	$59,833
GENERAL FUND TOTAL	$59,833	$59,833

Office of Elder Services Central Office 0140

Initiative: Transfers funding for operating costs from the Office of Elder Services Central Office program to the Office of Elder Services Adult Protective Services program.

GENERAL FUND	2009-10	2010-11
All Other	($188,679)	($188,679)
GENERAL FUND TOTAL	($188,679)	($188,679)

Office of Elder Services Central Office 0140

Initiative: Transfers one Housing Research Developer position from 50% General Fund and 50% Other Special Revenue Funds in the Division of Licensing and Regulatory Services program to 50% General Fund in the Office of Elder Services Central Office program and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$39,662
All Other	$0	$3,446
GENERAL FUND TOTAL	$0	$43,108

Office of Elder Services Central Office 0140

Initiative: Transfers funding from the Office of Elder Services Central Office program to the Office of Elder Services Adult Protective Services program and to the OMB Division of Regional Business Operations program for rent.

GENERAL FUND	2009-10	2010-11
All Other	($143,041)	($143,041)
GENERAL FUND TOTAL	($143,041)	($143,041)

Office of Elder Services Central Office 0140

Initiative: Establishes one limited-period Social Services Program Specialist II position in the Office of Elder Services Central Office program to act as the state project director for the family caregiver program. This position will end June 18, 2011.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$81,707
All Other	$0	$6,099
FEDERAL EXPENDITURES FUND TOTAL	$0	$87,806

Office of Elder Services Central Office 0140

Initiative: Reduces funding for non-MaineCare adult day services and other supportive and administrative services.

GENERAL FUND	2009-10	2010-11
All Other	($250,000)	($275,000)
GENERAL FUND TOTAL	($250,000)	($275,000)

Office of Elder Services Central Office 0140

Initiative: Reallocates 12.5% of the cost of one Public Service Manager II position and related All Other costs from the Office of Elder Services Central Office program to the Bureau of Medical Services program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($13,137)
All Other	$0	($793)
FEDERAL EXPENDITURES FUND TOTAL	$0	($13,930)

Office of Elder Services Central Office 0140

Initiative: Reallocates 20% of the cost of one Public Service Coordinator II position from the Office of Management and Budget program to the Office of Elder Services Central Office program and provides related All Other funding for a new federal grant for the Aging and Disability Resources Center Initiative administered by the Office of Elder Services Central Office program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$21,355
All Other	$0	$74,120
FEDERAL EXPENDITURES FUND TOTAL	$0	$95,475

Office of Elder Services Central Office 0140

Initiative: Provides funding for a new federal Alzheimer's innovation initiative grant administered by the Office of Elder Services Central Office program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$0	$235,310
FEDERAL EXPENDITURES FUND TOTAL	$0	$235,310

Office of Integrated Access and Support - Central Office Z020

Initiative: Transfers 2 Field Examiner II positions, one Family Independence Program Manager position and one Accounting Associate I position and related All Other from the Office of Integrated Access and Support Central Office program to the General Assistance program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(4.000)
Personal Services	$0	($279,139)
All Other	$0	($620,707)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($899,846)

Office of Integrated Access and Support - Central Office Z020

Initiative: Transfers one Family Independence Unit Supervisor position and one Family Independence Specialist position from Other Special Revenue Funds in the Bureau of Family Independence - Regional program to Other Special Revenue Funds in the Office of Integrated Access and Support - Central Office program and transfers one Office Assistant II position from the Office of Integrated Access and Support Central Office program to the Bureau of Family Independence - Regional program.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$92,155
All Other	$0	$12,800
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$104,955

Office of Integrated Access and Support - Central Office Z020

Initiative: Establishes one limited-period Medical Care Coordinator position in the Office of Integrated Access and Support - Central Office program. This position will end on June 18, 2011.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	$58,264
All Other	$0	$6,691
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$64,955

Office of Integrated Access and Support - Central Office Z020

Initiative: Establishes one limited-period Social Services Program Manager position and one limited-period Management Analyst I position and provides related All Other funding for outreach, enrollment and retention in targeted geographic areas with high rates of eligible but uninsured children, particularly those with racial and ethnic minority groups who are uninsured at higher-than-average rates. These positions will end on June 15, 2013.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	$150,817
All Other	$0	$378,986
FEDERAL EXPENDITURES FUND TOTAL	$0	$529,803

Office of Management and Budget 0142

Initiative: Provides funding for the Office of Management and Budget program, Other Special Revenue Funds to establish baseline allocations in several accounts.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$1,024	$1,024
OTHER SPECIAL REVENUE FUNDS TOTAL	$1,024	$1,024

Office of Management and Budget 0142

Initiative: Provides funding in the Office of Management and Budget for the Maine Health Access Foundation systems transformation.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$153,163	$153,163
OTHER SPECIAL REVENUE FUNDS TOTAL	$153,163	$153,163

Office of Management and Budget 0142

Initiative: Provides funding in the Office of Management and Budget program for the data infrastructure grant.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
All Other	$172,841	$172,841
FEDERAL EXPENDITURES FUND TOTAL	$172,841	$172,841

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
All Other	$172,841	$172,841
OTHER SPECIAL REVENUE FUNDS TOTAL	$172,841	$172,841

Office of Management and Budget 0142

Initiative: Reduces funding to align allocations with existing resources.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
All Other	($80,280)	($80,280)
FEDERAL BLOCK GRANT FUND TOTAL	($80,280)	($80,280)

Office of Management and Budget 0142

Initiative: Transfers one Social Services Program Specialist II position funded 50% General Fund and 50% Other Special Revenue Funds in the Office of Management and Budget program to 50% General Fund and 50% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($46,715)
All Other	$0	($1,530)
GENERAL FUND TOTAL	$0	($48,245)

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
Personal Services	$0	($46,713)
All Other	$0	($2,588)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($49,301)

Office of Management and Budget 0142

Initiative: Reallocates 20% of the cost of one Public Service Coordinator II position from the Office of Management and Budget program to the Office of Elder Services Central Office program and provides related All Other funding for a new federal grant for the Aging and Disability Resources Center Initiative administered by the Office of Elder Services Central Office program.

FEDERAL EXPENDITURES FUND	2009-10	2010-11
Personal Services	$0	($21,355)
FEDERAL EXPENDITURES FUND TOTAL	$0	($21,355)

Office of Management and Budget 0142

Initiative: Establishes 2 Auditor II positions in the Office of Management and Budget program to continue the department's focus on identifying fraud, waste and abuse. Position costs are allocated 50% General Fund in the Office of Management and Budget program and 50% Federal Expenditures Fund in the Bureau of Medical Services program. The work of the new staff will increase collections and allow for a reduction in the Medical Care - Payments to Providers program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	2.000
Personal Services	$0	$69,932
All Other	$0	$3,060
GENERAL FUND TOTAL	$0	$72,992

Office of Management and Budget 0142

Initiative: Transfers one Social Services Manager I position from the Multicultural Services program to the Office of Management and Budget program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	1.000
Personal Services	$0	$100,426
All Other	$0	$3,060
GENERAL FUND TOTAL	$0	$103,486

Office of Management and Budget 0142

Initiative: Transfers one Accounting Technician position and one Public Service Manager III position from the OMB Division of Regional Business Operations program to the Office of Management and Budget program and one Public Service Executive II position from the OMB Division of Regional Business Operations program to the Mental Health Services - Community program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	2.000
Personal Services	$0	$194,203
All Other	$0	$6,120
GENERAL FUND TOTAL	$0	$200,323

Office of Management and Budget 0142

Initiative: Adjusts funding in the Office of Management and Budget, OMB Division of Regional Business Operations and Information Technology programs to properly align technology and general operating expenditures.

GENERAL FUND	2009-10	2010-11
All Other	$0	$2,496,803
GENERAL FUND TOTAL	$0	$2,496,803

OMB Division of Regional Business Operations 0196

Initiative: Reduces funding to align allocations with current resources.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
All Other	($15,339)	($15,339)
FEDERAL BLOCK GRANT FUND TOTAL	($15,339)	($15,339)

OMB Division of Regional Business Operations 0196

Initiative: Transfers funding from the Office of Elder Services Central Office program to the Office of Elder Services Adult Protective Services program and to the OMB Division of Regional Business Operations program for rent.

GENERAL FUND	2009-10	2010-11
All Other	$83,208	$83,208
GENERAL FUND TOTAL	$83,208	$83,208

OMB Division of Regional Business Operations 0196

Initiative: Transfers one Accounting Technician position and one Public Service Manager III position from the OMB Division of Regional Business Operations program to the Office of Management and Budget program and one Public Service Executive II position from the OMB Division of Regional Business Operations program to the Mental Health Services - Community program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(3.000)
Personal Services	$0	($322,474)
All Other	$0	($9,180)
GENERAL FUND TOTAL	$0	($331,654)

OMB Division of Regional Business Operations 0196

Initiative: Adjusts funding in the Office of Management and Budget, OMB Division of Regional Business Operations and Information Technology programs to properly align technology and general operating expenditures.

GENERAL FUND	2009-10	2010-11
All Other	$0	$761,632
GENERAL FUND TOTAL	$0	$761,632

Plumbing - Control Over 0205

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

OTHER SPECIAL REVENUE FUNDS	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($67,323)
All Other	$0	($1,035)
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	($68,358)

Purchased Social Services 0228

Initiative: Reduces funding for contracted community support services.

GENERAL FUND	2009-10	2010-11
All Other	($150,000)	($139,200)
GENERAL FUND TOTAL	($150,000)	($139,200)

Risk Reduction 0489

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
Personal Services	$0	$29,172
All Other	$0	$2,286
FEDERAL BLOCK GRANT FUND TOTAL	$0	$31,458

Special Children's Services 0204

Initiative: Continues 5 Public Service Coordinator II positions originally established by financial order. The General Fund portion of the new position costs is offset by a reduction in the All Other line category. The new legislative headcount is offset by the elimination of one Epidemiologist position, one Environmental Specialist II position, one State Veterinarian position and 2 Office Assistant II positions from various department programs. Position detail is on file in the Bureau of the Budget.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(2.000)
Personal Services	$0	($105,112)
FEDERAL BLOCK GRANT FUND TOTAL	$0	($105,112)

State Supplement to Federal Supplemental Security Income 0131

Initiative: Provides funding in the General Assistance - Reimbursement to Cities and Towns program for increased costs in benefits and offsets the appropriation with a reduction in the appropriation for the State Supplement to Federal Supplemental Security Income program.

GENERAL FUND	2009-10	2010-11
All Other	($880,000)	($380,000)
GENERAL FUND TOTAL	($880,000)	($380,000)

State-Funded Foster Care/Adoption Assistance 0139

Initiative: Reallocates 50% of the cost of one Public Service Coordinator I position from the Bureau of Medical Services program to the State-Funded Foster Care/Adoption Assistance program.

GENERAL FUND	2009-10	2010-11
Personal Services	$0	$48,963
All Other	$0	$1,530
GENERAL FUND TOTAL	$0	$50,493

State-Funded Foster Care/Adoption Assistance 0139

Initiative: Transfers one Human Services Caseworker position from the State-Funded Foster Care/Adoption Assistance program to the Bureau of Child and Family Services - Regional program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(1.000)
Personal Services	$0	($64,257)
GENERAL FUND TOTAL	$0	($64,257)

State-Funded Foster Care/Adoption Assistance 0139

Initiative: Eliminates 2 Social Services Manager I positions in the State-Funded Foster Care/Adoption Assistance program, one Social Services Manager I position in the Bureau of Child and Family Services - Regional program and one Physician III position in the Multicultural Services program that is funded 85% General Fund in that program and 15% Federal Expenditures Fund in the Bureau of Medical Services program.

GENERAL FUND	2009-10	2010-11
POSITIONS - LEGISLATIVE COUNT	0.000	(2.000)
Personal Services	$0	($188,590)
GENERAL FUND TOTAL	$0	($188,590)

State-Funded Foster Care/Adoption Assistance 0139

Initiative: Deappropriates funds as a result of unspent contract balances.

GENERAL FUND	2009-10	2010-11
All Other	($100,000)	$0
GENERAL FUND TOTAL	($100,000)	$0

Training Programs and Employee Assistance 0493

Initiative: Reduces funding to align allocations with current resources.

FEDERAL BLOCK GRANT FUND	2009-10	2010-11
All Other	($30,000)	($30,000)
FEDERAL BLOCK GRANT FUND TOTAL	($30,000)	($30,000)

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2009-10	2010-11
GENERAL FUND	($12,407,767)	($130,121,630)
FEDERAL EXPENDITURES FUND	$25,429,630	($29,727,406)
FUND FOR A HEALTHY MAINE	$0	($1,464,426)
OTHER SPECIAL REVENUE FUNDS	($1,058,013)	$15,927,936
FEDERAL BLOCK GRANT FUND	($250,455)	($1,090,255)
FEDERAL EXPENDITURES FUND ARRA	$6,050,912	$85,735,558
DEPARTMENT TOTAL - ALL FUNDS	$17,764,307	($60,740,223)