HP1361
LD 1840
Second Regular Session - 125th Maine Legislature
C "A", Filing Number H-912, Sponsored by
LR 2680
Item 2
Bill Tracking, Additional Documents Chamber Status

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

Sec. 1. 22 MRSA §3174-UU  is enacted to read:

§ 3174-UU Methadone reimbursement limitations

Effective January 1, 2013, reimbursement under the MaineCare program for methadone for the treatment of addiction to opiates as defined in Title 17-A, section 1101, subsection 7 is limited to a lifetime maximum of 24 months, except that reimbursement may be provided for longer than 24 months if prior authorization is received from the department.

The department shall adopt rules to implement this section. Rules adopted pursuant to this section are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A. Prior to adopting rules under this section, the department shall seek input from stakeholders and experts in the field of substance abuse addiction and recovery, including, but not limited to, representatives of the Office of Substance Abuse and individuals with expertise in medication-assisted treatment.

Sec. 2. Appropriations and allocations. The following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)

Mental Health Services - Community Medicaid 0732

Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND 2011-12 2012-13
All Other
$0 ($491,407)
inline graphic sline.gif inline graphic sline.gif
GENERAL FUND TOTAL $0 ($491,407)

Office of Substance Abuse - Medicaid Seed 0844

Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND 2011-12 2012-13
All Other
$0 ($141,733)
inline graphic sline.gif inline graphic sline.gif
GENERAL FUND TOTAL $0 ($141,733)

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
DEPARTMENT TOTALS 2011-12 2012-13
GENERAL FUND
$0 ($633,140)
inline graphic sline.gif inline graphic sline.gif
DEPARTMENT TOTAL - ALL FUNDS $0 ($633,140)

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.

GENERAL FUND 2011-12 2012-13
All Other
$0 ($730,977)
inline graphic sline.gif inline graphic sline.gif
GENERAL FUND TOTAL $0 ($730,977)

FEDERAL EXPENDITURES FUND 2011-12 2012-13
All Other
$0 ($2,297,941)
inline graphic sline.gif inline graphic sline.gif
FEDERAL EXPENDITURES FUND TOTAL $0 ($2,297,941)

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS 2011-12 2012-13
GENERAL FUND
$0 ($730,977)
FEDERAL EXPENDITURES FUND
$0 ($2,297,941)
inline graphic sline.gif inline graphic sline.gif
DEPARTMENT TOTAL - ALL FUNDS $0 ($3,028,918)

SECTION TOTALS 2011-12 2012-13
GENERAL FUND
$0 ($1,364,117)
FEDERAL EXPENDITURES FUND
$0 ($2,297,941)
inline graphic sline.gif inline graphic sline.gif
SECTION TOTAL - ALL FUNDS $0 ($3,662,058)

summary

This amendment is the majority report of the committee. The amendment removes from the bill the requirement that methadone services reimbursed under the MaineCare program be accessed at the clinic closest to the home of the MaineCare member. The amendment removes from the bill the directive to the Department of Health and Human Services to review MaineCare transportation services because a similar directive was included by the committee in the committee amendment to L.D. 1694. The amendment adds to the routine technical rulemaking a requirement that the Department of Health and Human Services seek input for the prior authorization rules from stakeholders and experts in the field of substance abuse addiction and recovery, including, but not limited to, representatives of the Office of Substance Abuse and individuals with expertise in medication-assisted treatment. This amendment adds an appropriations and allocations section.

FISCAL NOTE REQUIRED
(See attached)


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