An Act To Facilitate MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes

Sec. 1. Annual cost-of-living adjustment. The Department of Health and Human Services shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2, Adult Family Care Services and Chapter III, Section 97, Appendix C: Principles of Reimbursement for Medical and Remedial Service Facilities and in the department's Chapter 115: Principles of Reimbursement for Residential Care Facilities - Room and Board Costs to provide for ongoing, annual rate changes beginning July 1, 2016 to adjust for inflation. For the state fiscal year ending June 30, 2017, the amount of the adjustment is 4%. For each year thereafter, the department shall set the inflation adjustment cost-of-living percentage change in reimbursement in accordance with the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index.

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

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Provides funds for a 4% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions.

GENERAL FUND	2015-16	2016-17
All Other	$0	$1,558,714
GENERAL FUND TOTAL	$0	$1,558,714

FEDERAL EXPENDITURES FUND	2015-16	2016-17
All Other	$0	$3,076,672
FEDERAL EXPENDITURES FUND TOTAL	$0	$3,076,672

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17
All Other	$0	$258,918
OTHER SPECIAL REVENUE FUNDS TOTAL	$0	$258,918

Medical Care - Payments to Providers 0147

Initiative: Provides funds for a 4% cost-of-living rate increase for adult family care homes that are providing service pursuant to Chapter 101: MaineCare Benefits Manual, Chapter III, Section 2.

GENERAL FUND	2015-16	2016-17
All Other	$0	$84,444
GENERAL FUND TOTAL	$0	$84,444

FEDERAL EXPENDITURES FUND	2015-16	2016-17
All Other	$0	$134,444
FEDERAL EXPENDITURES FUND TOTAL	$0	$134,444

PNMI Room and Board Z009

Initiative: Provides funds for a 4% cost-of-living rate increase for residential care facilities and MaineCare Appendix C private nonmedical institutions.

GENERAL FUND	2015-16	2016-17
All Other	$0	$484,052
GENERAL FUND TOTAL	$0	$484,052

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2015-16	2016-17
GENERAL FUND	$0	$2,127,210
FEDERAL EXPENDITURES FUND	$0	$3,211,116
OTHER SPECIAL REVENUE FUNDS	$0	$258,918
DEPARTMENT TOTAL - ALL FUNDS	$0	$5,597,244

SUMMARY

This bill provides funds to give adult family care homes, residential care facilities and Appendix C private nonmedical institutions a 4% cost-of-living rate increase in funding in the fiscal year beginning July 1, 2016. Annual cost-of-living adjustments are to be provided by rule for each fiscal year thereafter in accordance with the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index.