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127th MAINE LEGISLATURE |
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LD 524 |
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LR 861(01) |
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An Act To Start a
Pilot Program for Medical Substitution Treatment in a Local Community Setting |
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Preliminary Fiscal
Impact Statement for Original Bill |
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Sponsor: Sen. Gratwick of Penobscot |
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Committee: Health and Human Services |
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Fiscal Note Required: Yes |
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| Preliminary
Fiscal Impact Statement |
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FY 2015-16 |
FY 2016-17 |
Projections FY 2017-18 |
Projections FY 2018-19 |
| Net Cost
(Savings) |
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General Fund |
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$41,769 |
$0 |
$0 |
$0 |
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| Appropriations/Allocations |
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General Fund |
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$41,769 |
$0 |
$0 |
$0 |
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Federal Expenditures Fund |
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$125,308 |
$0 |
$0 |
$0 |
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| Fiscal Detail
and Notes |
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The Department of
Health and Human Services will require a one-time General Fund appropriation
of $41,769 in fiscal year 2015-16 for technology changes to the Maine
Integrated Health Management Solution to allow new providers and structure of
methadone services. Federal Expenditures Fund allocations will also be
required for the FMAP match.
This fiscal impact does not assume any savings from transportation costs.
First, the current transportation structure in MaineCare pays a per member per
month rate for all members, so any savings would not be accounted for in the
current biennium. Second, it is hard to determine what might be saved, since
the bill calls for a pilot program and licensure of federally qualified
health centers (FQHC), but it is not known where the pilot would be located
or which FQHC's would get licensed and thus which members would be impacted.
Also, this impact assumes no increase in methadone services, simply a shift
in who is providing the service. Lastly, there would be additional revenue
for any newly licensed facility, but it is unknown how many of the federally
qualified health centers would apply for a license.
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