127th MAINE LEGISLATURE
		LD 886		LR 204(08)
	Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates for Home-based and Community-based Services
	Fiscal Note for Bill as Engrossed with: C "A" (H-645) S "A" (S-520) to C "A" (H-645)
	Committee: Health and Human Services
Fiscal Note
			FY 2015-16	FY 2016-17	Projections  FY 2017-18	Projections  FY 2018-19
Net Cost (Savings)
	General Fund		$0	$0	$4,000,000	$4,000,000
Appropriations/Allocations
	General Fund		$0	$0	$4,000,000	$4,000,000
	Federal Expenditures Fund		$0	$4,920,692	$5,013,037	$5,013,037
Revenue
	Federal Expenditures Fund		$0	$4,920,692	$5,013,037	$5,013,037
Fiscal Detail and Notes
	This bill includes a General Fund appropriation of  $4,000,000 in fiscal year 2016-17 to the Department of Health and Human Services (DHHS) to fund 50% of rate increases for personal support and related services. Federal Expenditures Fund allocations will also be included for these changes that impact the FMAP match. The bill also includes a one-time offsetting reduction of $4,000,000 in fiscal year 2016-17 to the Temporary Assistance for Needy Families program. The bill requires the Department of Health and Human Services to conduct a rate study of services in Section 40 Home Health Services and report back to the legislature by January 1, 2017. Any additional costs to the DHHS to perform the study and prepare a report are expected to be minor and can be absorbed within existing budgeted resources.