127th MAINE LEGISLATURE
		LD 1527		LR 2294(01)
	An Act To Facilitate MaineCare Assisted Living by Providing a Cost-of-living Adjustment to Private Nonmedical Institutions and Adult Family Care Homes
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Sen. Burns of Washington
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2015-16	FY 2016-17	Projections  FY 2017-18	Projections  FY 2018-19
Net Cost (Savings)
	General Fund		$0	$2,127,210	$3,263,062	$4,706,446
Appropriations/Allocations
	General Fund		$0	$2,127,210	$3,263,062	$4,706,446
	Federal Expenditures Fund		$0	$3,211,116	$5,594,813	$8,069,628
	Other Special Revenue Funds		$0	$258,918	$544,970	$786,032
Revenue
	Federal Expenditures Fund		$0	$3,211,116	$5,594,813	$8,069,628
	Other Special Revenue Funds		$0	$258,918	$544,970	$786,032
Fiscal Detail and Notes
	The bill includes a General Fund appropriation to the Department of Health and Human Services of $2,127,210 in fiscal year 2016-17 for a 4% cost-of-living rate increase for MaineCare Appendix C private nonmedical institutions and adult family care homes. This bill also includes a Federal Expenditures Fund allocation for the FMAP match and an Other Special Revenue Funds allocation for the service provider Tax. Based on a more current estimate, DHHS has indicated different appropriations and allocations would be required to implement the provisions of the bill. It would recommend reducing the General Fund appropriation already in the bill by $230,019 in fiscal year 2016-17, increasing the Other Special Revenue Funds allocation by $51,783 in fiscal year 2016-17 and decreasing the allocation to the Federal Expenditures Fund by $42,676 in fiscal year 2016-17.