127th MAINE LEGISLATURE
		LD 1533		LR 2293(01)
	An Act To Provide an Annual Cost-of-living Adjustment to Nursing Facilities To Further Implement the Recommendations of the Commission To Study Long-term Care Facilities
	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	$2,986,030	$5,552,060	$8,007,779
Appropriations/Allocations
	General Fund		$0	$2,986,030	$5,552,060	$8,007,779
	Federal Expenditures Fund		$0	$7,499,012	$12,067,576	$17,405,159
	Other Special Revenue Funds		$0	$1,215,413	$1,124,658	$1,622,102
Revenue
	Federal Expenditures Fund		$0	$7,499,012	$12,067,576	$17,405,159
	Other Special Revenue Funds		$0	$1,215,413	$1,124,658	$1,622,102
Fiscal Detail and Notes
	The bill includes a General Fund appropriation to the Department of Health and Human Services of $2,986,030 in fiscal year 2016-17  to provide an annual cost-of-living adjustment required by Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities. 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 increasing the General Fund appropriation already in the bill by $225,475 in fiscal year 2016-17, decreasing the Other Special Revenue Funds allocation by $664,545 in fiscal year 2016-17 and decreasing the allocation to the Federal Expenditures Fund by $574,181 in fiscal year 2016-17.