128th MAINE LEGISLATURE
		LD 20		LR 959(01)
	An Act To Reimburse Nursing Homes for the Loss of Coinsurance and Deductibles for Skilled Nursing Beds under Rules Adopted by the Department of Health and Human Services
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Malaby of Hancock
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2017-18	FY 2018-19	Projections  FY 2019-20	Projections  FY 2020-21
Net Cost (Savings)
	General Fund		$521,301	$521,301	$521,301	$521,301
Appropriations/Allocations
	General Fund		$521,301	$521,301	$521,301	$521,301
	Federal Expenditures Fund		$1,010,515	$1,010,515	$1,010,515	$1,010,515
	Other Special Revenue Funds		$80,622	$80,622	$80,622	$80,622
Revenue
	Federal Expenditures Fund		$1,010,515	$1,010,515	$1,010,515	$1,010,515
	Other Special Revenue Funds		$80,622	$80,622	$80,622	$80,622
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of $521,301 in fiscal year 2017-18 and $521,301 in fiscal year 2018-19 to reimburse nursing homes for the losses of coinsurance and deductibles for skilled nursing beds under rules adopted by the Department of Health and Human Services as required in Public Law 2013, chapter 368. Federal Expenditures Fund allocations are also included in this bill for the FMAP match. A more current estimate, which includes an adjustment to the amount for coinsurance and deductibles and an additional cost for OIT testing and development, would reduce the appropriation to the Department of Health and Human Services by $28,491 in fiscal year 2017-18 and increase fiscal year 2018-19 by $114,916.