128th MAINE LEGISLATURE
		LD 1466		LR 1387(01)
	An Act To Address Severe and Ongoing Shortfalls in the Funding of Direct Care Workers in Long-term Care Settings and To Establish the Commission To Study Long-term Care Workforce Issues
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Sen. Jackson of Aroostook
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
Legislative Cost/Study
			FY 2017-18	FY 2018-19	Projections  FY 2019-20	Projections  FY 2020-21
Net Cost (Savings)
	General Fund		$27,334,571	$61,823,635	$61,823,635	$61,823,635
Appropriations/Allocations
	General Fund		$27,334,571	$61,823,635	$61,823,635	$61,823,635
	Federal Expenditures Fund		$20,085,327	$44,525,958	$44,525,958	$44,525,958
	Other Special Revenue Funds		$2,434,721	$5,577,691	$5,577,691	$5,577,691
Revenue
	Federal Expenditures Fund		$20,085,327	$44,525,958	$44,525,958	$44,525,958
	Other Special Revenue Funds		$2,434,721	$5,577,691	$5,577,691	$5,577,691
Legislative Cost/Study
	The general operating expenses of this study are projected to be $2,750 in fiscal year 2017-18. The Legislature's proposed budget includes $10,000 in fiscal year 2017-18 for legislative studies. Whether this amount is sufficient to fund all studies will depend on the number of studies authorized by the Legislative Council and the Legislature. The additional costs of providing staffing assistance to the study during the interim can be absorbed utilizing existing budgeted staff resources.
Fiscal Detail and Notes
	The Department of Health and Human Services will require General Fund appropriations of $27,334,571 in fiscal year 2017-18 and $61,823,635 in fiscal year 2018-19 for an increase to rates for certain services.  Federal Expenditures Fund allocations will also be required for the FMAP match and Other Special Revenue Funds allocations for the healthcare provider tax and the service provider tax.
	Additional costs to the Department of Labor related to the Commissioner or the commissioner's designee participating on the commission can be absorbed within existing budgeted resources.