130th MAINE LEGISLATURE
		LD 283		LR 628(01)
	Resolve, To Address Inequities for Certain Direct Care Workers
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Madigan of Waterville
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2021-22	FY 2022-23	Projections  FY 2023-24	Projections  FY 2024-25
Net Cost (Savings)
	General Fund		$37,860,166	$37,753,891	$37,729,981	$37,733,118
Appropriations/Allocations
	General Fund		$37,860,166	$37,753,891	$37,729,981	$37,733,118
	Federal Expenditures Fund		$66,782,026	$66,865,608	$66,865,608	$66,865,608
	Other Special Revenue Funds		$112,314	$96,835	$80,529	$82,668
Revenue
	Federal Expenditures Fund		$66,782,026	$66,856,608	$66,865,608	$66,865,608
Fiscal Detail and Notes
	The Department of Health and Human Services will require General Fund appropriations of $37,860,166 in fiscal year 2021-22 and $37,753,891 in fiscal year 2022-23 to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 17, Allowances for Community Support Services and Section 65, Behavioral Health Services to increase reimbursement rates for daily living support services and any home and community-based services provided by behavioral health professionals by 20%. The department will also require funding to establish 2 limited period Staff Auditor I positions and 2 Staff Auditor I positions to handle the increased audit requirement necessary to ensure that the increase in wages and benefits to employees providing direct care services is equal to the amount of increase in reimbursement to be received by providers as required in this bill. Federal Expenditures Fund allocations will also be required for the FMAP match.