131st MAINE LEGISLATURE
		LD 821		LR 1833(01)
	Resolve, to Improve Access to Neurobehavioral Services
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Lemelin of Chelsea
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2023-24	FY 2024-25	Projections  FY 2025-26	Projections  FY 2026-27
Net Cost (Savings)
	General Fund		$192,085	$906,452	$1,077,661	$1,079,516
Appropriations/Allocations
	General Fund		$192,085	$906,452	$1,077,661	$1,079,516
	Federal Expenditures Fund		$196,720	$1,751,239	$2,091,164	$2,093,064
	Other Special Revenue Funds		$0	$161,654	$193,985	$193,985
Revenue
	Federal Expenditures Fund		$196,720	$1,751,238	$2,091,164	$2,093,063
	Other Special Revenue Funds		$0	$161,654	$193,985	$193,985
Fiscal Detail and Notes
	The Department of Health and Human Services will require General Fund appropriations of $192,085 in fiscal year 2023-24 and $906,452 in fiscal year 2024-25 for one Social Services Program Manager position beginning 09/01/23 to oversee the placement of individuals with significant behavioral challenges and complex medical needs requiring evaluation and short-term placement before transitioning to a long-term care environment and for 16 new neurobehavioral beds beginning 09/01/24 in one or more neurobehavioral centers to serve individuals with significant behavioral challenges and complex medical needs who need short-term treatment before transitioning to a long-term care environment. Federal Expenditures Fund allocations will also be required for the FMAP match and Other Special Revenue Funds allocations for the Nursing Facilities Tax. For 16 individuals the current annual out of state cost is estimated at $5,526,912 and a recent estimate of the in-state cost of care indicated an annual cost of $8,760,000. In-state care would cost 202,068 more per year for each individual, which is a total increase for 16 individuals of $3,233,088 annually.