131st MAINE LEGISLATURE
		LD 840		LR 1877(04)
	An Act to Support Individuals with Personality Disorder or Disorders Associated with Primary Emotional Dysregulation by Requiring Reimbursement Under the MaineCare Program
	Fiscal Note for Senate Amendment " " to Committee Amendment "A"
	Sponsor: Sen. Rotundo of Androscoggin
	Fiscal Note Required: Yes
Fiscal Note
			FY 2023-24	FY 2024-25	Projections  FY 2025-26	Projections  FY 2026-27
Net Cost (Savings)
	General Fund		$0	($1,220,120)	($3,740,240)	($3,740,240)
Appropriations/Allocations
	General Fund		$0	($1,220,120)	($3,740,240)	($3,740,240)
	Federal Expenditures Fund		$0	($4,030,689)	($8,061,377)	($8,061,377)
	Other Special Revenue Funds		$0	($376,647)	($753,295)	($753,295)
Revenue
	Federal Expenditures Fund		$0	($4,030,689)	($8,061,377)	($8,061,377)
	Other Special Revenue Funds		$0	($376,647)	($753,295)	($753,295)
Fiscal Detail and Notes
	The amendment removes the ongoing General Fund appropriations to the Department of Health and Human Services of $1,870,120 in fiscal year 2024-25 for reimbursement for treatment of personality disorder and emotional dysregulation in MaineCare beginning on January 1, 2025 and also removes the corresponding Federal Expenditures Fund allocations for the FMAP match and the Other Special Revenue Funds allocations for the Service Provider Tax. The amendment replaces the ongoing appropriations with a one-time General Fund appropriation to the Department of Health and Human Services of $650,000 in fiscal year 2024-25 for a pilot program to reimburse for treatment of personality disorder and emotional dysregulation using a bundled rate to treat up to 25 MaineCare members.