131st MAINE LEGISLATURE
		LD 985		LR 881(01)
	Resolve, to Require the Department of Health and Human Services to Provide Additional Reimbursement to Maine Veterans' Homes
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Sen. Farrin of Somerset
	Committee: Veterans and Legal Affairs
	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		$10,516,298	$11,109,417	$11,735,988	$12,397,898
Appropriations/Allocations
	General Fund		$10,516,298	$11,109,417	$11,735,988	$12,397,898
	Federal Expenditures Fund		$5,279,403	$5,577,161	$5,891,713	$6,224,005
	Other Special Revenue Funds		$1,008,236	$1,065,101	$1,125,173	$1,188,633
Revenue
	Federal Expenditures Fund		$5,279,403	$5,577,161	$5,891,713	$6,224,005
	Other Special Revenue Funds		$1,008,236	$1,065,101	$1,125,173	$1,188,633
Fiscal Detail and Notes
	The Department of Health and Human Services will require General Fund appropriations of $10,516,298 in fiscal year 2023-24 and $11,109,417 in fiscal year 2024-25 to ensure that Maine Veterans' Homes nursing facilities are reimbursed a per patient daily rate for services that include the full cost of operating a veterans home, including fixed and variable operating costs, capital replacement, geographic differences and facility size, and it must also include an annual inflation adjustment provision. Federal Expenditures Fund allocations will also be required for the FMAP match and Other Special Revenue Funds allocations for the Service Provider and Nursing Facilities Tax. There is a significant portion of these increased costs that are room and board and must be funded with state-only dollars. However, the estimate does assume that the increased cost of claims will receive a federal match.