131st MAINE LEGISLATURE
		LD 2243		LR 2981(01)
	Resolve, Directing the Department of Health and Human Services to Amend MaineCare Rules Governing Certain Types of Behavioral and Mental Health Services and to Form a Stakeholder Group to Study Methods for Improving Those Services
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Sen. Stewart of Aroostook
	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		$0	$7,078,894	$6,917,252	$6,917,252
Appropriations/Allocations
	General Fund		$0	$7,078,894	$6,917,252	$6,917,252
	Federal Expenditures Fund		$0	$504,731	$337,432	$337,432
	Federal Block Grant Fund		$0	$28,748	$28,706	$28,706
Revenue
	Federal Expenditures Fund		$0	$504,731	$337,432	$337,432
	Federal Block Grant Fund		$0	$28,748	$28,706	$28,706
Fiscal Detail and Notes
	The Department of Health and Human Services will require General Fund appropriations of $7,078,894 in fiscal year 2024-25 for payment changes required under the MaineCare Benefits Manual, Chapters II and III, Section 65 and for services provided in residential treatment facilities for persons with mental illness and in specialized or scattered residential treatment facilities as described in the MaineCare Benefits Manual, Chapter III, Section 97, Appendices E and F, respectively, and for one-time funding for a rate study contract. The payment changes required in the bill are largely, though not entirely, to reimburse for room and board costs, which do not receive a federal match. These services will need to be funded with 100% General Fund dollars. Federal Expenditures Fund and Federal Block Grant Fund allocations will also be required for the FMAP match.