132nd MAINE LEGISLATURE
		LD 35		LR 241(01)
	An Act to Strengthen Local Emergency Medical Services by Increasing the MaineCare Reimbursement Rate for Ambulance Services
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Sen. Curry of Waldo
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2025-26	FY 2026-27	Projections  FY 2027-28	Projections  FY 2028-29
Appropriations/Allocations
	Federal Expenditures Fund		$7,300,000	$7,300,000	$7,300,000	$0
	Other Special Revenue Funds		($10,000,000)	$5,000,000	$5,000,000	$0
Transfers
	Other Special Revenue Funds		$0	$0	$0	$0
Fiscal Detail and Notes
	This bill makes a temporary change to the Department of Health and Human Services' (DHHS) rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 5, Ambulance Services, so that effective July 1, 2025  through June 30, 2028 MaineCare Ambulance Services codes with Medicare equivalents are reimbursed at 140% of the current published Medicare rates. This bill includes a one-time transfer, on or before June 30, 2026, of $15,000,000 from the Department of Public Safety, EMS Stabilization and Sustainability program, Other Special Revenue Funds account to the DHHS, Medical Care - Payments to Providers program, Other Special Revenue Funds account to fund this temporary rate increase.
	The bill also includes a one-time Other Special Revenue Funds deallocation to the Department of Public Safety of $15,000,000 in fiscal year 2025-26 and one-time Other Special Revenue Funds allocations to the  DHHS, Medical Care - Payments to Providers program, Other Special Revenue Funds account of $5,000,000 in each of 3 years. Federal Expenditures Fund allocations are also included for the FMAP match. A more current estimate would increase the state funds required for temporary rate increase from $5,000,000 each year to $5,857,300 in fiscal year 2025-26, $6,854,015 in fiscal year 2026-27 and $7,872,666 in fiscal year 2027-28.