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132nd MAINE LEGISLATURE |
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LD 35 |
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LR 241(02) |
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An Act to
Strengthen Local Emergency Medical Services by Increasing the MaineCare
Reimbursement Rate for Ambulance Services |
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Fiscal Note for
Bill as Amended by Committee Amendment " " |
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Committee: Health and Human Services |
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Fiscal Note Required: Yes |
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| Fiscal Note |
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FY 2025-26 |
FY 2026-27 |
Projections FY 2027-28 |
Projections FY 2028-29 |
| Net Cost
(Savings) |
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General Fund |
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$126,545 |
$69,317 |
$71,854 |
$73,932 |
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| Appropriations/Allocations |
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General Fund |
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$126,545 |
$69,317 |
$71,854 |
$73,932 |
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Federal Expenditures Fund |
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$129,481 |
$5,193,485 |
$5,622,890 |
$5,625,016 |
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Other Special Revenue Funds |
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$0 |
$2,330,814 |
$2,540,190 |
$2,540,190 |
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Federal Block Grant Fund |
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$0 |
$70,936 |
$76,852 |
$76,852 |
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| Revenue |
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Federal Expenditures Fund |
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$126,544 |
$5,193,485 |
$5,622,890 |
$5,625,016 |
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Other Special Revenue Funds |
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$0 |
$2,330,814 |
$2,540,190 |
$2,540,190 |
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Federal Block Grant Fund |
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$0 |
$70,936 |
$76,852 |
$76,852 |
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| Fiscal Detail
and Notes |
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The bill
establishes an ambulance service assessment fee and includes ongoing Other
Special Revenue allocations to the Department of Health and Human Services
(DHHS) of $2,330,814 in fiscal year 2026-27 to use revenue from the
assessment to support reimbursement of emergency ambulance service providers
under the MaineCare program. Federal Expenditures Fund allocations and
Federal Block Grant Fund allocations are also included for the FMAP match.
The bill also includes ongoing General Fund appropriations to the DHHS of
$42,158 in fiscal year 2025-26 and $69,317 in fiscal year 2026-27 for one
Financial Analyst position to administer the ambulance fee program and a
one-time General Fund appropriation to the department of $84,387 in fiscal
year 2025-26 to contract for services related to development of
intergovernmental transfer or certified public expenditure programs for
governmental ambulance service providers. Federal Expenditure Fund
allocations are included for the FMAP match for the position and contracted
services.
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Any additional
costs to the Department of Public Safety from the provisions of this bill are
expected to be minor and can be absorbed within existing budgeted resources. |
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