132nd MAINE LEGISLATURE
		LD 331		LR 1011(02)
	Resolve, Directing the Department of Health and Human Services to Ensure Timely Reimbursement Under MaineCare Regarding Hospital Cost Reports
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2025-26	FY 2026-27	Projections  FY 2027-28	Projections  FY 2028-29
Net Cost (Savings)
	General Fund		$74,906,017	$47,678	$49,271	$50,677
Appropriations/Allocations
	General Fund		$74,906,017	$47,678	$49,271	$50,677
	Federal Expenditures Fund		$59,486,943	$0	$0	$0
	Other Special Revenue Funds		$70,169	$73,271	$75,719	$77,879
	Federal Block Grant Fund		$1,053,730	$0	$0	$0
Fiscal Detail and Notes
	This bill includes one-time General Fund appropriations of $51,000,000 in fiscal year 2025-26 to accelerate the payment of outstanding MaineCare reimbursements due to hospitals and $23,860,357 also in fiscal year 2025-26 to implement payment of MaineCare reimbursement of at least 75% of the as-filed settlement  pursuant to a hospital's cost reports within 90 days of receipt. One-time Federal Expenditures Fund and Federal Block Grant Fund allocations are included in fiscal year 2025-26 for the FMAP match for implementing reimbursement at 75% of the settlement within 90 days of receipt. No FMAP match is included for the one-time appropriations to address outstanding payments due to hospitals, as it is unknown whether those payments will qualify for federal match. The bill also includes ongoing General Fund costs of $45,660 in fiscal year 2025-26 and $44,678 in fiscal year 2026-27 to establish one Staff Auditor II position to review hospital cost reports, conduct testing and prepare interim settlements for payment to hospitals. Ongoing Other Special Revenue allocations are included for the position.