Approved: 03/12/19

129th MAINE LEGISLATURE LD 915 LR 1027(01) An Act To Provide Adequate Reimbursement under MaineCare for Ambulance and Neonatal Transport Services

Preliminary Fiscal Impact Statement for Original Bill Sponsor: Pres. Jackson of Aroostook Committee: Health and Human Services Fiscal Note Required: Yes

Preliminary Fiscal Impact Statement

Projections Projections FY 2019-20 FY 2020-21 FY 2021-22 FY 2022-23 Net Cost (Savings) General Fund $2,770,101 $3,329,640 $3,329,640 $3,329,640

Appropriations/Allocations General Fund $2,770,101 $3,329,640 $3,329,640 $3,329,640 Federal Expenditures Fund $4,894,815 $5,868,260 $5,868,260 $5,868,260

Revenue Federal Expenditures Fund $4,894,815 $5,868,260 $5,868,260 $5,868,260

Fiscal Detail and Notes The Department of Health and Human Services will require General Fund appropriations of $2,770,101 in fiscal year 2019-20 and $3,329,640 in fiscal year 2020-21 to increase the reimbursement rate for ambulance services under the MaineCare program so the rates are not less than the average allowable reimbursement rate under Medicare and reimbursement for neonatal transport services under MaineCare must be at the average rate for critical care transport services under Medicare. Federal Expenditures Fund allocations will also be required for the FMAP match.

LR1027(01) - Fiscal Note - Page 1 of 1