130th MAINE LEGISLATURE
FIRST REGULAR SESSION-2021
Legislative Document No. 1112
S.P. 374 In Senate, March 22, 2021
Resolve, To Classify Employee Health Insurance as a Fixed Cost for
MaineCare Reimbursement in Nursing Homes
Received by the Secretary of the Senate on March 18, 2021. Referred to the Committee on
Health and Human Services pursuant to Joint Rule 308.2 and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator TIMBERLAKE of Androscoggin.
Cosponsored by Representative MORRIS of Turner and
Senators: CLAXTON of Androscoggin, KEIM of Oxford, MOORE of Washington,
Representatives: LYMAN of Livermore Falls, PERRY of Calais.
Printed on recycled paper
 1 Sec. 1. Amendment of Principles of Reimbursement for Nursing Facilities.
2 Resolved: That the Department of Health and Human Services shall amend its rule
3 Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of
4 Reimbursement for Nursing Facilities no later than January 1, 2022 as follows.
5 1. The costs of health insurance for those personnel currently included in the direct
6 care cost component in section 16.1.7(3) must be removed from the direct care cost
7 component and included in the fixed costs component in section 18.
8 2. The costs of health insurance for those personnel currently included in the routine
9 cost component in section 17.4.1(o)(3) must be removed from the routine cost component
10 and included in the fixed costs component in section 18.
11 SUMMARY
12 This resolve requires the Department of Health and Human Services to amend its rule
13 Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of
14 Reimbursement for Nursing Facilities no later than January 1, 2022 to move health
15 insurance costs for personnel from direct care and routine cost components to fixed costs
16 components. This was a majority recommendation of the Commission To Study Long-
17 term Care Facilities, which reported in December 2013.
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