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131st MAINE LEGISLATURE
FIRST REGULAR SESSION-2023
Legislative Document No. 225H.P. 146House of Representatives, January 20, 2023
An Act to Expand the Reimbursement to Hospitals for Days
Awaiting Placement in Facilities
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative PERRY of Calais.
Cosponsored by Senator BENNETT of Oxford and
Representatives: COLLAMORE of Pittsfield, CRAVEN of Lewiston, MEYER of Eliot,
WHITE of Waterville. Page 1 - 131LR0131(01)
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2 as enacted by PL 2017, c. 454, ยง1, is amended to
3 read:
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6 Beginning January 1, 2019, the The department shall provide reimbursement to
7 hospitals other than critical access hospitals for each day after the 10th day that a
8 MaineCare-eligible individual is in the care of a hospital while awaiting placement in a
9 nursing facility or residential care facility. The department shall reimburse hospitals
10 prospectively at the statewide average rate per MaineCare member day for nursing facility
11 services or residential care facility services. The department shall compute the statewide
12 average rate per MaineCare member day based on the simple average of the nursing facility
13 rate or residential care facility rate per MaineCare member day for the applicable state
14 fiscal year or years prorated for the hospital's fiscal year. Reimbursement for days awaiting
15 placement pursuant to this section is limited to a maximum of $500,000 of combined
16 General Fund funds and federal funds for each year. For purposes of this section, "critical
17 access hospital" has the same meaning as in section 7932, subsection 10.
18 This section is repealed December 31, 2023.
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20 Current law requires the Department of Health and Human Services to provide
21 reimbursement to hospitals other than critical access hospitals for each day after the 10th
22 day that a MaineCare-eligible individual is in the care of a hospital while awaiting
23 placement in a nursing facility. This bill provides that the department also is required to
24 provide reimbursement to hospitals other than critical access hospitals for each day after
25 the 10th day that a MaineCare-eligible individual is in the care of a hospital while awaiting
26 placement in a residential care facility. The bill removes the provision that repeals the
27 current law on December 31, 2023.
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