Approved: 02/24/23
LD 389 LR 921(01)
FY 2023-24 FY 2024-25
Projections
FY 2025-26
Projections
FY 2026-27
Net Cost (Savings)
General Fund $3,881,359 $3,881,359 $3,881,359 $3,881,359
Appropriations/Allocations
General Fund $3,881,359 $3,881,359 $3,881,359 $3,881,359
Fiscal Detail and Notes
Preliminary Fiscal Impact Statement
The Department of Health and Human Services will require General Fund appropriations of $3,881,359 in fiscal year
2023-24 and $3,881,359 in fiscal year 2024-25 to provide a MaineCare member with mental illness who is receiving
adult community support services and who resides more than 10 miles away from the member's community support
provider's office with nonemergency transportation services to and from medical and mental health appointments and
to and from activities identified in the member's community support individual support plan. A provider may only be
reimbursed for providing transportation when the cost of transportation is not a component of a rate paid for another
service. Sections 17, 18, 20, 21, 29 and 65 of the MaineCare Benefits Manual note that transportation is included in
most of the services rates and cannot be billed separately. By requiring these trips to be billable, the total number of
NEMT trips will be increased and the cost will need to be covered by 100% General Fund dollars, since the Centers
for Medicare and Medicaid Services will not allow payment for transportation twice.
The costs above are only for Section 1 of the bill. Section 2 will also have a significant fiscal impact and will also be
funded with 100% General Fund dollars. A more precise estimate of the fiscal impact of this section is not possible
because data related to number of trips and length of those trips is not known at this time. A survey of providers would
be required to identify this information.
131st MAINE LEGISLATURE
An Act to Improve Rural Transportation and Access to Mental Health Care and Physical Health Care
Preliminary Fiscal Impact Statement for Original Bill
Sponsor: Rep. Madigan of Waterville
Committee: Health and Human Services
Fiscal Note Required: Yes
LR0921(01) - Fiscal Note - Page 1 of 1