Health and Human Services, Department of (Formerly BDS)

DEVELOPMENTAL SERVICES - COMMUNITY 0122 2011-12 Initiative: Reduces funding for reimbursement in rental assistance to United States Department of Housing and Urban Development levels. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total DEVELOPMENTAL SERVICES WAIVER - MAINECARE 0987 2011-12 Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total Initiative: Reduces funding to reflect savings from payment reform in the Developmental Services Waiver MaineCare program. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total DEVELOPMENTAL SERVICES WAIVER - SUPPORTS Z006 2011-12 Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total 1,967,371 1,967,371 5,749,380 5,749,380 91,346 91,346 2012-13 1,967,371 1,967,371 5,658,034 5,658,034 2012-13 5,808,535 5,808,535 4,490,437 4,490,437 (3,000,000) (3,000,000) 2012-13 0 1,190,669 1,190,669 5,808,535 5,808,535 6,299,768 6,299,768 2012-13 0 (1,200,000) (1,200,000) (1,200,000) (1,200,000) 2012-13 2012-13

A-1

Health and Human Services, Department of (Formerly BDS)

DISPROPORTIONATE SHARE - DOROTHEA DIX PSYCHIATRIC CENTER 0734 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND Personal Services Total 0 2011-12 Summary - GENERAL FUND Personal Services Total DISPROPORTIONATE SHARE - RIVERVIEW PSYCHIATRIC CENTER 0733 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND Personal Services All Other Total 0 2011-12 Summary - GENERAL FUND Personal Services All Other Total DOROTHEA DIX PSYCHIATRIC CENTER 0120 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. OTHER SPECIAL REVENUE FUNDS Personal Services Total 0 2011-12 Summary - OTHER SPECIAL REVENUE FUNDS Personal Services Total FHM - SUBSTANCE ABUSE 0948 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total 0 17,976 17,976 17,976 17,976 2012-13 2012-13 0 (73,700) (73,700) (73,700) (73,700) 2012-13 2012-13 0 111,280 40,232 151,512 111,280 40,232 151,512 2012-13 2012-13 0 73,700 73,700 73,700 73,700 2012-13 2012-13

A-2

Health and Human Services, Department of (Formerly BDS)

MEDICAID SERVICES - DEVELOPMENTAL SERVICES 0705 2011-12 Initiative: Reduces funding by eliminating private nonmedical institution service as an optional service in the MaineCare program effective July 1, 2012. OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Reduces funding by eliminating targeted case management services as an optional service in the MaineCare program. GENERAL FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total Summary - OTHER SPECIAL REVENUE FUNDS All Other Total 0 (83,408) (83,408) (389,340) (389,340) 20,809 20,809 592,079 592,079 2012-13 0 1,201,050 1,201,050 (389,340) (389,340) (1,772,320) (1,772,320) 0 (83,408) (83,408) 2012-13

A-3

Health and Human Services, Department of (Formerly BDS)

MENTAL HEALTH SERVICES - CHILD MEDICAID 0731 2011-12 Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for 19 and 20 year olds with income less than or equal to 150% of the nonfarm income official poverty line. GENERAL FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total Initiative: Reduces funding by reducing optional coverage for children who are behaviorally challenged who are in a residential setting. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total MENTAL HEALTH SERVICES - CHILDREN 0136 2011-12 Initiative: Adjusts funding for the 2012-2013 biennium only for the Cubcare program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health program to provide MaineCare seed for the program. GENERAL FUND All Other Total Initiative: Reduces funding by reducing contracts for residential services. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total (17,392) (17,392) (1,344,426) (1,344,426) (1,250,000) (1,250,000) 2012-13 (17,392) (17,392) (94,426) (94,426) 2012-13 5,225,276 5,225,276 4,329,023 4,329,023 (500,000) (500,000) 2012-13 0 470,754 470,754 5,290,051 5,290,051 4,709,869 4,709,869 (64,775) (64,775) (351,600) (351,600) 2012-13

A-4

Health and Human Services, Department of (Formerly BDS)

MENTAL HEALTH SERVICES - COMMUNITY 0121 2011-12 Initiative: Reduces funding by limiting the availability of mental health crisis intervention to persons who experience severe and persistent mental illness. GENERAL FUND All Other Total FEDERAL BLOCK GRANT FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total Summary - FEDERAL BLOCK GRANT FUND All Other Total MENTAL HEALTH SERVICES - COMMUNITY MEDICAID 0732 2011-12 Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for 19 and 20 year olds with income less than or equal to 150% of the nonfarm income official poverty line. GENERAL FUND All Other Total Initiative: Reduces funding by eliminating private nonmedical institution service as an optional service in the MaineCare program effective July 1, 2012. GENERAL FUND All Other Total OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total Summary - OTHER SPECIAL REVENUE FUNDS All Other Total 0 (341,170) (341,170) (37,593) (37,593) (12,344,395) (12,344,395) 614,409 614,409 2012-13 0 (341,170) (341,170) 0 (12,754,745) (12,754,745) (37,593) (37,593) (204,059) (204,059) 2012-13 0 (91,369) (91,369) 0 (2,084,746) (2,084,746) (91,369) (91,369) 2012-13 0 (2,084,746) (2,084,746) 2012-13

A-5

Health and Human Services, Department of (Formerly BDS)

OFFICE OF SUBSTANCE ABUSE - MEDICAID SEED 0844 2011-12 Initiative: Reduces funding by eliminating private nonmedical institution service as an optional service in the MaineCare program effective July 1, 2012. OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total Summary - OTHER SPECIAL REVENUE FUNDS All Other Total RIVERVIEW PSYCHIATRIC CENTER 0105 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. OTHER SPECIAL REVENUE FUNDS Personal Services All Other Total 0 2011-12 Summary - OTHER SPECIAL REVENUE FUNDS Personal Services All Other Total TRAUMATIC BRAIN INJURY SEED Z042 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease of the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total 0 1,669 1,669 1,669 1,669 2012-13 2012-13 0 (111,280) (40,232) (151,512) (111,280) (40,232) (151,512) 2012-13 2012-13 0 (89,487) (89,487) 983,953 983,953 923,676 923,676 53,748 53,748 2012-13 983,953 983,953 869,928 869,928 0 (89,487) (89,487) 2012-13

A-6

Health and Human Services, Department of (Formerly BDS)

Total Agency/Department All Funds GENERAL FUND OTHER SPECIAL REVENUE FUNDS FUND FOR HEALTHY MAINE FEDERAL BLOCK GRANT FUND 13,540,810 13,540,810 (2,046,031) (1,233,361) (739,277) 17,976 (91,369)

A-7

Health and Human Services, Department of (Formerly DHS)

BUREAU OF MEDICAL SERVICES 0129 2011-12 Initiative: Adjusts funding for the 2012-2013 biennium only for the Cubcare program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health program to provide MaineCare seed for the program. GENERAL FUND All Other Total (44,413) (44,413) 2011-12 Summary - GENERAL FUND All Other Total DEPARTMENTWIDE 0640 2011-12 Initiative: Reduces funding from salary savings. Notwithstanding any other provision of law, the State Budget Officer shall calculate the amount of savings in this Part that applies to each General Fund account in the Department of Health and Human Services and shall transfer the amounts by financial order upon the approval of the Governor. These transfers are considered adjustments to appropriations in fiscal year 2011-12. GENERAL FUND Personal Services Total (5,000,000) (5,000,000) 2011-12 Summary - GENERAL FUND Personal Services Total FHM - BUREAU OF HEALTH 0953 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total FHM - DONATED DENTAL 0958 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total 0 (36,463) (36,463) (36,463) (36,463) 2012-13 2012-13 0 (10,783,273) (10,783,273) (10,783,273) (10,783,273) 2012-13 2012-13 (5,000,000) (5,000,000) (3,000,000) (3,000,000) (3,000,000) (3,000,000) 2012-13 2012-13 (44,413) (44,413) (241,124) (241,124) (241,124) (241,124) 2012-13 2012-13

A-8

Health and Human Services, Department of (Formerly DHS)

FHM - DRUGS FOR THE ELDERLY AND DISABLED

Z015 2011-12 2012-13

Initiative:

Reduces funding by eliminating the wrap benefit and the payment of Medicare Part D premiums for certain individuals receiving benefits from the Low-cost Drugs To Maine's Elderly program. FUND FOR HEALTHY MAINE All Other Total (247,964) (247,964) (1,322,475) (1,322,475)

Initiative:

Reduces funding by reducing reimbursement of brand name prescription drugs from 4 to 2 per month. FUND FOR HEALTHY MAINE All Other Total (55,880) (55,880) (279,402) (279,402)

Initiative:

Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 (10,332,353) (10,332,353) 2012-13 (11,934,230) (11,934,230)

Summary - FUND FOR HEALTHY MAINE All Other Total FHM - FAMILY PLANNING 0956 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total FHM - HEAD START 0959 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total (700,000) (700,000) 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total (700,000) (700,000) (1,354,580) (1,354,580) (1,354,580) (1,354,580) 2012-13 2012-13 0 (401,430) (401,430) (401,430) (401,430) 2012-13 2012-13 (303,844) (303,844)

A-9

Health and Human Services, Department of (Formerly DHS)

FHM - IMMUNIZATION Z048 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total FHM - MEDICAL CARE 0960 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage. FUND FOR HEALTHY MAINE All Other Total Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in the Medical Care Payments to Providers program and reducing funding in the FHM - Medical Care program to reflect a redistribution of funding within the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 1,003,844 1,003,844 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total FHM - PURCHASED SOCIAL SERVICES 0961 2011-12 Initiative: Reduces funding to reflect a redistribution of funding in the Fund for a Healthy Maine. FUND FOR HEALTHY MAINE All Other Total 0 2011-12 Summary - FUND FOR HEALTHY MAINE All Other Total HEAD START 0545 2011-12 Initiative: Eliminates funding for the Head Start program. GENERAL FUND All Other Total (800,000) (800,000) 2011-12 Summary - GENERAL FUND All Other Total (800,000) (800,000) (2,448,875) (2,448,875) (2,448,875) (2,448,875) 2012-13 2012-13 0 (3,942,236) (3,942,236) (3,942,236) (3,942,236) 2012-13 2012-13 1,003,844 1,003,844 25,144,106 25,144,106 25,031,096 25,031,096 2012-13 0 113,010 113,010 2012-13 0 (1,078,884) (1,078,884) (1,078,884) (1,078,884) 2012-13 2012-13

A - 10

Health and Human Services, Department of (Formerly DHS)

IV-E FOSTER CARE/ADOPTION ASSISTANCE 0137 2011-12 Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total LOW-COST DRUGS TO MAINE'S ELDERLY 0202 2011-12 Initiative: Reduces funding by eliminating the wrap benefit and the payment of Medicare Part D premiums for certain individuals receiving benefits from the Low-cost Drugs To Maine's Elderly program. GENERAL FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total 1,401,437 1,401,437 2011-12 Summary - GENERAL FUND All Other Total 564,694 564,694 (4,462,786) (4,462,786) 0 2012-13 (836,743) (836,743) (4,462,786) (4,462,786) 2012-13 0 13,579 13,579 13,579 13,579 2012-13 2012-13

A - 11

Health and Human Services, Department of (Formerly DHS)

MEDICAL CARE - PAYMENTS TO PROVIDERS 0147 2011-12 Initiative: Adjusts funding for the 2012-2013 biennium only for the Cubcare program for families with income greater or equal to 150% but less than 200% of the nonfarm income official poverty line as the result of contributions from the Dirigo Health program to provide MaineCare seed for the program. GENERAL FUND All Other Total OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for families who are covered above mandatory federal levels. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for 19 and 20 year olds with income less than or equal to 150% of the nonfarm income official poverty line. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating adult family care as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating ambulatory surgical center services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating consumer directed attendant services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total A - 12 (772,450) (772,450) (4,077,499) (4,077,499) (449,605) (449,605) (2,440,130) (2,440,130) (28,155) (28,155) (148,619) (148,619) (17,200) (17,200) (93,274) (93,274) (68,641) (68,641) (362,332) (362,332) (40,810) (40,810) (220,068) (220,068) (1,898,564) (1,898,564) (10,021,863) (10,021,863) (993,649) (993,649) (5,393,575) (5,393,575) (1,159,127) (1,159,127) (9,614,390) (9,614,390) (5,791,515) (5,791,515) (30,571,405) (30,571,405) (2,184,239) (2,184,239) (8,533,575) (8,533,575) 472,800 472,800 2,556,881 2,556,881 (410,995) (410,995) (2,231,331) (2,231,331) 2012-13

Health and Human Services, Department of (Formerly DHS)

2011-12 Initiative: Reduces funding by eliminating targeted case management services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating dental services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating vision services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating podiatry services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total (110,904) (110,904) (68,407) (68,407) (158,352) (158,352) (97,657) (97,657) (250,663) (250,663) (151,826) (151,826) (124,966) (124,966) (78,846) (78,846) (652,668) (652,668) (410,611) (410,611) (908,725) (908,725) (94,312) (94,312)

2012-13

(429,320) (429,320)

(4,846,533) (4,846,533)

(2,225,611) (2,225,611)

(3,445,208) (3,445,208)

(426,996) (426,996)

(659,650) (659,650)

(823,447) (823,447)

(1,323,161) (1,323,161)

(529,071) (529,071)

(835,885) (835,885)

(370,903) (370,903)

(585,423) (585,423)

A - 13

Health and Human Services, Department of (Formerly DHS)

2011-12 Initiative: Reduces funding by eliminating private nonmedical institution service as an optional service in the MaineCare program effective July 1, 2012. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Reduces funding by eliminating sexually transmitted disease screening clinic services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating chiropractic services as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Adjusts funding in fiscal year 2011-12 as a result of contributions from the Dirigo Health program to provide MaineCare seed for the childless adult waiver. GENERAL FUND All Other Total OTHER SPECIAL REVENUE FUNDS All Other Total Initiative: Reduces funding by reducing reimbursement for critical access hospital from 109% to 105%. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by reducing reimbursement of brand name prescription drugs from 4 to 2 per month. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total (2,023,465) (2,023,465) (1,168,120) (1,168,120) (503,794) (503,794) (290,834) (290,834) 10,000,000 10,000,000 (10,000,000) (10,000,000) (114,901) (114,901) (69,199) (69,199) (45,771) (45,771) (40,397) (40,397) (319,609) (319,609) 0 0

2012-13

(47,637,039) (47,637,039)

(104,043,080) (104,043,080)

(5,113,739) (5,113,739)

(217,951) (217,951)

(241,610) (241,610)

(375,344) (375,344)

(606,525) (606,525)

(1,179,804) (1,179,804)

(1,987,455) (1,987,455)

(5,840,598) (5,840,598)

(9,838,860) (9,838,860)

A - 14

Health and Human Services, Department of (Formerly DHS)

2011-12 Initiative: Reduces funding by limiting reimbursement to 15 outpatient hospital visits per year. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by limiting reimbursement for hospital admissions to 5 per member per year. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by limiting the use of suboxone for the treatment of opioid dependency to coverage for a two-year period. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding from the elimination of the childless adult waiver program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total 0 0 0 0 207,077,368 207,077,368 91,805,960 91,805,960 (1,082,650) (1,082,650) (147,563) (147,563) (159,176) (159,176) (91,890) (91,890) (480,766) (480,766) (277,540) (277,540)

2012-13

(1,480,214) (1,480,214)

(2,493,515) (2,493,515)

(490,081) (490,081)

(825,573) (825,573)

38,142,642 38,142,642

124,626,202 124,626,202

(22,000,000) (22,000,000)

(37,060,403) (37,060,403)

6,997,873 6,997,873

(10,382,324) (10,382,324)

A - 15

Health and Human Services, Department of (Formerly DHS)

2011-12 Initiative: Reduces funding by eliminating the reimbursement for smoking cessation products. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding for outpatient services at acute care hospitals by 5% effective July 1, 2012. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by reducing optional coverage for children who are behaviorally challenged who are in a residential setting. FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding to reflect savings from payment reform in the Developmental Services Waiver MaineCare program. FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by reducing reimbursement for hospital inpatient services by 10%. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Notwithstanding any provision of law, adjusts funding by increasing funding in the Medical Care Payments to Providers program and reducing funding in the FHM - Medical Care program to reflect a redistribution of funding within the Fund for a Healthy Maine. GENERAL FUND All Other Total (1,003,844) (1,003,844) 2011-12 Summary - GENERAL FUND All Other Total Summary - FEDERAL EXPENDITURES FUND All Other Total Summary - OTHER SPECIAL REVENUE FUNDS All Other Total 8,994,064 8,994,064 189,663,733 189,663,733 72,870,208 72,870,208 (2,098,929) (2,098,929) (768,208) (768,208) 0 0 0 0 (138,580) (138,580) (80,000) (80,000)

2012-13

(430,000) (430,000)

(724,363) (724,363)

(3,180,269) (3,180,269)

(5,357,366) (5,357,366)

(842,282) (842,282)

(5,053,691) (5,053,691)

(3,127,406) (3,127,406)

(5,268,314) (5,268,314)

(25,031,096) (25,031,096) 2012-13 (89,566,588) (89,566,588)

(116,976,737) (116,976,737)

(12,171,248) (12,171,248)

A - 16

Health and Human Services, Department of (Formerly DHS)

MR/ELDERLY PNMI ROOM AND BOARD Z009 2011-12 Initiative: Reduces funding by eliminating adult family care as an optional service in the MaineCare program. GENERAL FUND All Other Total Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total Initiative: Reduces funding by eliminating optional coverage under the MaineCare program for individuals in the medically needy category. GENERAL FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total (2,564,946) (2,564,946) (5,471,018) (5,471,018) 8,210,778 8,210,778 2012-13 (2,533,359) (2,533,359) (13,511,247) (13,511,247) (4,890) (4,890) (26,490) (26,490) (4,088) (4,088) (22,141) (22,141) (22,609) (22,609) (121,918) (121,918) 2012-13

A - 17

Health and Human Services, Department of (Formerly DHS)

NURSING FACILITIES 0148 2011-12 Initiative: Reduces funding by eliminating occupational therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Reduces funding by eliminating physical therapy as an optional service in the MaineCare program. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Provides funding in the MaineCare and MaineCare-related accounts necessary to make cycle payments through the remainder of the 2012-2013 biennium. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total Initiative: Adjusts funding for Medicaid services as a result of the decrease in the Federal Medical Assistance Percentage. GENERAL FUND All Other Total FEDERAL EXPENDITURES FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total Summary - FEDERAL EXPENDITURES FUND All Other Total (24,820) (24,820) 10,183,796 10,183,796 (16,603) (16,603) 8,484,220 8,484,220 (1,538,014) (1,538,014) 2012-13 0 1,538,014 1,538,014 0 11,852,830 11,852,830 0 7,036,142 7,036,142 (13,732) (13,732) (72,488) (72,488) (9,087) (9,087) (49,230) (49,230) (11,088) (11,088) (58,532) (58,532) (7,516) (7,516) (40,706) (40,706) 2012-13

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Health and Human Services, Department of (Formerly DHS)

STATE-FUNDED FOSTER CARE/ADOPTION ASSISTANCE 0139 2011-12 Initiative: Eliminates funding for the WrapAround ME program. GENERAL FUND All Other Total Initiative: Reduces funding by reducing contracts in the family reunification program. GENERAL FUND All Other Total Initiative: Reduces funding by reducing contracts in the alternative response program. GENERAL FUND All Other Total 0 2011-12 Summary - GENERAL FUND All Other Total 0 (4,297,096) (4,297,096) (1,290,000) (1,290,000) 2012-13 0 (1,007,112) (1,007,112) 0 (1,999,984) (1,999,984) 2012-13

Total Agency/Department All Funds GENERAL FUND FEDERAL EXPENDITURES FUND OTHER SPECIAL REVENUE FUNDS FUND FOR HEALTHY MAINE 263,641,917 65,008,940 189,638,913 8,994,064 (224,340,867) (100,989,688) (106,792,941) (12,171,248) (4,386,990)

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