An Act To Support Adult Family Care Homes And Residential Care Facilities That Are Small Or Located In Rural And Isolated Areas Of The State

This bill provides a 10% supplemental payment to MaineCare reimbursement rates for adult family care homes and residential care facilities with fewer than 10 beds or located at least 35 miles from the nearest similar facility. It directly affects small, rural, isolated, and island-based care facilities that struggle with financial sustainability. The key mechanism requires the Department of Health and Human Services to amend MaineCare rules by January 1, 2026, to add this 10% payment to eligible facilities' existing rates. The bill also mandates that the department assess how reimbursement and staffing rules impact these vulnerable facilities to protect community access and service quality.