An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2012 and June 30, 2013
Maine Legislature, Session 125, LD 1043
Committee Amendment CA_A-HA_C_H639 (House)
Amends: 22 MRSA §3174-G

HOUSE AMENDMENT ,C-" to COMMITTEE AME~DMENT "A" to H.P. 778, 
L.D. 1043, Bill, "An Act Making Unified Appropriations and Allocations for the 
Expenditures of State Government, General Fund and Other Funds, and Changing Certain 
Provisions of the Law Necessary to the Proper Operations of State Government for the 
Fiscal Years Ending June 30, 2012 and June 30, 2013" 
Amend the amendment by inserting after Part QQQQ the following: 
'PARTRRRR 
Sec. RRRR-l. 22 MRSA §3174-G, sub-§4 is enacted to read: 
4. Medicaid income eligibility levels adjustment; report. Notwithstanding any 
law to the contrary, upon receipt by the State of a waiver from the United States 
Department of Health and Human Services, Centers for Medicare and Medicaid Services 
from the maintenance of effort requirement under the federal Patient Protection and 
Affordable Care Act to adjust the income eligibility levels for the persons specified in 
subsection 1, the commissioner may adjust the income eligibility levels to an amount that 
is no less than that stated in the waiver. 
No later than 30 days following receipt of the waiver, the commissioner shall submit a 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters and the joint standing committee of the Legislature having 
jurisdiction over appropriations and financial affairs that includes suggested legislation 
implementing the reduced levels of income eligibility. The joint standing committees 
may report out legislation regarding the income eligibility levels for the delivery of 
federally approved Medicaid services. 
Sec. RRRR-2. Contingent effective date. That section of this Part that enacts 
the Maine Revised Statutes, Title 22, section 3174-G, subsection 4 takes effect only if the 
Commissioner of Health and Human Services receives a waiver from the United States 
Department of Health and Human Services, Centers for Medicare and Medicaid Services 
from the maintenance of effort requirement under the federal Patient Protection and 
Affordable Care Act to adjust the income eligibility levels for the persons specified in 
Title 22, section 3174-G, subsection 1. The commissioner shall transmit a copy of the 
HOUSE AMENDMENT 
l<~ 
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HOUSE AMENDMENT "t-" to COMMITTEE AMENDMENT "AH to H.P. 778, L.D. 1043 
waiver to the Secretary of the Senate, the Clerk of the House of Representatives and the 
Revisor of Statutes.' 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment allows the Commissioner of Health and Human Services, upon 
receipt of a waiver from the Federal Government, to decrease the income eligibility levels 
for the delivery of federally approved Medicaid services. The commissioner is required 
to submit a report and suggested legislation changing the income eligibility levels to the 
joint standing committee of the Legislature having jurisdiction over health and human 
services matters and the joint standing committee of the Legislature having jurisdiction 
over appropriations and financial affairs. 
SPONSOREDBY: Q~ 
(Representative BURNS, D. C.) 
TOWN: Whiting 
FISCAL l\OTE REQUIRED 
(See attached) 
HOUSE AMENDMENT 
Approved: 06/14/11 frac. 
LD 1043 
LR 2067(15) 
An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, 
General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper 
Operations of State Government for the Fiscal Years Ending June 30, 2012 and June 30, 2013 
Fiscal Note for House Amendment ,~, to Committee Amendment "A" 
Sponsor: Rep. Burns of Whiting 
Fiscal Note RequiPcd: Yes 
Fiscal Note 
Potential current biennium savings - General Fund 
Fiscal Detail and Notes 
The timing and amount of the MaineCare savings that may result will depend on the timing and details of any 
waiver(s) approved and cannot be determined at this time. 
LR2067(l5) - Fiscal Note - Page 1 of 1