Resolve, To Establish MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care
Maine Legislature, Session 126, LD 0487
Committee Amendment CA_A_H99 (House)

COMMITTEE AMENDMENT "A " 
to H.P. 337, L.D. 487, "Resolve, To Establish 
MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Enrollment of eligible foster children in MaineCare. Resolved: 
That no later than January 1, 2014 the Department of Health and Human Services shall 
begin outreach and identification of eligible foster children. For the purposes of this 
. section, "eligible foster child" means a young adult who was formerly in foster care and 
was a member of the MaineCare program on the date of that person's 18th birthday or of 
that person's emancipation if that date is between January 1, 2006 and December 31, 
2013. 
In undertaking this initiative, the depmtment shall establish a process for 
enrollment and shall undertake a thorough and informative outreach campaign to eligible 
foster children and the general public. The department shall notify all persons serving as 
foster parents from January 1,2006 to December 31,2013. In undertaking this initiative 
the department shall: 
1. To the extent possible identify all eligible foster children; 
2. Review all of the department's major databases, including the Automated Client 
Eligibility System operated in the Bureau of Family Independence within the department, 
for the most recent mailing addresses and contact information of eligible foster children; 
3. 
Provide notice of eligibility in plain language to all eligible foster children 
identified under subsections 1 and 2 and all eligible foster children who otherwise come 
to the attention of the department; and 
4. Establish a process for streamlined enrollment in MaineCare on January 1, 2014 
and implement that process and provide to each eligible foster child a card indicating 
coverage on January 1, 2014, an explanation of MaineCare benefits and notice of future 
renewal requirements.' 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 337, L.D. 487 
SUMMARY 
This amendment is the majority report of the committee. This amendment replaces 
the resolve and directs the Department of Health and Human Services to undertake an 
identification and outreach initiative for young adults who were formerly in foster care, to 
enroll those eligible in MaineCare and to provide them with a card indicating that the 
coverage begins on January 1, 2014. 
FISCAL NOTE REQUIRED 
(See attacbed) 
COMMITTEE AMENDMENT 
Approved: 04/02113 
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LD487 
LR 1566(02) 
Resolve, To Establish MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care 
Fiscal Note for Bill as Amended by Committee Amendment A' C 
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Committee: Health and Human Services 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Current biennium cost increase - General Fund 
Potential Budget Conflict 
Expanding MaineCare coverage to include young adults age 19 to 25 years of age who were in child welfare custody 
and eligible for MaineCare when they turned 19 is required under the federal Affordable Care Act effective January 1, 
2014. This coverage is estimated to cost $310,317 in fiscal year 2013-14 with a State share of$119,317 and 
$2,604,198 in fiscal year 2014-15 with a State share of $1 ,00 1 ,314 . These estimates assume that 751 young adults 
will utilize services by fiscal year 2014-15 at an average annual cost of $3,468 per person. The Department of Health 
and Human Services has included funding for this population in the Governor's Proposed 2014-2015 Biennial Budget 
(LR 1046). 
LR1566(02) - Fiscal Note - Page 1 of 1