Resolve, To Establish MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care
Maine Legislature, Session 126, LD 0487
Committee Amendment CA_B_H100 (House)

COMMITTEE AMENDMENT -B" 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: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, young adults who were fonnerly in foster care are eligible for MaineCare 
coverage beginning January 1, 2014 and are in need of coverage immediately through 
state-funded MaineCare benefits to ensure their health, safety and prosperity; and 
Whereas, outreach, identification and enrollment of young adults who were 
formerly in foster care must begin in July 2013 in order to cover this population from July 
1,2013 to December 31, 2013; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it 
Sec. 1. 
State-funded MaineCare coverage for eligible foster children. 
Resolved: That from July 1, 2013 to December 31, 2013 the Department of Health and 
Human Services shall provide coverage under the MaineCare program funded entirely 
from the General Fund for an eligible foster child. For the purposes of this section, 
"eligible foster child" means a young adult who was fonnerly 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 
tmdertaking this initiative the department shall also establish a process for enrollment and 
shall undertake a thorough and infonnative 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: 
COMMITTEE AMENDMENT 
o 
~ 
Q-'2 
COMMITTEE AMENDMENT]?" to H.P. 337, L.D. 487 
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 and implement a process for streamlined enrollment and provide to each 
eligible foster child a card indicating coverage under the MaineCare program, an 
explanation of MaineCare benefits and notice of future renewal requirements; and be it 
further 
Sec. 2. Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funding for the costs of providing state-funded coverage under the 
MaineCare program for the period of July 1, 2013 to December 31, 2013 for young adults 
to 25 years of age who were in child welfare custody and were eligible for MaineCare 
when they turned 19. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Office for Family Independence Z020 
2013-14 
$667,854 
$667,854 
2014-15 
$0 
$0 
Initiative: Provides funding for the_eligibility system costs of ptoyi~ljng_~tl!t~-ftll.1d~d 
coverage under the MaineCare program for the period of July 1, 2013 to December 31, 
2013 for young adults 19 to 25 years of age who were in child welfare custody and were 
eligible for MaineCare when they turned 19. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
2013-14 
$2,690 
$2,690 
2013-14 
$2,690 
COMMITTEE AMENDMENT 
2014-15 
$0 
$0 
2014-15 
$0 
COMMITTEE AMENDMENT]3" to H.P. 337, L.D. 487 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEAL TH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
$2,690 
2013-14 
$670,544 
$2,690 
$673,234 
$0 
2014-15 
$0 
$0 
$0 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment is the minority report of the committee. This amendment replaces 
the resolve and adds emergency language. This amendment establishes eligibility for 
MaineCare funded entirely from the General Fund beginning July 1, 2013 to December 
31, 2013 for certain young adults who were formerly in foster care. This amendment 
funds that MaineCare coverage from the General Fund. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/02/13 frac 
LD487 
LR 1566(03) 
Resolve, To Establish MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care 
Fiscal Note for Bill as Amended by Committee Amendment 'B 11-1-1 ()() ) 
Committee: Health and Human Services 
II 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2013-14 
$670,544 
$670,544 
$2,690 
FY 2014-15 
$0 
$0 
$0 
Projections 
FY 2015-16 
$0 
$0 
$0 
Projections 
FY 2016-17 
$0 
$0 
$0 
Provides appropriations of $67b,544 in-fiscal year 200':]4 for Hie costs of providing State-funded coverage under the 
MaineCare program for the period July 1, 2013 through December 31, 2013 for young adults age 19 to 25 years of age 
who were in child welfare custody and MaineCare eligible when they turned 19. Federal Medicaid coverage for this 
population is not effective until January 1,2014. 
/ 
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 ,001,314. These estimates assume that 751 persons 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). 
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