An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autistic Disorder
Maine Legislature, Session 128, LD 0106
Committee Amendment CA_A_H245 (House)
Amends: 22 MRSA §3174-F

COMMITTEE AMENDMENT" ft,, to H.P. 74, L.D. 106, Bill, "An Act To Provide 
MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or 
Autistic Disorder" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Provide MaineCare Coverage for Dental Services to Adults with 
Intellectual Disabilities or Autism Spectrum Disorder' 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 22 MRSA §3174-F, sub-§3 is enacted to read: 
3. 
Dental services for adult with intellectual disability or autism spectrum 
disorder. Notwithstanding subsection 1, by December 31, 2017, the department shall 
provide for reimbursement under the MaineCare program for dental services to a person 
years of age or older who has an intellectual disability or autism spectrum disorder and 
who received home and community-based support benefits under the MaineCare program 
pursuant to a waiver granted under the Social Security Act, Section 1915(c). 
This 
reimbursement must be provided in addition to any home and community-based support 
benefits provided to the person and may not be included in any cap or other limitation on 
the home and community-based support benefits that the person may receive. Dental 
services provided to a person under this subsection must be the same as those dental 
services provided under the MaineCare program to an eligible person under 21 years of 
age. 
The department shall adopt rules to implement this subsection. Rules adopted 
pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, 
subchapter 2-A. 
Sec. 2. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Developmental Services Waiver - MaineCare 0987 
COMMITTEE AMENDMENT 
('h 
,·! 
COMMITTEE AMENDMENT -1; "to H.P. 74, L.D. 106 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of 
age or older who receives home and community-based suppo1i benefits under the 
MaineCare program pursuant to a 1915( c) waiver. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
Developmental Services Waiver - Supports Z006 
2017-18 
$75,561 
$75,561 
2018-19 
$151,121 
$151,121 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of 
age or older who receives home and community-based support benefits under the 
MaineCare program pursuant to a 1915(c) waiver. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medical Care - Payments to Providers 0147 
2017-18 
$47,904 
$47,904 
2018-19 
$95,809 
$95,809 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of 
age or older who receives home and community-based support benefits under the 
MaineCare program pursuant to a 1915(c) waiver. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2017-18 
$222,763 
$222,763 
2017-18 
$123,465 
$222,763 
$346,228 
COMMITTEE AMENDMENT 
2018-19 
$445,526 
$445,526 
2018-19 
$246,930 
$445,526 
$692,456 
COMMITIEE AMENDMENT ·H "to H.P. 74, L.D. 106 
SUMMARY 
This amendment, which is the majority report of the committee, clarifies the 
application of the bill, which requires reimbursement under the MaineCare program for 
dental services to an adult with an intellectual disability or autism spectrum disorder, by: 
1. More clearly defining the requirement that the persons be eligible under the so-
called Sections 21 and 29 waivers, without referring to departmental rule citations that 
may change over time; and 
2. Providing that reimbursement is in addition to any home and community-based 
support benefits provided to a person and may not be included in any cap or other 
limitation on the home and community-based support benefits that the person may 
receive. 
The amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/17 /17 :tPac.. 
LD 106 
LR 65(02) 
An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or 
Autistic Disorder 
Fiscal Note for Bill as Amended by Committee Amendment •/t (_ff ". ,;)Lf ":)j 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Committee: Health and Human Services 
· 
----· 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$123,465 
$123,465 
$222,763 
FY 2018-19 
$246,930 
$246,930 
$445,526 
Projections 
FY 2019-20 
$246,930 
$246,930 
$445,526 
Projections 
FY 2020-21 
$246,930 
$246,930 
$445,526 
The bill includes General Fund appropriations to the Department of Health and Human Services of $123 ,465 in fiscal 
year 2017-18 and $246,930 in fiscal year 2018-19 to expand MaineCare dental services to a person 21 years of age or 
older who receives home and community-based support benefits under the MaineCare program pursuant to a 1915( c) 
waiver. Federal Expenditures Fund allocations are also included for the FMAP match. 
LR0065(02) - Fiscal Note - Page 1 of 1