An Act To IO Continue MaineCare Coverage for Parents during the Rehabilitation and Reunification Process
Maine Legislature, Session 128, LD 0451
Committee Amendment CA_A_S105 (Senate)

COMMITTEE AMENDMENT "A" to S.P. 153, L.D. 451, Bill, "An Act To 
IO 
Continue MaineCare Coverage for Parents during the Rehabilitation and Reunification 
Process" 
Amend the bill in section 1 in §3174-ZZ in the first paragraph in the last line (page 1, 
line IO in L.D.) by insetiing after ·the following: 
"occurs first." the following: 
'The 
department shall adopt rules to implement this section. Rules adopted pursuant to this 
section are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.' 
Amend the bill by adding after section 1 the following: 
'Sec. 2. Waiver request. No later than January 1, 2018, the Depatiment of Health 
and Human Services shall submit a waiver request to the United States Depatiment of 
Health and Human Services, Centers for Medicare and Medicaid Services that requests 
approval for Medicaid coverage of a parent who has one or more children removed from 
the home but remains engaged in reunification eff01ts as established in the Maine Revised 
Statutes, Title 22, section 3174-ZZ. 
The depatiment shall take all reasonable and 
necessary steps to seek approval of the waiver. Upon approval of the waiver request, the 
Commissioner of Health and Human Services shall notify the Secretary of State, the 
Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of 
Statutes of that fact. 
Sec. 3. 
Report. 
The Depatiment of Health and Human Services shall repoti 
qua1ierly to the joint standing committee of the Legislature having jurisdiction over 
health and human services matters, beginning October 1, 2017, on the depatiment's 
progress in seeking a waiver under section 2 and implementing rules under section 4 until 
the process is complete. 
Sec. 4. Rulemaking. Within 180 days of receiving approval for coverage by the 
United States Depa1iment of Health and Human Services, Centers for Medicare and 
Medicaid Services pursuant to a request in accordance with section 2, the Depatiment of 
Health and Human Services shall adopt rules to implement the Maine Revised Statutes, 
Title 22, section 3174-ZZ. Rules adopted pursuant to this section are routine technical 
rules as defined in Title 5, chapter 375, subchapter 2-A. 
COMMITTEE AMENDMENT 
COMMITfEE AMENDMENT" A' to S.P. 153, L.D. 451 
I 
Sec. 5. 
Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides appropriations and allocations to provide MaineCare coverage to a 
parent who is a MaineCare member and who is participating in rehabilitation and 
reunification efforts in accordance with a rehabilitation and reunification plan. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
State-funded Foster Care/Adoption Assistance 0139 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$1,252,073 
$1,252,073 
2018-19 
$2,259,067 
$2,259,067 
Initiative: Deappropriates savings achieved by providing MaineCare coverage to a parent 
who is a MaineCare member and who is paiticipating in rehabilitation and reunification 
effo1ts in accordance with a rehabilitation and reunification plan. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL- ALL FUNDS 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
$0 
2018-19 
($1,192,416) 
($1,192,416) 
2018-19 
$59,657 
$2,259,067 
$2,318,724 
Sec. 6. Contingent effective date. That section of this Act that enacts the Maine 
Revised Statutes, Title 22, section 3174-ZZ takes effect only if the United States 
Depa1tment of Health and Human Services, Centers for Medicare and Medicaid Services 
approves a waiver request submitted in accordance with section 2 of this Act. In no event 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A "to S.P. 153, L.D. 451 
I 
may this Act take effect until 90 days after the adjournment of the First Regular Session 
of the 128th Legislature.' 
SUMMARY 
This amendment, which is the majority report of the committee, requires the 
Department of Health and Human Services to submit a waiver request no later than 
January 1, 2018 to the United States Depatiment of Health and Human Services, Centers 
for Medicare and Medicaid Services to implement the provisions of the Maine Revised 
Statutes, Title 22, section 3174-ZZ. The depatiment is required to take all reasonable and 
necessaiy steps to seek approval of the waiver. 
Upon approval of the waiver, the 
department is directed to adopt rules no later than 180 days after receiving approval. The 
depa1iment is required to repoti its progress in seeking a waiver and implementing rules 
on a quarterly basis beginning October 1, 2017 until the process is complete. 
The 
amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/13/17 feac 
LD 451 
LR 1822(02) 
An Act To Continue MaineCare Coverage for Parents during the Rehabilitation and Reunification 
Process 
Fiscal Note for Bill as Amended by Committee Amendment A' (S -\ os) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
.FY 2017-18 
$0 
$0 
$0 
$0 
FY 2018-19 
$59,657, 
$59,657 
$2,259,067 
$2,259,067 
Projections 
FY 2019-20 
$59,657 
$59,657 
$2,259,067 
$2,259,067 
Projections 
FY 2020-21 
$59,657 
$59,657 
$2,259,067 
$2,259,067 
The bill includes General Fund appropriations to the Depaiiment of Health and Human Services of $59,657 in fiscal 
year 2018-19 for the net impact of the savings to the Office of Child and Family Services and the additional costs to 
the Office of MaineCare Services to provide MaineCare coverage to a parent who is a MaineCare member and who is 
participating il1 rehabilitation and reunification efforts in accordance with a rehabilitation and reunification plan. 
Federal Expenditures Fund allocations will also be required for the FMAP match. 
LR1822(02) - Fiscal Note - Page 1 of 1