An Act To Address the Needs of Children with Intellectual Disabilities and Autism Spectrum Disorder
Maine Legislature, Session 129, LD 1178
Committee Amendment CA_A_H410 (House)

COMMITTEE AMENDMENT "A:- " to H.P. 852, L.D. 1178, Bill, "An Act To 
Address the Needs of Children with Intellectual Disabilities and Autism Spectrum 
Disorder" 
Amend the bill in section 1 in § 16001 by striking out all of subsection 1 (page 1, lines 
to 11 in L.D.) and inserting the following: 
'1. Services provided. The department shall provide comprehensive home and 
community-based services to support children up to 21 years of age with intellectual 
disabilities or autism spectrum disorder and their families.' 
Amend the bill in section 2 in the first line (page 1, line 28 in L.D.) by striking out 
the following: "Waiver application." and inserting the following: 'Federal approval.' 
Amend the bill in section 2 in the 2nd and 3rd lines (page 1, lines 29 and 30 in L.D.) 
by striking out the following: "a waiver pursuant to Section 1915(c) of the United States 
Social Security Act" and inserting the following: 'any waiver or state plan amendment 
necessary' 
Amend the bill in section 3 in the first line (page 1, line 34 in L.D.) by striking out 
the following: "approval of the waiver" and inserting the following: 'federal approval' 
Amend the bill in section 3 in the next to last line (page 1, line 36 in L.D.) by striking 
out the following: "under the waiver" 
Amend the bill by inserting after section 3 the following: 
'Sec. 4. Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Provides appropriations and allocations for a home and community-based 
waiver to provide services to children up to 21 years of age with intellectual disabilities 
or autism spectrum disorder. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ,4,, to H.P. 852, L.D. 1178 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of MaineCare Services 0129 
2019-20 
$2,294,549 
$2,294,549 
2019-20 
$4,043,985 
$4,043,985 
2020-21 
$4,597,972 
$4,597,972 
2020-21 
$8,079,095 
$8,079,095 
Initiative: Provides a one-time appropriation and allocation for required technology 
updates. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
2019-20 
$44,411 
$44,411 
2019-20 
$133,235 
$133,235 
2019-20 
$2,338,960 
$4,177,220 
$6,516,180 
2020-21 
$0 
$0 
2020-21 
$0 
$0 
2020-21 
$4,597,972 
$8,079,095 
$12,677 ,067 
Amend the bill in section 4 in the 2nd line (page 2, line 2 in L.D.) by striking out the 
following: "the waiver" and inserting the following: 'any waiver or state plan amendment' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 852, L.D. 1178 
SUMMARY 
This amendment removes the requirement for the Department of Health and Human 
Services to request a waiver pursuant to Section 1915(c) of the United States Social 
Security Act for services to children with intellectual disabilities or autism spectrum 
disorder and allows the department to apply for any waiver or state plan amendment that 
would accomplish this purpose. 
The amendment also adds an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/19/19 feac. 
LD 1178 
LR 1965(02) 
An Act To Address the Needs of Children with Intellectual Disabilities and Autism Spectrum Disorder 
Fiscal Note for Bill as Amended by Committee Amendment 1>4' (I/,,., ¥/6) 
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 2019-20 
$2,338,960 
$2,338,960 
$4,177,220 
$4,177,220 
FY 2020-21 
$4,597,972 
$4,597,972 
$8,079,095 
$8,079,095 
Projections 
FY 2021-22 
$4,600,508 
$4,600,508 
$8,076,559 
$8,076,559 
Projections 
FY 2022-23 
$4,600,508 
$4,600,508 
$8,076,559 
$8,076,559 
The bill includes General Fund appropriations to the Depatiment of Health and Human Services of $2,338,960 in 
fiscal year 2019-20 and $4,597,972 in fiscal year 2020-21 for a home and community-based waiver to provide 
services to children up to 21 years of age with intellectual disabilities or autism spectnnn disorder and for required 
technology updates. Federal Expenditures Fund allocations are also included for the FMAP match. 
LR1965(02) - Fiscal Note - Page 1 of 1