An Act To Eliminate Waiting Lists for Home and Community-based Services for Adults with Intellectual Disabilities, Autism, Brain Injury and Other Related Conditions”
Maine Legislature, Session 129, LD 1984
Committee Amendment CA_A_S455 (Senate)

COMMITTEE AMENDMENT “      ” to S.P. 686, L.D. 1984, Bill, “An Act To 
Eliminate Waiting Lists for Home and Community-based Services for Adults with 
Intellectual Disabilities, Autism, Brain Injury and Other Related Conditions”
Amend the bill by striking out the title and substituting the following:
'An Act To Eliminate Waiting Lists for Support Services for Adults with Intellectual 
Disabilities or Autism and Reduce Waiting Lists for Home and Community-based 
Services for Adults with Intellectual Disabilities or Autism' 
Amend the bill by striking out everything after the title 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, persons with disabilities have the right to dignity and to receive the 
support they need to work and to be otherwise included in their communities; and
Whereas, many persons with disabilities have an urgent need for adult home and 
community-based services to provide support and to enable their family members to 
work; and
Whereas, as of December 2019, more than 180 persons on the waiting list for 
services under the MaineCare Benefits Manual, Chapters II and III, Section 21 were 
receiving no services at all; and
Whereas, providing and increasing services for all MaineCare members eligible for 
services under the MaineCare Benefits Manual, Chapters II and III, Section 29 protects 
their dignity and ensures their safety; 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 enacted by the People of the State of Maine as follows:
Date: 
(Filing No. S-          )
COMMITTEE AMENDMENT “      ” to S.P. 686, L.D. 1984
COMMITTEE AMENDMENT
Sec. 1.  Appropriations and allocations.  The following appropriations and 
allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Developmental Services - Community Z208
Initiative:  Provides funding for one Social Services Program Specialist II and 2 
Developmental Disabilities Resources Coordinator positions.
Developmental Services Waiver - MaineCare Z211
Initiative:  Provides funding to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home 
and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum 
Disorder, who are designated Priority 2 and are receiving no other MaineCare home and 
community-based or support services.
Developmental Services Waiver - Supports Z212
Initiative:  Provides funding for an increase in the annual cap to $70,000 for services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 29, Support 
Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder.
Developmental Services Waiver - Supports Z212
Initiative:  Provides funding to eliminate the waiting list for services provided under the 
MaineCare Benefits Manual, Chapters II and III, Section 29, Support Services for Adults 
with Intellectual Disabilities or Autism Spectrum Disorder, through June 30, 2021.
GENERAL FUND
2019-20
2020-21
POSITIONS - LEGISLATIVE COUNT
0.000
3.000
Personal Services
$0
$106,774
All Other
$0
$14,181
GENERAL FUND TOTAL
$0
$120,955
GENERAL FUND
2019-20
2020-21
All Other
$0
$3,014,668
GENERAL FUND TOTAL
$0
$3,014,668
GENERAL FUND
2019-20
2020-21
All Other
$0
$2,473,669
GENERAL FUND TOTAL
$0
$2,473,669
COMMITTEE AMENDMENT “      ” to S.P. 686, L.D. 1984
COMMITTEE AMENDMENT
Medicaid Services - Developmental Services Z210
Initiative:  Provides allocations for an increase in the annual cap to $70,000 for services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 29, Support 
Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder.
Medicaid Services - Developmental Services Z210
Initiative:  Provides allocations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home 
and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum 
Disorder, who are designated Priority 2 and are receiving no other MaineCare home and 
community-based or support services.
Medicaid Services - Developmental Services Z210
Initiative:  Provides allocations to eliminate the waiting list for services provided under 
the MaineCare Benefits Manual, Chapters II and III, Section 29, Support Services for 
Adults with Intellectual Disabilities or Autism Spectrum Disorder, through June 30, 2021.
Medical Care - Payments to Providers 0147
GENERAL FUND
2019-20
2020-21
All Other
$0
$1,874,327
GENERAL FUND TOTAL
$0
$1,874,327
OTHER SPECIAL REVENUE FUNDS
2019-20
2020-21
All Other
$0
$489,810
OTHER SPECIAL REVENUE FUNDS TOTAL
$0
$489,810
OTHER SPECIAL REVENUE FUNDS
2019-20
2020-21
All Other
$0
$596,766
OTHER SPECIAL REVENUE FUNDS TOTAL
$0
$596,766
OTHER SPECIAL REVENUE FUNDS
2019-20
2020-21
All Other
$0
$371,058
OTHER SPECIAL REVENUE FUNDS TOTAL
$0
$371,058
COMMITTEE AMENDMENT “      ” to S.P. 686, L.D. 1984
COMMITTEE AMENDMENT
Initiative:  Provides allocations for an increase in the annual cap to $70,000 for services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 29, Support 
Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder.
Medical Care - Payments to Providers 0147
Initiative:  Provides allocations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home 
and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum 
Disorder, who are designated Priority 2 and are receiving no other MaineCare home and 
community-based or support services.
Medical Care - Payments to Providers 0147
Initiative:  Provides allocations to eliminate the waiting list for services provided under 
the MaineCare Benefits Manual, Chapters II and III, Section 29, Support Services for 
Adults with Intellectual Disabilities or Autism Spectrum Disorder, through June 30, 2021.
Office of MaineCare Services 0129
Initiative:  Provides allocations for one Social Services Program Specialist II and 2 
Developmental Disabilities Resources Coordinator positions.
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$0
$5,200,048
FEDERAL EXPENDITURES FUND TOTAL
$0
$5,200,048
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$0
$6,334,678
FEDERAL EXPENDITURES FUND TOTAL
$0
$6,334,678
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$0
$3,938,884
FEDERAL EXPENDITURES FUND TOTAL
$0
$3,938,884
FEDERAL EXPENDITURES FUND
2019-20
2020-21
Personal Services
$0
$106,774
All Other
$0
$14,181
FEDERAL EXPENDITURES FUND TOTAL
$0
$120,955
COMMITTEE AMENDMENT “      ” to S.P. 686, L.D. 1984
COMMITTEE AMENDMENT
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY
This amendment replaces the bill and provides funding to:
1.  Clear the waiting list for services under the MaineCare Benefits Manual, Chapters 
II and III, Section 29 through the end of fiscal year 2020-21;
2.  Increase the annual cap for a person receiving services under the MaineCare 
Benefits Manual, Chapters II and III, Section 29 to $70,000; and
3.  Reduce waiting lists for services under the MaineCare Benefits Manual, Chapters 
II and III, Section 21 by providing services to those individuals who are designated 
Priority 2 and are receiving no other MaineCare home and community-based or support 
services.
FISCAL NOTE REQUIRED
(See attached)
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF
DEPARTMENT TOTALS
2019-20
2020-21
GENERAL FUND
$0
$7,483,619
FEDERAL EXPENDITURES FUND
$0
$15,594,565
OTHER SPECIAL REVENUE FUNDS
$0
$1,457,634
DEPARTMENT TOTAL - ALL FUNDS
$0
$24,535,818
Revised: 07/07/20
LD 1984
LR 2623(02)
FY 2019-20
FY 2020-21
Projections 
FY 2021-22
Projections 
FY 2022-23
Net Cost (Savings)
General Fund
$0
$7,483,619
$16,289,006
$17,906,079
Appropriations/Allocations
General Fund
$0
$7,483,619
$16,289,006
$17,906,079
Federal Expenditures Fund
$0
$15,594,565
$34,062,890
$37,455,783
Other Special Revenue Funds
$0
$1,457,634
$3,194,832
$3,514,032
Revenue
Federal Expenditures Fund
$0
$15,594,565
$34,062,890
$37,455,784
Other Special Revenue Funds
$0
$1,457,634
$3,194,832
$3,514,032
Fiscal Detail and Notes
The bill includes General Fund appropriations to the Department of Health and Human Services of $7,483,619 in 
fiscal year 2020-21 for an increase in the annual cap to $70,000 and to eliminate the waitlist through June 30, 2021 
for services provided under the MaineCare Benefits Manual, Section 29, and to provide services to individuals who 
are on the waitlist for services provided under the MaineCare Benefits Manual, Section 21 and designated Priority 2 
and are receiving no other MaineCare home and community based or support services, and to create one Social 
Services Program Specialist II position and 2 DD Resources Coordinators positions. Federal Expenditures Fund 
allocations are also included for the FMAP match and Other Special Revenue Funds allocations are included for the 
Service Provider Tax.
Fiscal Note
An Act To Eliminate Waiting Lists for Home and Community-based Services for Adults with 
Intellectual Disabilities, Autism, Brain Injury and Other Related Conditions
Fiscal Note for Bill as Amended by Committee Amendment " "
Committee: Health and Human Services
Fiscal Note Required: Yes
LR2623(02) - Fiscal Note - Page 1 of 1