An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autism Spectrum Disorder
Maine Legislature, Session 129, LD 0373
Committee Amendment CA_A_H353 (House)
Amends: 22 MRSA §3174-F

COMMITTEE AMENDMENT "}1" to H.P. 282, L.D. 373, Bill, "An Act To 
Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities 
or Autism Spectrum 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, Brain Injuries and Other 
Related Conditions' 
Amend the bill by strildng out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 22 MRSA §3174-F, sub-§3 is enacted to read: 
3. Services for adult with intellectual disability or autism spectrum disorder, 
brain injury or other related condition. Notwithstanding subsection 1, by December 
31, 2019, the department shall provide for reimbursement under the MaineCare program 
for dental services to a person 21 years of age or older who has an intellectual disability 
or autism spectrum disorder, a brain injury or any other related condition and who 
received services under the MaineCare program pursuant to a home and community-
based services waiver granted under the United States 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 
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. Waiver amendments. The Department of Health and Human Services 
shall submit any necessary waiver amendments to the United States Department of Health 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ·A "to H.P. 282, L.D. 373 
and Human Services, Centers for Medicare and Medicaid Services for approval to 
implement the requirements of this Act. 
Sec. 3. 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 to extend MaineCare dental services to 
a person 21 years of age or older who receives support services for adults with 
intellectual disabilities or autism spectrum disorder, brain injuries and other related 
conditions. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2019-20 
$616,962 
$616,962 
2019-20 
$1,087,352 
$1,087,352 
2020-21 
$1,252,097 
$1,252,097 
2020-21 
$2,200,059 
$2,200,059 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment expands the adult dental benefit proposed in the bill to include 
individuals receiving home-based or community-based services under the brain injury 
and other related conditions waivers under Medicaid. It requires the Department of 
Health and Human Services to seek any necessary amendments to the waivers from the 
United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services. It also reallocates the provisions of the bill to the existing section in 
the Maine Revised Statutes · governing adult dental services under the MaineCare 
program. The amendment also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/20/19 .wac:.. 
LD373 
LR 392(02) 
An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or 
Autism Spectrum Disorder 
Fiscal Note for Bill as Amended by Committee Amendment'~' { }I-JS".Y 
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 
$616,962 
$616,962 
$1,087,352 
$1,087,352 
FY 2020-21 
$1,252,097 
$1,252,097 
$2,200,059 
$2,200,059 
Projections 
FY 2021-22 
$1,252,787 
$1,252,787 
$2,199,369 
$2,199,369 
Projections 
FY 2022-23 
$1,252,787 
$1,252,787 
$2,199,369 
$2,199,369 
The bill includes General Fund appropriations to the Department of Health and Human Services of $616,962 in fiscal 
year 2019-20 and $1,252,097 in fiscal year 2020-21 to extend MaineCare dental services to a person 21 years of age 
or older who receives support services for adults with intellectual disabilities or autism spectrum disorder, brain injury 
or any other related conditions. Federal Expenditures Fund allocations are also included for the FMAP match. 
LR0392(02) - Fiscal Note - Page 1 of 1