Resolve, Directing the Department of Health and Human Services To Allow Spouses To Provide Home and Community-based Services to Eligible MaineCare Members
Maine Legislature, Session 129, LD 0084
Committee Amendment CA_A_H135 (House)

COMMITTEE AMENDMENT "A." to H.P. 70, L.D. 84, "Resolve, Directing the 
Department of Health and Human Services To Allow Spouses To Provide Home and 
Community-based Services to Eligible MaineCare Members" 
Amend the resolve by inserting after section 3 the following: 
'Sec. 4. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Long Term Care - Office of Aging and Disability Services 0420 
Initiative: Provides funding for the fiscal intermediary service required to allow eligible 
members to receive services provided by spouses. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medical Care - Payments to Providers 0147 
2019-20 
$22,360 
$22,360 
2020-21 
$34,065 
$34,065 
Initiative: Provides funding to amend the existing 1915(c) waiver that provides home and 
community-based services under the Department of Health and Human Services rule 
Chapter 101: MaineCare Benefits Manual, Chapter II, Section 19 to allow eligible 
members to receive services provided by spouses. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$13,994 
$13,994 
COMMITTEE AMENDMENT 
2020-21 
$29,388 
$29,388 
COMMITTEE AMENDMENT .. f},, to H.P. 70, L.D. 84 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of MaineCare Services 0129 
2019-20 
$24,664 
$24,664 
2020-21 
$51,794 
$51,794 
Initiative: Provides funding for the fiscal intermediary service required to allow eligible 
members to receive services provided by spouses. 
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 
SUMMARY 
2019-20 
$22,360 
$22,360 
2019-20 
$36,354 
$47,024 
$83,378 
2020-21 
$34,065 
$34,065 
2020-21 
$63,453 
$85,859 
$149,312 
This amendment adds an appropriations and allocations section to the resolve. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 02/22/19 fe'ac 
LD84 
LR 285(02) 
Resolve, Directing the Department of Health and Human Services To Allow Spouses To Provide Home 
and Community-based Services to Eligible MaineCare Members 
Fiscal Note for Bill as Amended by Committee Amendment ,If( Jj,-·JJs) 
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 
FY2019-20 
$36,354 
$36,354 
$47,024 
$47,024 
FY 2020-21 
$63,453 
$63,453 
$85,859 
$85,859 
Projections 
FY2021-22 
$66,626 
$66,626 
$90,153 
$90,153 
Projections 
FY2022-23 
$69,957 
$69,957 
$94,660 
$94,660 
The bill includes General Fund appropriations to the Department of Health and Human Services of $36,354 in fiscal 
year 2019-20 and $63,453 in fiscal year 2020-21 to amend the existing 1915(c) waiver that provides home and 
community-based services under the Department of Health and Human Services rule Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 19, to allow eligible members to receive services provided by spouses and for the 
fiscal intermediary service required to allow eligible members to receive services provided by spouses, Federal 
Expenditures Fund allocations will also be required for the FMAP match. 
LR0285(02) - Fiscal Note - Page 1 of 1