An Act To Expand Community Support Services for Certain Adult Members of the MaineCare Program
Maine Legislature, Session 129, LD 0775
Committee Amendment CA_A_H403 (House)

COMMITTEE AMENDMENT ·A " 
to H.P. 580, L.D. 775, Bill, "An Act To 
Expand Community Support Services for Certain Adult Members of the MaineCare 
Program" 
Amend the bill by strildng out the title and substituting the following: 
'Resolve, To Direct the Department of Health and Human Services To Amend Its 
Rules for Eligibility for Community Support Services' 
Amend the bill by striking out everything after the title and inserting the following: 
'Sec. 1. Department of Health and Human Services to amend eligibility 
criteria for community support services. Resolved: That, no later than January 
15, 2020, the Depaiiment of Health and Human Services shall amend its rule Chapter 
101: MaineCare Benefits Manual, Chapter II, Section 17, Community Suppo1t Services 
concerning eligibility criteria for services under that section. 
The department shall 
include in the eligibility determination an assessment of whether an individual has 
significant impairment or limitation in adaptive behavior or functioning related to the 
individual's primary clinical diagnosis. The department shall also consider: 
1. 
Including in the list of clinical diagnoses that are automatically eligible for 
services additional clinical diagnoses of conditions that substantially interfere with or 
limit one or more major life activities; and 
2. Expanding the situations in which an individual might be at risk of harm if the 
individual were to have future episodes related to the individual's primary clinical 
diagnosis. 
Sec. 2. Report. Resolved: That the Department of Health and Human Services 
shall report to the Joint Standing Committee on Health and Human Services by January 
15, 2020 on the rulemaking process, proposed and provisionally adopted rules and 
justification for the adoption of the proposed rules as provided in section 1. The Joint 
Standing Committee on Health and Human Services may report out legislation to the 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 580, L.D. 775 
adopted in Chapter 101: MaineCare Benefits Manual, Chapter II, Section 17, Community 
Support Services as provided in section 1.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the majority report of the committee, strikes and replaces 
the bill with a resolve. It directs the Department of Health and Human Services to amend 
its rule Chapter 101 : MaineCare Benefits Manual, Chapter II, Section 17, Community 
Support Services concerning eligibility criteria for services under that section. It requires 
the department to report to the Joint Standing Committee on Health and Human Services 
by Januaty 15, 2020 on the rulemaking process, proposed and provisionally adopted rules 
and justification for the adoption of the proposed rules. It authorizes the committee to 
report out legislation regarding the subject matter of the rules. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/23/19 feac 
LD775 
LR 625(02) 
An Act To Expand Community Support Services for Certain Adult Members of the MaineCare 
Program 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment '4
(11-f rJJ) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Potential cunent biennium cost increase - General Fund 
Potential cunent biennium cost increase - Federal Expenditures Fund 
The bill requires the Department of Health and Human Services to amend eligiblity criteria under Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 17, Allowances for Community Support Services. The eligibility 
changes are not outlined in the bill, rather the department is given multiple considerations to include in the eligiblity 
assessment of an individual. These changes should add back some eligible individuals for coverage under this section 
of policy who were removed in February of 2016 with no baseline deappropriation. As there was no deappropriation 
when eligiblity changes were made in February 2016, some of the costs associated with the changes in this bill will 
not require new appropriations. However, as the specific requirements for being eligible will not be known until the 
department updates the eligiblity process, it is possible some individuals who were not eligible in February 2016 will 
become eligible now and require new appropriations and allocations. It is not lmown how many new individuals will 
be eligible for this service, so no estimate of the new costs are made at this time. 
LR0625(02) - Fiscal Note - Page 1 of 1