An Act To Provide Women Access to Affordable Postprutum Care
Maine Legislature, Session 129, LD 1957
Committee Amendment CA_A_H704 (House)

COMMITTEE AMENDMENT "A " to H.P. 1401, L.D. 1957, Bill, "An Act To 
Provide Women Access to Affordable Postprutum Care" 
Amend the bill in section 1 in paragraph A in the first line (page 1, line 4 in L.D.) by 
striking out the foliowing: ;,12" and inserting the following:'§' 
Amend the bill in section 2 in paragraph G in subparagraph (1) in the first line (page 
1, line 11 in L.D.) by striking out the following: "12" and inserting the following: '§.' 
Amend the bill by inserting after section 2 the following: 
'Sec. 3. 
Federal Medicaid waivers or state plan amendments; cost 
neutrality. The Department of Health and Human Services shall, no later than January 
1, 2021, submit requests for any waivers or state plan amendments to the United States 
Department of Health and Human Services, Centers for Medicare and Medicaid Services 
determined necessary in order to accomplish the purposes of this Act. The department 
shall take all reasonable and necessary steps to seek approval of the waiver or state plan 
amendment. The department shall demonstrate cost neutrality in the waiver or state plan 
amendment, including, but not limited to, using savings from premium tax credits on 
health insurance obtained through the health insurance marketplace for which MaineCare 
members receiving services under this Act would be eligible, savings on limited family 
planning coverage and any other source of savings. 
Sec. 4. Funding. In order to implement those sections of this Act that amend the 
Maine Revised Statutes, Title 22, section 3174-G, subsection 1, paragraphs A and G, if 
the United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services does not grant a waiver or state plan amendment under section 3, the 
Department of Health and Human Services shall use federal funds first, if allowable 
under federal law, and then shall use the General Fund. 
Sec. 5. Rulemaking. Within 180 days of receiving a decision regarding coverage 
by the United States Depru·tment of Health and Human Services, Centers for Medicare 
and Medicaid Services pursuant to a request in accordance with section 3, the Department 
of Health and Human Services shall adopt rnles to implement the Maine Revised Statutes, 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A "to H.P. 1401, L.D. 1957 
Title 22, section 317 4-G, subsection 1, paragraphs A and G. Rules adopted pursuant to 
this section are routine technical rnles as defmed in Title 5, chapter 375, subchapter 2-A. 
Upon adoption of the rules, the Commissioner of Health and Human Services shall notify 
the Secretary of State, the Secretary of the Senate, the Clerk of the House of 
Representatives and the Revisor of Statutes. 
Sec. 6. Report. 
The Department of Health and Human Services shall report 
quarterly to the joint standing committee of the Legislature having jurisdiction over 
health and human services matters, beginning April 1, 2021, on the department's progress 
in seeking a waiver or state plan amendment under section 3 until the process is complete. 
The joint standing committee of the Legislature having jurisdiction over health and 
human services matters is authorized to report out a bill to the Legislature regarding each 
report. 
Sec. 7. Effective date. Those sections of this Act that amend the Maine Revised 
Statutes, Title 22, section 3174-G, subsection 1, paragraphs A and G take effect upon the 
adoption of rules pursuant to section 5.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the unanimous report of the committee, amends the bill to 
provide that the period of time following delivery of a baby for which a woman may be 
eligible for services under MaineCare is 6 months. 
The amendment directs the 
Department of Health and Human Services to submit a waiver or state plan amendment 
request no later than January 1, 2021 to the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services to implement the 
provisions of this legislation that extend MaineCare coverage to a woman following 
delivery of a baby from 60 days to 6 months. The department is required to take all 
reasonable and necessary steps to seek approval of the waiver or state plan amendment. 
In the event the waiver or state plan amendment is not granted, the department is directed 
to implement the coverage provisions using federal funds, if allowable, and then using the 
General Fund. Upon approval or denial of the waiver or state plan amendment, the 
department is directed to adopt rules no later than 180 days after the decision of the 
United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services. The department is required to report on a quarterly basis beginning 
April 1, 2021 to the joint standing committee of the Legislature having jurisdiction over 
health and human services matters its progress in seeking a waiver or state plan 
amendment until the decision by the United States Department of Health and Human 
Services, Centers for Medicare and Medicaid Services has been made. The committee is 
authorized to report out legislation related to each report. 
FISCAL ~ZO·Tr PfQCUIBD 
(See at,:11.:hed) 
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COMMITTEE AMENDMENT 
Approved: 02/25/20 frac: 
LD 1957 
LR 2915(02) 
An Act To Provide Women Access to Affordable Postpartum Care 
Fiscal Note for Bill as Amended by Committee Amendment 'Ir' ( H-7 a 4) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
$0 
$0 
$0 
FY 2020-21 
$0 
$0 
$0 
Projections 
FY 2021-22 
$577,084 
$577,084 
$1,012,240 
Projections 
FY 2022-23 
$577,084 
$577,084 
$1,012,240 
The bill directs the Department of Health and Human Services (DHHS) to submit a waiver or state plan amendment 
request no later than January 1, 2021 to the United States Department of Health and Human Services, Centers for 
Medicare and Medicaid Services (CMS) to extend MaineCare coverage to a woman following delivery of a baby from 
days to 6 months. Upon approval or denial of the waiver or state plan amendment the department is directed to 
adopt rules no later than 180 days after the decision of the CMS. Since the CMS will only be able to approve the 
waiver after it's submittal on 01/01/21, the earliest the DHHS will be required to adopt rules for the program is in 
State Fiscal Year 2022. No appropriations are made at this time. 
LR29 l 5(02) - Fiscal Note - Page 1 of 1