Resolve, To Increase Access to Housing-related Support Services
Maine Legislature, Session 129, LD 1318
Committee Amendment CA_A_H349 (House)

FmST REGULAR SESSION 
COMMITTEE AMENDMENT" /J," to H.P. 953, L.D. 1318, "Resolve, To Increase 
Access to Housing-related Support Services" 
Amend the resolve by striking out everything after the title and inserting the 
following: 
'Sec. 1. Department of Health and Human Services to examine housing-
related services available under a Medicaid waiver. Resolved: 
That the 
Department of Health and Human Services shall examine oppo~ities available 
pursuant to a home and community-based services waiver available froni the United 
States Department of Health and Human Services, Centers for Medicare and Medicaid 
Services, including but not limited to a Medicaid 1915(i) state plan amendment, to 
provide housing-related services to persons experiencing chronic homelessness who have 
mental health or substance use disorders and other vulnerable populations, including, but 
not limited to, individuals with disabilities and older adults needing long-term services. 
For purposes of this section, "housing-related services" means assistance in securing 
housing and tenancy sustaining and community transition services. 
Sec. 2. Collaboration with Maine State Housing Authority; stakeholder 
involvement. Resolved: That the Department of Health and Human Services shall 
collaborate with the Maine State Housing Authority to determine how existing Maine 
State Housing Authority resources may be leveraged more effectively to address the 
housing needs of persons experiencing chronic homelessness who have mental health or 
substance use disorders and other vulnerable populations, including, but not limited to, 
individuals with disabilities and older adults needing long-term services. 
In performing the review under this section, the department shall examine relevant data 
and evidence-based practices and solicit input from stakeholders, including those 
providing housing-related services to persons experiencing chronic homelessness who 
have mental health or substance use disorders and other vulnerable populations, 
including, but not limited to, individuals with disabilities and older adults needing 
long-term service; advocates for persons experiencing homelessness or for other 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT ·A- "to H.P. 953, L.D. 1318 
vulnerable populations; and other stakeholders who provide legal, health or other social 
services to persons experiencing homelessness or to other vulnerable populations. 
Sec. 3. Report. Resolved: That no later than February 1, 2020 the Department of 
Health and Human Services shall submit a report and recommendations developed 
pursuant to this resolve, including any suggested legislation, to the Joint Standing 
Committee on Health and Human Services. The committee may report out a bill to 
implement the recommendations if necessary.' 
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment replaces the bill. It directs the Department of Health and Human 
Services to examine opportunities available pursuant to a home and community-based 
services waiver available from the United States Department of Health and Human 
Services, Centers for Medicare and Medicaid Services, including, but not limited to, a 
Medicaid 1915(i) state plan amendment to provide housing-related services to persons 
experiencing chronic homelessness who have mental health or substance use disorders 
and other vulnerable populations. 
It also directs the department to collaborate with Maine State Housing Authority to 
determine how resources may be leveraged more effectively to address the housing needs 
of persons experiencing chronic homelessness who have mental health or substance use 
disorders and other vulnerable populations and to consult with interested stakeholders as 
it conducts this review. The department must report to the Joint Standing Committee on 
Health and Human Services with any recommendations related to this review by no later 
than February 1, 2020, and the committee is authorized to report out a bill to implement 
the recommendations. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 05/20/19 feac. 
LD 1318 
LR 1916(02) 
Resolve, To Increase Access to Housing-related Support Services 
Fiscal Note for Bill as Amended by Committee Amendment .p ( !l-3 vV 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Minor cost increase - Other funds 
Additional costs to the Department of Health and Human Services and the Maine State Housing Authority (MSHA) to 
collaborate to detennine how existing MSHA resources may be leveraged to address housing needs can be absorbed 
within existing budgeted resources. 
LR1916(02) - Fiscal Note - Page 1 of 1