An Act To Improve the Health and Economic Security of Older Residents
Maine Legislature, Session 129, LD 1106
Committee Amendment CA_A_H355 (House)

COMMITTEE AMENDMENT "A" to H.P. 810, L.D. 1106, Bill, "An Act To 
Improve the Health and Economic Security of Older Residents" 
Amend the bill by striking out all of sections 2 and 3 and inserting the following: 
'Sec. 2. Asset test removed for the Medicare savings program; state plan 
amendment. The Department of Health and Human Services shall amend its rules, no 
later than Januaty 1, 2020, to remove the asset test from the requirements of eligibility for 
the Medicare savings program. 
The department shall prepare and submit any necessary Medicaid state plan 
amendments to the United States Department of Health and Human Services, Centers for 
Medicare and Medicaid Services for approval for the removal of the asset test required by 
this section. 
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 remove the asset test for the 
Medicare savings program and the elderly low-cost drug program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2019-20 
$1,520,649 
$1,520,649 
COMMITTEE AMENDMENT 
2020-21 
$1,531,001 
$1,531,001 
\\, 
COMMITTEEAMENDMENT'~"toH.P. 810,L.D.1106 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office for Family Independence Z020 
2019-20 
$2,649,236 
$2,649,236 
2020-21 
$2,638,884 
$2,638,884 
Initiative: Provides one-time appropriations and allocations for required technology 
changes. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
SUMMARY 
2019-20 
$5,372 
$5,372 
2019-20 
$16,115 
$16,115 
2019-20 
$1,526,021 
$2,649,236 
$16,115 
$4,191,372 
2020-21 
$0 
$0 
2020-21 
$0 
$0 
2020-21 
$1,531,001 
$2,638,884 
$0 
$4,169,885 
This amendment, which is the majority report of the committee, removes the 
provisions in the bill relating to income eligibility levels for the Medicare savings 
program and the elderly low-cost drug program. It also removes the asset test for the 
Medicare savings program and requires the Department of Health and Human Services to 
submit any necessary Medicaid state plan amendments to the United States Department 
of Health and Human Services, Centers for Medicare and Medicaid Services. 
The 
amendment adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/20/19 feac:.. 
LD 1106 
LR 1569(02) 
An Act To Improve the Health and Economic Security of Older Residents 
Fiscal Note for Bill as Amended by Committee Amendment ·~ ( H-J 5~ 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
$1,526,021 
$1,526,021 
$2,649,236 
$16,115 
$2,649,236 
FY 2020-21 
$1,531,001 
$1,531,001 
$2,638,884 
$0 
$2,638,884 
Projections 
FY2021-22 
$1,531,829 
$1,531,829 
$2,638,056 
$0 
$2,638,056 
Projections 
FY 2022-23 
$1,531,829 
$1,531,829 
$2,638,056 
$0 
$2,638,056 
The bill includes General Fund appropriations to the Department of Health and Human Services of $1,526,021 in 
fiscal year 2019-20 and $1,531,001 in fiscal year 2020-21 to remove the asset test for the Medicare savings program 
and the elderly low-cost drug program and for required technology changes. Federal Expenditures Fund and Other 
Special Revenue Funds allocations are also included for the federal match. 
LR1569(02) - Fiscal Note - Page 1 of 1