An Act To Support Maine Families by Providing for Transportation of Parents and Guardians of MaineCare Recipients under 18 Years of Age to Their Appointments
Maine Legislature, Session 129, LD 1062
Committee Amendment CA_A_H428 (House)
Amends: 22 MRSA §3174-C

COMMITTEE AMENDMENT "~ " to H.P. 785, L.D. 1062, Bill, "An Act To 
Support Maine Families by Providing for Transportation of Parents and Guardians of 
MaineCare Recipients under 18 Years of Age to Their Appointments" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 22 MRSA §3174-CCC is enacted to read: 
§3174-CCC. Coverage for transportation of parents or guardians of MaineCare 
program recipients 
1. Transportation requirements. The department shall provide nonemergency 
medical transportation for a parent or guardian of a MaineCare member under 18 years of 
age who is in a residential care facility or receiving inpatient medical services if: 
A. The transportation is to the facility where the MaineCare member under 18 years 
of age is receiving medical services and the presence of the parent or guardian at the 
facility is part of the treatment plan for that MaineCare member; and 
B. In accordance with the federal Medicaid program and regulations, no other means 
of transportation is available to the parent or guardian and the costs of the 
transportation provided by the department are eligible for matching federal Medicaid 
funds. 
2. Rulemaking. If the costs of the transportation required under this section are or 
become eligible for matching federal funds under the federal Medicaid program, the 
department shall adopt or amend rules to govern the provision of nonemergency medical 
transportation as described in subsection 1. Rules adopted or amended pursuant to this 
subsection are routine technical rules as defined in Title 5. chapter 375. subchapter 2-A. 
3. 
Exception; emergency transportation. 
This section does not apply to 
emergency transportation services. 
Sec. 2. Waivers or state plan amendments. No later than January 1, 2020, the 
Department of Health and Human Services shall apply for any necessary Medicaid 
COMMITTEE AMENDMENT 
R. ~ s. 
COMMITIEE AMENDMENT ,.;J,, to H.P. 785, L.D. 1062 
waivers or submit any state plan amendments to the United States Department of Health 
and Human Services, Centers for Medicare and Medicaid Services to receive federal 
matching Medicaid funds for transportation of parents or guardians of Medicaid-eligible 
individuals under 18 years of age in accordance with the Maine Revised Statutes, Title 
22, section 3174-CCC.1 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment, which is the minority report, replaces the bill. 
It directs the 
Department of Health and Human Services to provide nonemergency medical 
transportation for a parent or guardian of a MaineCare member under 18 years of age 
who is in a residential care facility or receiving inpatient medical services if certain 
conditions are met: the transportation is to the facility where the MaineCare member 
under 18 years of age is receiving medical services, the presence of the parent or guardian 
at the facility is part of the treatment plan for that MaineCare member and the costs of the 
transportation are eligible for matching federal funds under the federal Medicaid 
program. The amendment directs the Department of Health and Human Services to 
submit any necessary Medicaid waivers or state plan amendments to the United States 
Department of Health and Human Services, Centers for Medicare and Medicaid Services 
no later than January 1, 2020 to receive federal matching Medicaid funds for 
nonemergency medical transportation. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/23/19 ft,'aC!-
LD 1062 
LR 1599(02) 
An Act To Support Maine Families by Providing for Transportation of Parents and Guardians of 
MaineCare Recipients under 18 Years of Age to Their Appointments 
rY \ 
Fiscal Note for Bill as Amended by Committee Amendment A, { }I-Yd/[) 
Committee: Health and Human Services 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Contingent current biennium cost increase - General Fund 
Contingent current biennium cost increase - Federal Expenditures Fund 
This bill requires the Department of Health and Human Services (DHHS) to provide nonemergency medical 
transportation for a parent or guardian of a MaineCare member under 18 years of age to and from a residential care 
facility when the member is an inpatient at a residential care facility and no other means of transportation is available 
to the parent or guardian, so long as this transpo1iation is eligible for federal matching funds. The bill also requires the 
DHHS to apply for any necessmy Medicaid waivers or submit any state plan amendments (SP A) to receive federal 
matching Medicaid funds for transportation of parents or guardians, as outlined above. These trips will be contingent 
upon a waiver or SP A approval by the federal government, as these trips are currently not eligible in the MaineCare 
program. As it is not known how many trips a parent or guardian would make without the child in the car, no estimate 
of this contingent impact is made at this time. 
LR1599(02) - Fiscal Note - Page 1 of 1