An Act To Provide Maine Children Access to Affordable Health Care
Maine Legislature, Session 129, LD 1539
Committee Amendment CA_A_H578 (House)

COMMITTEE AMENDMENT "/)" to H.P. 1122, L.D. 1539, Bill, "An Act To 
Provide Maine Children Access to Affordable Health Care" 
Amend the bill in section 1 in paragraph Bin the 4th line (page 1, line 7 in L.D.) by 
striking out the following: 
11325%
and inserting the following: '300%' 
Amend the bill in section 2 in paragraph D in the 4th line (page 1, line 17 in L.D.) by 
striking out the following: 
11325%
and inserting the following: '300%' 
Amend the bill in section 3 in §317 4-T in subsection 2 in paragraph A in the 2nd line 
(page 1, line 39 in L.D.) by striking out the following: "325%" and inserting the 
following: '300%' 
Amend the bill in section 3 in §3174-T in subsection 2 by striking out all of 
paragraph F (page 3, lines 26 and 27 in L.D.) 
Amend the bill in section 3 in §317 4-T by striking out all of subsections 2-A and 2-B 
(page 3, lines 28 to 41 in L.D.) 
Amend the bill in section 3 in §3174-T in subsection 7 by striking out all of the last 
sentence (page 5, lines 16 to 18 in L.D.) 
Amend the bill by striking out all of sections 4 to 6 (page 6, lines 18 to 43 and page 7, 
lines 1 to 6 in L.D.) and inserting the following: 
'Sec. 4. Federal funding for outreach activities. The Department of Health 
and Human Services shall apply for federal grant funds available for use for outreach 
activities as required in the Maine Revised Statutes, Title 22, section 3174-T, subsection 
7. These funds must be used to supplement the 2% funding and may not supplant that 
funding. 
Sec. 5. Federal Medicaid waivers or state plan amendments; eligibility. 
The Department of Health and Human Services shall submit 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, including but not limited to removing the requirement that 
COMMI.TTEE AMENDMENT 
COMMITTEEAMENDMENT"A"toH.P.1122,L.D.1539 
premiums be paid and removing the requirement that children are subject to the 3-month 
waiting period for enrollment in the Cub Care program following the loss of health 
insurance or coverage under an employer-based plan. 
Sec. 6. 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 due to adjustment of the eligibility 
requirements in the Children's Health Insurance Program. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL BLOCK GRANT FUND 
All Other 
FEDERAL BLOCK GRANT FUND TOTAL 
2019-20 
$1,585,983 
$1,585,983 
2019-20 
$9,873,431 
$9,873,431 
2020-21 
$5,159,028 
$5,159,028 
2020-21 
$17,759,799 
$17,759,799 
Sec. 7. Contingent repeal. The repeal of the Maine Revised Statutes, Title 22, 
section 3174-T, subsection 2, paragraph C, subparagraph (5) and section 3174-T, 
subsections 5 and 12 take effect only if the Department of Health and Human Services 
receives approval from the United States Department of Health and Human Services, 
Centers for Medicare and Medicaid Services to remove premium and waiting period 
requirements for health coverage for low-income children under the Cub Care program 
established in Title 22, section 3174-T, subsection 1. The Commissioner of Health and 
Human Services, upon receipt of approval, shall notify the Secretary of State, the 
President of the Senate, the Speaker of the House of Representatives and the Revisor of 
Statutes that such approval has been received.' 
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, makes the following 
changes to the bill. 
1. It changes the maximum eligibility level for family income from 325% of the 
federal poverty level to 300% of the federal poverty level. 
2. It directs the Department of Health and Human Services to submit any waivers or 
state plan amendments to accomplish the eligibility criteria established in this legislation, 
including but not limited to removing the 3-month waiting period for enrollment in the 
COMMITTEE AMENDMENT 
~:-~ ··,' 
COMMITTEE AMENDMENT "A" to H.P. 1122, L.D. 1539 
Cub Care program following the loss of health insurance or coverage under an employer-
based plan. 
3. It removes the provision that eligibility is not subject to an asset test because 
current rules do not make eligibility subject to an asset test. 
4. It removes the requirement to provide coverage to persons 19 and 20 years of age 
and to noncitizens under 21 years of age. 
5. It removes the requirement that the department contract for outreach activities and 
removes the reference to specific federal grant funds the department must seek for 
additional outreach activities. 
6. It removes the requirement for the department to submit a state plan amendment to 
the United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services to implement the use of the express lane eligibility option. 
7. It makes the repeal of the waiting period and premium payment requirements 
under the Cub Care program contingent on the approval of a waiver of those requirements 
by the United States Department of Health and Human Services, Centers for Medicare 
and Medicaid Services. 
8. It also adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 06/07/19 ::4'ac. 
LD 1539 
LR 587(02) 
An Act To Provide Maine Children Access to Affordable Health Care "' -~ 
\ 
Fiscal Note for Bill as Amended by Committee Amendment A( fl 5 7</j 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Block Grant Fund 
Revenue 
Federal Block Grant Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2019-20 
$1,585,983 
$1,585,983 
$9,873,431 
$9,873,431 
FY 2020-21 
$5,159,028 
$5,159,028 
$17,759,799 
$17,759,799 
Projections 
FY 2021-22 
$5,821,382 
$5,821,382 
$17,097,445 
$17,097,445 
Projections 
FY 2022-23 
$5,821,382 
$5,821,382 
$17,097,445 
$17,097,445 
The bill includes General Fund appropriations to the Depaiiment of Health and Human Services of $1,585,983 in 
fiscal year 2019-20 and $5,159,028 in fiscal year 2020-21 due to adjustment of the eligibility requirements in the 
Children's Health Insurance Program (CHIP). Federal Expenditures Fund allocations and Federal Block Grant Fund 
allocations are also included for the FMAP match. 
LR0587(02) • Fiscal Note - Page 1 of I