An Act To Set Aside Funds from Federal Block Grants for Certain Communities
Maine Legislature, Session 130, LD 0343
Committee Amendment CA_A_H874 (House)

COMMITTEE AMENDMENT" If,, to H.P. 241, L.D. 343, "An Act To Set Aside 
Funds from Federal Block Grants for Certain Communities" 
Amend the bill by striking out the title and substituting the following: 
'Resolve, To Review Maternal and Child Health Block Grant Spending' 
Amend the bill by striking out everything after the title and inserting the following: 
'Sec. 1. Commissioner of Health and Human Services to review Maternal 
and Child Health Block Grant spending. Resolved: That the Commissioner of 
Health and Human Services shall establish a partnership to review Department of Health 
and Human Services spending of funds received pursuant to the federal Maternal and Child 
Health Block Grant, refened to in this resolve as "the block grant. 
The partnership must 
be between representatives of tribal public health districts, representatives of the Permanent 
Commission on the Status of Racial, Indigenous and Tribal Populations established 
pursuant to the Maine Revised Statutes, Title 5, section 12004-J, subsection 19 and 
representatives of the department. The partnership shall review the following: 
1. The total amount of block grant funds received by the State; 
2. The entities and programs funded by the block grant; 
3. The populations served by the entities and programs funded by the block grant; 
4. The decision-making process the department uses to determine what entities and 
programs receive block grant funding and how much each receives; 
5. The effects and outcomes in populations served by the entities and programs funded 
by the block grant; 
6. How best to define "vulnerable populations" within the State; and 
7. Existing gaps in funding of vulnerable populations by the block grant. 
Sec. 2. Report to Legislature. Resolved: That, no later than February 1, 2023, the 
Commissioner of Health and Human Services shall submit a report, drafted by the 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT"/}, to H.P. 241, L.D. 343 
partnership under section 1, regarding the review conducted pursuant to this resolve and 
making recommendations, including recommendations for changes to policy and relating 
to the award of block grant funds, recommendations for specific measures or reserving of 
block grant funds for ce1tain populations and recommendations for the establishment of a 
permanent partnership to review federal block grants received by the Department of Health 
and Human Services and including suggested legislation, to the joint standing committee 
of the Legislature having jurisdiction over health and human services matters. The joint 
standing committee may rep01t out legislation on the subject matter of the report to the 
131st Legislature in 2023.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill with a resolve. It directs the Commissioner of Health 
and Human Services to establish a process to review Department of Health and Human 
Services spending of funds received pursuant to the federal Maternal and Child Health 
Block Grant. The commissioner is required to establish a partnership to conduct this 
review. The partnership is between representatives of tribal public health districts, the 
Permanent Commission on the Status of Racial, Indigenous and Tribal Populations and the 
department. The partnership is required to review the process of awarding block grant funds 
and the outcomes in populations served by grant funds, with a focus on identifying 
vulnerable populations and determining if these populations are appropriately served by 
grant funds. The commissioner is required to submit a report, drafted by the partnership, 
with recommendations, including recommendations for the establishment of a permanent 
partnership to review federal block grants received by the department, to the joint standing 
committee of the Legislature having jurisdiction over health and human services matters. 
The joint standing committee may report out legislation on the subject matter of the report 
to the 131st Legislature in 2023. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/11/22 ;!;Pae!. 
LD343 
LR 1804(02) 
An Act To Set Aside Funds from Federal Block Grants for Certain Communities 
Fiscal Note for Bill as Amended by Committee Amendment ,ffi(l/-61'-f:.) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
Any additional costs to the Department of Health and Human Services to establish a process to review the Maternal 
and Child Health Services Block Grant and report back to the legislature are expected to be minor and can be 
absorbed within existing budgeted resources. 
LR1804(02) - Fiscal Note - Page 1 of 1