An Act To Provide Services to Maine's Most Vulnerable Citizens by Eliminating the Waiting Lists for Certain MaineCare Services
Maine Legislature, Session 130, LD 1360
Committee: Health and Human Services
Sponsors: KEIM, MOORE, WHITE

Legislative Document
No. 1360
S.P. 447
In Senate, April 7, 2021
An Act To Provide Services to Maine's Most Vulnerable Citizens by 
Eliminating the Waiting Lists for Certain MaineCare Services
(EMERGENCY)
Received by the Secretary of the Senate on April 5, 2021.  Referred to the Committee on 
Health and Human Services pursuant to Joint Rule 308.2 and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator KEIM of Oxford.
Cosponsored by Senator: MOORE of Washington, Representative: WHITE of Waterville.
Emergency preamble.  Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and
Whereas, persons with disabilities have the right to dignity and to receive the support 
they need to work and to be otherwise included in their communities; and
Whereas, many persons with disabilities have an urgent need for adult home and 
community-based services to provide support and to enable their family members to work; 
and
Whereas, as of December 2019, more than 180 persons on the MaineCare Section 21 
waiver waiting lists were receiving no services at all; and
Whereas, providing services for more MaineCare members eligible for Section 29 
services ensures dignity and safety; and
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore,
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  Appropriations and allocations.  The following appropriations and 
allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Developmental Services - Community Z208
Initiative: Provides funding for one Social Services Program Specialist II position and 2 D 
D Resources Coordinator positions.
GENERAL FUND
2021-22
2022-23
POSITIONS - LEGISLATIVE COUNT
3.000
3.000
Personal Services
$106,774
$132,758
All Other
$14,181
$17,016
__________
__________
GENERAL FUND TOTAL
$120,955
$149,774
Developmental Services Waiver - MaineCare Z211
Initiative: Provides funding to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under Department of Health and Human Services rule Chapter 101: MaineCare 
Benefits Manual, Chapters II and III, Section 21 who are designated Priority 2 and are 
receiving no other MaineCare home and community-based or support services.
GENERAL FUND
2021-22
2022-23
All Other
$3,014,668
$8,351,748
__________
__________
GENERAL FUND TOTAL
$3,014,668
$8,351,748
Developmental Services Waiver - Supports Z212
Initiative: Provides appropriations to eliminate any members on the waiting list, as of June 
30, 2021 or prior, for services provided under Department of Health and Human Services 
rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 29.
GENERAL FUND
2021-22
2022-23
All Other
$1,874,327
$4,188,096
__________
__________
GENERAL FUND TOTAL
$1,874,327
$4,188,096
Medicaid Services - Developmental Services Z210
Initiative: Provides allocations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under Department of Health and Human Services rule Chapter 101: MaineCare 
Benefits Manual, Chapters II and III, Section 21 who are designated Priority 2 and are 
receiving no other MaineCare home and community-based or support services.
OTHER SPECIAL REVENUE FUNDS
2021-22
2022-23
All Other
$596,766
$1,653,264
__________
__________
OTHER SPECIAL REVENUE FUNDS TOTAL
$596,766
$1,653,264
Medicaid Services - Developmental Services Z210
Initiative: Provides allocations to eliminate any members on the waiting list, as of June 30, 
2021 or prior, for services provided under Department of Health and Human Services rule 
Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 29.
OTHER SPECIAL REVENUE FUNDS
2021-22
2022-23
All Other
$371,058
$829,056
__________
__________
OTHER SPECIAL REVENUE FUNDS TOTAL
$371,058
$829,056
Medical Care - Payments to Providers 0147
Initiative: Provides allocations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under Department of Health and Human Services rule Chapter 101: MaineCare 
Benefits Manual, Chapters II and III, Section 21 who are designated Priority 2 and are 
receiving no other MaineCare home and community-based or support services.
FEDERAL EXPENDITURES FUND
2021-22
2022-23
All Other
$6,334,678
$17,549,400
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$6,334,678
$17,549,400
Medical Care - Payments to Providers 0147
Initiative: Provides allocations to eliminate any members on the waiting list, as of June 30, 
2021 or prior, for services provided under Department of Health and Human Services rule 
Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 29.
FEDERAL EXPENDITURES FUND
2021-22
2022-23
All Other
$3,938,884
$8,800,380
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$3,938,884
$8,800,380
Office of MaineCare Services 0129
Initiative: Provides allocation for one Social Services Program Specialist II position and 2 
D D Resources Coordinator positions.
FEDERAL EXPENDITURES FUND
2021-22
2022-23
Personal Services
$106,774
$132,758
All Other
$14,271
$17,016
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$121,045
$149,774
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF
DEPARTMENT TOTALS
2021-22
2022-23
GENERAL FUND
$5,009,950
$12,689,618
FEDERAL EXPENDITURES FUND
$10,394,607
$26,499,554
OTHER SPECIAL REVENUE FUNDS
$967,824
$2,482,320
__________
__________
DEPARTMENT TOTAL - ALL FUNDS
$16,372,381
$41,671,492
Emergency clause.  In view of the emergency cited in the preamble, this legislation 
takes effect when approved.
SUMMARY
This bill:
1.  Provides funding to clear the MaineCare Section 29 waiting list through the end of 
fiscal year 2021; and
2.  Provides funding to reduce waiting lists for MaineCare Section 21 services by 
providing services to those individuals who are designated Priority 2 and are receiving no 
other MaineCare home and community-based or support services.