An Act to Imp1ove the Health of Mame Residents by Removing Exclusions to the MameCai e P1 og1 am
Maine Legislature, Session 131, LD 0199
Committee Amendment CA_A_HA_B_H720 (House)
Amends: 22 MRSA §3174-F

HOUSE AMENDMENT" B" to COMMITTEE AMENDMENT "A', to HP 123, 
L D. 199, "An Act to Imp1ove the Health of Mame Residents by Removing Exclusions to 
the MameCai e P1 og1 am" 
Amend the amendment in the fa st instructional paiagraph by st1 ikmg out the fo Hawing: 
"in section 1 m the blocked paiagtaph m the fast hne (page 1, hne 4 in L.D) by st11kmg 
outthe following "Januaiy" and insertmgthe followmg 'July"' and mseitmg the following 
'by stI tkmg out eve1ythmg aftet the enacting clause and insetting the following 
'Sec. 1. 22 MRSA §3174-FFF, sub-§1-A is enacted to 1ead 
1-A. 
Additional coverage provided for pm ents and caretaker relatives. 
Notwithstanding any provis1on of law to the cont1 a1y, effective July 1, 2024, and subrect 
to adiustment by the comm1ss1onei pmsuant to this subsection, the patent 01 ca1etake1 
telative of a child who 1s unde1 18 yeais of age and eligible fo1 cove1age th10ugh the 
MameCa1 e p1 og1 am 01 the ch1ld1 en's health insm ance pt og1 am as defined m section 
3174-X. subsection 1, paiagrnph A 01 under subsection 1 1s eligible fo1 the same scope of 
medical assistance p10v1ded undei sect10n 3174-G fo1 compaiable emollment g1oups to a 
pe1son who would be ehg1ble f01 assistance unde1 the federal Med1ca1d p10g1 am unde1 
Title XIX of the fedetal Social Secunty Act but fo1 the pet son's unmigiatton status. In 
acco1 dance with 8 U mted States Code. Sect10n 1621. the State shall approp11ate funds m 
the state budget to p10v1de state-funded medical assistance tlu ough the MameCate pl ogiam 
fo1 nonc1t1zens who aie patents 01 caretakei 1elatives undet this subsection who 1es1de m 
the State and ate melig1ble fo1 coveiage due to fedeial 1est11ct1ons 1elating to ummgration 
status m the fedeial Medicaid p1og1am. 
MameCaie services p10v1ded unde1 this subsection must be p10v1ded w1thm the hm1ts of 
funds app1op11ated fm those se1v1ces, including an annual mflatlon admstment equivalent 
to the iate of mflatlon in the Medicaid p1ogiam. On a qua1telly basts, the comm1ss10ne1 
shall dete1mme the fiscal status of p10giam expend1tmes unde1 this subsection If the 
comm1ssione1 deteunines that expenditmes will exceed the funds available to ptovide 
MaineCa1e cove1age pu1suant to this subsection, the comm1ss10ne1 shall ad1Ust the mcome 
ehgib1hty hm1t fot new apphcants to the extent necessa1y to p10v1de MaineCaie se1v1ces 
unde1 this subsection withm funds app10p11ated 
If. afte1 an adiustment has occuued 
pmsuant to tlus subsect10n. expend1tmes fall below the funds app10piiated, the 
Page I - 131LR0509(06) 
HOUSE AMENDMENT 
or::, 
~ 
HOUSE AMENDMENT" B,, to COMMITTEE AMENDMENT "A'' to H P 123, L D I 99 
commiss10ne1 shall ia1se the mcome elig1b1hty hmtt to the extent necessaty to p10v1de 
se1vices to as many eligible pe1sons as possible within the funds app1op11ated 
By July 1. 2024. the department shall adopt 1 ules to implement this subsect10n Rules 
adopted ;,msuant to this subsection a1e 1outine technical 1ules as defined in Title 5, chapte1 
375. subchapte1 2-A 
Sec. 2. 22 MRSA §3174-FFF, sub-§1-B 1s enacted to 1ead 
1-B. Maximization of federal funds. The depa1iment shall max1m1ze the 1ece1pt of 
available fede1al matching funds fo1 coveiage p1ov1ded undet subsections 1 and 1-A 
Sec. 3. Federal Medicaid waivers or state plan amendments; funding. The 
Depattment of Health and Human Se1 vices shall establish covet age unde1 the Mame 
Revised Statutes, Title 22, section 3174-FFF, subsection 1-A as of July 1, 2024 using state 
funds. The depaitment may seek to acquue matclung fedeial funds undet the Medicaid 
p1ogiam by submittmg to the United States Department of Health and Human Set vices, 
Cente1 s fo1 Med1ca1 e and Med1ca1d Set vices any waive1 s 01 state plan amendments 
dete1mmed necessary Implementation of coverage 1equned by Title 22, section 3174-FFF, 
subsect10n 1-A is not contmgent on fede1al app1oval of any wa1ve1s 01· amendments to the 
state Medicaid plan 01 fede1 al funding fo1 this pm pose. 
Sec. 4. Appropriations and allocations. The following app10priat1ons and 
allocat1011s a1 e made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care-Payments to Providers 0147 
Imt1ative Provides funding for MaineCate p10giam cove1age fat nonc1tizen 1es1dents of 
this State who ate pa1 ents or cat etake1 1 elat1ves of a cluld under 18 years of age with 
qualrfymg low mcomes who aie melig1ble fo1 coveiage undet the fedeial Medicaid 
p1og1am due to the11· 1mm1g1at10n status, beguming July 1, 2024. 
GENERAL FUND 
2023-24 
All Othet 
$0 
GENERAL FUND TOTAL 
$0 
Office of MaineCare Services 0129 
Imt1ative P1ov1des one-time fundmg fo1 1equhed technology changes 
GENERAL FUND 
All Othe1 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
2023-24 
$75,001 
$75,001 
2023-24 
$75,001 
HOUSE AMENDMENT 
2024-25 
$6,165,595 
$6,165,595 
2024-25 
$0 
$0 
2024-25 
oe:» 
~ 
HOUSE AMENDMENT" Bu to COMMITTEE AMENDMENT "A" to HP 123, L D 199 
DEPARTMENT TOTAL-ALL FUNDS 
$75,001 
$6,165,595 
I I 
Amend the amendment by stnkmg out all of the 2nd, 3rd and 4th mstruct1onal 
paragraphs 
Amend the amendment by str1kmg out all of section 5 
Amend the amendment by relettermg or renumbermg any nonconsecutive Part letter or 
section number to read consecutively 
SUMMARY 
This amendment provides MameCare program coverage for nonc1tlzen residents of the 
State who are parents or caretake1 relatives with quahfymg low mcomes who are mehgtble 
for coverage under the federal Med1ca1d program due to their 1mm1gration status The 
md1v1dual must be a parent or caretaker relative for a child under 18 years of age who 1s 
ehg1ble for coverage through the MameCare program or the children's health msurance 
program or unde1 the Mame Revised Statutes, Title 22, section 3174~FFF, subsect10n 1 It 
requires the coverage to be provided w1thm funds appropriated for that coverage and 
requires the Comm1ss1oner of Health and Human Services to adjust ehg1b1hty lmuts as 
necessary to ensure that the program operates wtthm budget hm1ts Similar to the btll, the 
amendment reqmres the Department of Health and Human Services to max1m1ze the receipt 
of federal matchmg funds(and auth01 izes the 
1ss1oner to seek to acquu e matching 
federal funds 
, 
0] 
l 
J, J 
SPONSORED BY: 
\ l 
, __ 
...... , 
_...,v..,.......,,,,,,__ ___________ _ 
(Representative MEYER, M.) 
TOWN: Eliot 
FUJCALNDII IIQtJIUD 
........ ,, 
HOUSE AMENDMENT 
Approved 07 /06/23 ~.ae 
LD 199 
LR 509(06) 
An Act to Improve the Health of Maine Residents by Removing Exclusions to the MaineCare Program 
Fiscal Note for House Amendment ,€,t to Committee Amendment O A" ( H .. 120) 
Sponsor: Rep. Meyer of Eliot 
Net Cost (Savings) 
Genetal Fund 
Appropriations/Allocations 
Genet al Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$0 
$0 
FY 2024-25 
Projections 
FY 2025-26 
Projections 
FY 2026-27 
($7,514,403) 
($4,865,497) 
($4,865,497) 
($7,514,403) 
($4,865,497) 
($4,86~,4\J I) 
This amendment changes the Genet al Fund appt op1 rnt10ns to the Department of Health and Human Set vices fl om 
$13,679,998 m fiscal yeat 2024-25 to $6,165,595 m fiscal yea1 2024~25 to change the requuement fot MameCate 
p10giam covetage fot nonc1t1zcn 1es1dents of the State fiom all noncttlzen 1es1dents over 21 with quahfymg low 
mcomes who are mehg1ble fo1 coverage undet the fede1al Med1ca1d p10giam due to then 11111mg1at1011 status to only 
those who ate a patent 01ca1etake11elat1ve ofa child unde1 18, begmmng July 1, 2024 
LR0509(06) - Fiscal Note - Page 1 of 1