An Act to Amend the Laws Regarding Health and Human Services
Maine Legislature, Session 131, LD 0299
Committee Amendment CA_A_H885 (House)
Amends: 22 MRSA §2127, 22 MRSA §3174-B, 22 MRSA §3174-G, 22 MRSA §3, 22 MRSA §3174-T, 22 MRSA §3174-X, 22 MRSA §3174-N, 24 MRSA §2332-A, 24-A MRSA §2844, 24-A MRSA §2849-B

COMMITTEE AMENDMENT UF\ " to H,P. 197, L.D, 299, "An Act to Amend the
Laws Regarding Health and Human Services"
Amend the bill by striking out the title and substituting the following:
'An Act to Correct Language Related to Medicaid Coverage for Children'
Amend the bill by striking out everything after the enacting clause and inserting the
following;
'See. 1. 22 MRSA §2127, sub-§2, ^E, as corrected by RR 2021, c, 2, Pt. A, §5.9,
is amended to read;
E, Implement a patient screening process to determine patient eligibility for Medicaid,
the Cub Care program Children's Health Insurance Program under section 3174-T and
the sliding fee scale; and
Sec. 2. 22 MRSA §2127, sub-§6, as corrected by RR 2021, c, 2, Ft. A, §60, is
amended to read;
6. Coordination with ]VIedicaid and the Cub Care program. The department shall
coordinate assistance under this chapter with Medicaid and the Cub Care program
Children's Health Insurance Program under section 3174-T in a manner most likely to
obtain and maximize federal matching funds,
Sec. 3. 22 MR8A §3173-K, first ^ as enacted by PL 2023, c. 31, § 1, is amended
to read:
To promote public health and the health of MaineCare members, the department may
authorize standing orders for the dispensing of vaccines as described in Title 32, section
13831 and nonprescription drugs as defined in Title 32, section 13702-A, subsection 20
that support access to preventive care and medically necessary services for Medicaid
recipients as defined m section 3172, subsection 3; participants in the state-funded medical
program for noncitizens under section 3174-FFF; elderly low-cost drug program enrollees
as defined in section 254-D, subsection 1, paragraph B; qualified residents as defined in
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section 2681, subsection 2, paragraph F; and persons receiving benefits under the Cub Caro
program Children's Health Insurance Program under section 31 74-T,
Sec. 4. 22 MRSA §3174-B, sub-§3, as enacted by PL 1999,c.731, Ft. AA, §2,is
amended to read;
3. Mfonthly expenditure projections. The commissioner shall prepare a monthly
report detailing all expenditures in the Medical Care - Payments to Providers program for
each month of every fiscal year. This document must include sufficient detail, including
expenditu-es by fund and category of service, for the month as well as historical data, fiscal
year-to-date amounts and projections for the remainder of the biennium and the ensuing
biennium. The report also must include monthly statistics on the number of individuals
eligible for Medicaid and 6ub Care Children's Health Bisurance Program benefits. The
report must be submitted to the joint standing committees of the Legislature having
jurisdiction over appropriations and financial affairs and health and human services matters
no later than 1 5 days following the end of each month.
Sec. 5. 22 MRSA §3174-G, sub-§l, ^[B, as amended by PL 2021, c, 635, Pt. CCC,
§ 1, is further amended to read;
B. An infant A person under one year 21 years of age when the -krfaffte person's family
income is equal to or below 200% 300% of the nonfarm income official poverty line?
except-that the department may adopt a rule that provides that infants in families with
mcome over 185% and equal to or below 300% of the nonfarm income official poverty
line who meet the eligibility requirements of the Cub Care program established under
section 317/1 -T arc eligible to participate in the Cub Care program instead ofMedicaid.
Rules adopted pursuant to this paragraph are routine technical rules as defined in Title
5, chapter 375, subchapter 2-A;
Sec. 6. 22 MRSA §3l74-G, sub-§l, ^D, as amended by PL 2021, c. 635, Pt. CCC,
§2, is repealed.
Sec. 7. 22 MRSA §3174-G, sub-§l, ^E, as amended by PL 2011, c, 477, Ft, Z,
§ 1, is further amended to read;
E. On or before September 30, 2012, the parent or caretaker relative of a child
described in paragraph B ey-& when the child's family income is equal to or below
200% of the nonfann income official poverty line, subject to adjustment by the
commissioner under this paragraph and, beginning October 1, 2012, the parent or
caretaker relative of a child described in paragraph B w-Q when the child's family
income is equal to or below 133% of the nonfarm income official poverty line, subject
to adjustment by the commissioner under this paragraph. Medicaid services provided
under this paragraph must be provided within the limits of the program budget. Funds
appropriated for services under this paragraph must include an annual inflationary
8 adjustment equivalent to the rate of inflation in the Medicaid program, On a quarterly
9 basis, the commissioner shall determine the fiscal status of program expenditures under
this paragraph. If the commissioner determines that expenditures will exceed the funds
available to provide Medicaid coverage pursuant to this paragraph, the commissioner
must adjust the income eligibility limit for new applicants to the extent necessary to
operate the program within the program budget. If, after an adjustment has occurred
pursuant to this paragraph, expenditures fall below the program budget, the
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commissioner must raise the income eligibility limit to the extent necessary to provide
services to as many eligible persons as possible within the fiscal constraints of the
program budget, as long as on or before September 30, 2012 the mcome limit does not
exceed 200% of the nonfarm income official poverty line and, begimiing October 1,
2012, the income limit does not exceed 133% of the nonfarm income official poverty
line;
Sec. 8. 22 MRSA §3174-G, sub-§l, ^E, as amended by PL 2011, c, 657,Pt. Z, §1
and affected by §2, is further amended to read:
E, On or before September 30, 2012, the parent or caretaker relative of a child
. described in paragraph B Q¥-Q when the child's family income is equal to or below
200% of the nonfarm income official poverty line, subject to adjustment by the
commissioner under this paragraph and, beginning October 1, 2012, the parent or
caretaker relative of a child described in paragraph B Q¥-Q when the child's family
income is equal to or below 100% of the nonfarm income official poverty line,
Medicaid services provided under this paragraph must be provided within the limits of
the program budget. Funds appropriated for services under this paragraph must include
an annual inflationary adjustment equivalent to the rate of inflation in the Medicaid
program, On a quarterly basis, the commissioner shall determine the fiscal status of
program expenditures under this paragraph. If the commissioner determines that
expenditures will exceed the funds available to provide M:edicaid coverage pursuant to
this paragraph, the commissioner must adjust the income eligibility limit for new
applicants to the extent necessary to operate the program within the program budget,
If, after an adjustment has occurred pursuant to this paragraph, expenditures fall below
the program budget, the commissioner must raise the income eligibility limit to the
extent necessary to provide services to as many eligible persons as possible within the
fiscal constraints of the program budget, as long as on or before September 30, 2012
the income limit does not exceed 200% of the nonfarm income official poverty line;
Sec. 9. 22 MRSA §3174-G, sub-§l-D, as enacted by PL 2007, c, 539, Ft, NNN,
§ 1, is amended to read;
1-D. Enrollment fee. Thedepartmentmay assess an annual enroltoient fee of $25 for
participation in the MaineCare program for a family including a parent or caretaker relative
of a child described m subsection 1, paragraph B w-E> when the family's income exceeds
150% of the nonfarm Income official poverty line.
Sec. 10. 22 MRSA §3174-G, sub-§4, as enacted by PL 2019, c, 485, §2, is
amended to read;
4. Transitional Medicaid. The department shall administer a program of transitional
Medicaid to families receiving benefits under Section 1931 of the federal Social Security
Act in accordance with 42 United States Code, Section 1396r-6 and this subsection, The
amount, duration and scope of services provided under this subsection must be the same as
that provided to a parent or caretaker relative of a child described in subsection 1, paragraph
Bw-Q.
A, The department shall provide transitional Medicaid for a 12-month extension period
in accordance with 42 United States Code, Section 1396r-6, Subsection (a), Paragraph
(5) to families whose eligibility for Medicaid assistance terminated due to an increase
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in earned income, an increase in hours of employment or a loss of a time-limited
earnings disregard.
B. The department shall provide transitional Medicaid for 4 months to families whose
eligibility for Medicaid assistance terminated due to an increase in the amount of child
support received by the family,
Sec. 11. 22 MRSA §3174-T, as amended by PL 2023,c,405, Pt. A, §62, is further
amended to read;
§3174-T. Cub Care program Children's Health Insurance Program
1. Program established. The Cub Care program Children's Health Insurance Program
is established to provide health coverage for low-income children who are ineligible for
benefits under the Medicaid program and who meet the requirements of subsection 2 or
3-A. The purpose of the Cub Care program Children's Health Insurance Program is to
provide health coverage to as many children as possible within the fiscal constraints of the
program budget and without forfeiting any federal funding that is available to the State for
the State Children's Health Insurance Program through the federal Balanced Budget Act of
1997, Public Law 105-33, 111 Stat. 251, referred to in this section as the Balanced Budget
Act of 1997,
2. Eligibility; enrollment. Health coverage under the Gub Care program Children's
Health Insurance Program is available to children under 19 years of age whose family
income is above the eligibility level for Medicaid under section 3174-G and below the
maximum eligibility level establifihed under paragraphs A and B and who meet the
requirements set forth in paragraph C,
A, The maximum eligibility level, subject to adjustment by the commissioner under
paragraph B, is 300% of the nonfarm income official poverty line department may
adopt rules regardhe federal funding of the program within federal guidelines up to
the maximum elieibility levels described under section 31 74-G.
B, If the commissioner has determined the fiscal status of the Cub Care program
Children's Health Insurance Program under subsection 8 and has determined that an
adjustment in the maximum eligibility level is required under this paragraph, the
commissioner shall adjust the maximum eligibility level in accordance with the
requu-ements of this paragraph,
(1) The adjustment must accomplish the purposes of the Cub Care program
Children's Health Insurance Program set forth in subsection 1 .
(3) If Cub Care program Children's Health Insurance Program expenditures are
5 reasonably anticipated to fall below the program budget, the commissioner shall
raise the maximum eligibility level set in paragraph A to the extent necessary to
provide coverage to as many children as possible within the fiscal constraints of
38. the program budget. If Cub Care program Children's Health Insurance Program
9 expenditures are reasonably anticipated to exceed the program budget after raising
the maximum eligibility level pursuant to this subparagraph, the commissioner
may lower the maximum eligibility level to the level established in paragraph A.
(4) The commissioner shall give at least 30 days' notice of the proposed change in
maximum eligibility level to the joint standing committee of the Legislature having
jurisdiction over appropriations and financial affairs and the joint standing
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committee of the Legislature having jurisdiction over health and human services
matters,
C, All children resident in the State are eligible except a child who;
(1) Is eligible for coverage under the Medicaid program;
(2) Is covered under a group health insurance plan or under health insurance, as
defined in Section 2791 of the federal Public Health Service Act, 42 United States
Code, Section 300gg(c) (Supp, 1997); or
(4) Is an inmate a resident in a public institution or a patient in an institution for
mental diseases,
(5) Within the 3 months prior to application for coverage under the Cub Care
program Children's Health Insurance Program, was insured or otherwise provided
coverage under an employer-based health plan for which the employer paid 50%
or more of the cost for the child's coverage, except that this subparagraph does not
appfy ^
(a) The cost to the employee of coverage for the family exceeds 10% of the
family's income;
(b) The parent lost coverage for the child because of a change in employment,
termination of coverage under the Consolidated Omnibus Budget
Reconciliation Act of 1985, COBRA, of the Employee Retirement Income
Security Act of 1974, as amended, 29 United States Code, Sections 1161 to
1168 (Supp, 1997) or termination for a reason not in the control of the
employee; or
(c) The department has determined that grounds exist for a good-cause
exception. .
D, Notwithstanding changes in the maximum eligibility level determined under
paragraph B, the following requirements apply to enrollment and eligibility:
(1) Children must be enrolled for 12-month enrollment periods, Prior to the end
of each 12-month enrollment period the department shall redetermme eligibility
for continuing coverage; and
0 (2) Children of higher family income may not be covered unless children of lower
family income are also covered, This subparagraph may not be applied to
disqualify a child during the 12-month enrollment period. Children of higher
family income may be disqualified at the end of the 12-month enrollment period if
the commissioner has lowered the maximum eligibility level under paragraph B,
E. Coverage under the Cub Care program Health Insurance Purchase Option of the
6 Children's Health Insurance Program may be purchased for children under 19 years of
age described in subparagraphs (1) and (2) for a period of up to 18 months as provided
in this paragraph at a premium level that is revenue neutral and that covers the cost of
9 the benefit and a contribution toward administrative costs no greater than the maximum
level allowable under the Consolidated Omnibus Budget Reconciliation Act of 1985,
COBRA, of the Employee Retirement Income Security Act of 1974, as amended, 29
United States Code, Sections 1161 to 1168 (Supp. 1997), The department shall adopt
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^ ^ .^..^^,.^.,, .„.„.. ^.^
rules to implement this paragraph. The following children are eligible to enroll under
this paragraph:
(1) A child who is enrolled under paragraph A or B and whose family income at
the end of the child's 12-month enrollment term exceeds the maximum allowable
income set in that paragraph; and
(2) A child who is enrolled in the Medicaid program and wt)ose family income
exceeds the limits of that program. The department shall terminate Medicaid
coverage for a child who enrolls in the Cub Care program Children's Health
Insurance Program under this subparagraph.
F, The department may not apply an asset test to a child or child's family when the
child is otherwise eligible for the Cub Care program Children's Health Insurance
Program under this section.
2-A. Persons 19 and 20 years of age. Health coverage under the Cub Care program
is available to a person 19 or 20 years of age whose family income is above the eligibility
level for Medioaid under soction 3174 •G and below the maximum eligibility level
established under subsection 2, paragraphs A and B and who meets the requirements set
forth in subsection 2, paragraph C, —All the requirements of eligibility, program
administration, benefit delivery and outreach established in this section apply to persons
19 and 20 years of age,
3. Program administration; benefit design. With the exception of any requirements
imposed under this section, the Cub Care program Children's Health Insurance Program
must be integrated with the Medicaid program and administere d with it in one
administrative structure within the department, with the same enrollment and eligibility
processes, benefit package and outreach and in compliance with the same laws and policies
as the Medicaid program., except when those laws and policies are inconsistent with this
section and the Balanced Budget Act of 1997. The department shall adopt and promote a
simplified eligibility form and eligibility process.
4. Benefit delivery. The Cub Care program Children's Health Insurance Program
must use, but is not limited to, the same benefit delivery system as the Medicaid program,
providing benefits through the same health plans, contracting process and providers,
Copayments and deductibles may not be charged for benefits provided under the program,
5. Premium payments. Premiums must be paid in accordance with this subsection,
A, Premiums must be paid at the beginning of each month for coverage for that month
according to the following scale;
(1) Families with incomes between 150% and 160% of the federal nonfarm income
official poverty li'ne pay premiums of 5% of the benefit cost per child, but not more
than 5% of the cost for 2 children;
8 (2) Families with incomes between 160% and 170% of the federal nonfarm income
official poverty line pay premiums of 10% of the benefit cost per child, but not
more than 10% of the cost for 2 children;
(3) Families with incomes between 170% and 185% of the federal nonfarm income
official poverty line must pay premiums of 15% of the benefit cost per child, but
not more than 15% of the cost for 2 children; and
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^ COMMITTEE AMENDMENT " /~1 " to H,P, 197, L.D. 299
^ ^ __.........^._^^,. .-„,.,.„.
(4) Families with incomes between 185% and 200% of the federal nonfarm income
official poverty line must pay premiums of 20% of the benefit cost per child, but
not more than 20% of the cost for 2 children.
B. When a premium is not paid at the beginning of a month, the department shall give
notice of nonpayment at that time and again at the beginning of the 6th month of the 6-
month enrollment period if the premium is still unpaid, and the department shall
provide an opportunity for a hearing and a grace period in which the premium may be
paid and no penalty will apply for the late payment, If a premium is not paid by the
end of the grace period, coverage must be terminated unless the department has
determined that waiver of premium is appropriate under paragraph D. The grace period
is determined according to this paragraph,
(1) Ifnonpayment is for the first, 2nd, 3rd, 4th or 5th month of the 6-month
enrollment period, the grace period is equal to the remainder of the 6-month
enrollment period,
(2) Ifnonpayment is for the 6th month of the 6-month enrollment period, the grace
period is equal to 6 weeks,
C. A child whose coverage under the Cub Care pyegmm Children's Health Insurance
Program has been terminated for nonpayment of premium and who has received
coverage for a month or longer without premium payment may not reenroll until after
a waiting period that equals the number of months of coverage under the Cub Care
program Children's Health Insurance Program without premium payment, not to
exceed 3 months.
D. The department shall adopt rules allowing waiver of premiums for good cause,
6. Incentives. In the contracting process for the Cub Care program Children's Health
Insurance Program and the Medicaid program, the department shall create incentives to
reward health plans that contract with school-based clinics, community health centers and
other community-based programs.
7. Administrative costs. The department shall budget 2% of the costs of the Cub Care
program Children's Health Insurance Program for outreach activities. After the first 6
months of the program and to the extent that the program budget allows, the department
may expend up to 3% of the program budget on activities to increase access to health care,
In addition, the department shall apply for additional federal funds available for Medicaid
outreach activities. The goal of outreach activities under this subsection is to enroll 100%
of children eligible for the Cub Care program Children's Health Insurance Program or the
5 MaineCare program,
8. Quarterly determination of fiscal status; reports. On a quarterly basis, the
commissioner shall determine the fiscal status of the Cub Care program Children's Health
Insurance Program, determine whether an adjustment in maximum eligibility level is
required under subsection 2, paragraph B and report to the joint standing committee of the
Legislature having jurisdiction over appropriations and financial affairs and the joint
standing committee of the Legislature having jurisdiction over health and human services
matters on the following matters:
A, Enrollment approvals, denials, terminations, reenrollments, levels and projections.
With regard to denials, the department shall gather data from a statistically significant
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COMMITTEE AMENDMENT " f\ to H.P. 197, L.D. 299
nO5
sample and provide information on the income levels of children who are denied
eligibility due to family income level;
B, Cub Care program Children's Health Insurance Program expenditures, expenditure
projections and fiscal stalls;
C, Proposals for increasing or decreasing enrollment consistent with subsection 2,
paragraph B;
D. Proposals for enhancing the Cub Care program Children's Health Insurance
Program;
E, Any information the department has from the Cub Care program Children's Health
Insurance Program or from the Department of Professional and Financial Regulation,
Bureau of Insurance or the Department of Labor on employer health coverage and
insurance coverage for low-income children;
F, The use of and experience with the purchase option Health Insurance Purchase
Option under subsection 2, paragraph E; and
G, Cub Care program Children's Health Insurance Program administrative costs,
9. Provisions applicable to federally recognized Indian tribes. After consultation
with federally recognized Indian nations, tribes or bands of Indians in the State, the
commissioner shall adopt rules regarding eligibility and participation of children who are
members of a nation, tribe or band, consistent with Title 30, section 6211, in order to best
achieve the goal of providing access to health care for all qualifying children within
program requirements, while using all available federal funds,
10. Rulemaking. The department shall adopt rules in accordance with Title 5, chapter
375 as required to implement this section. Rules adopted pursuant to this subsection are
routine technical rules as 'defined by Title 5, chapter 375, subchapter 2-A,
11. Cub Care Children's Health Insurance Proeram drug rebate program
agreement. Effective October 1, 1999, the department shall enter into a drug rebate
agreement with each manufacturer of prescription drugs that results in a rebate equal to that
which would be achieved under the federal Social Security Act, Section 1927,
12. Premium rate review; adjustment. Effective July 1, 2004, the department shall
0 periodically evaluate the amount of premiums charged under this section to ensure that the
premiums charged reflect the most current benefit cost per child. The commissioner shall
2 adjust the premiums by rule, Rules adopted pursuant to this subsection are routine technical
rules as defined in Title 5, chapter 375, subchapter 2-A.
Sec. 12. 22MRSA§3174-U,asenactedbyPL1999,c.301,§l,isamendedtoread:
§3174-U. Medicaid reimbursement for dental sei-vices
6 The department shall conduct an annual review of the adequacy of reimbursement rates
for dental services for dentists who provide care for a disproportionate number of patients
whose care is reimbursed through the Medicaid program and the Cub Core program
Children's Health Insurance Program established in section 3174-T, By December 31,
1999, the department shall report to the joint standing committee of the Legislature having
jurisdiction over health and human services matters on the results of the study, including
the costs in General Fund and other money,
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Sec. 13. 22 MRSA §3174-X, sub-§l, ^[A, as enacted by PL 2015, c, 511, §1,is
amended to read;
A, "Children's health insurance program" means the state children's health insurance
program under Title XXI of the Social Security Act. "Children's health insurance
program" includes the Gub Care programrwhieh-is established in section 3174-T, the
federal Children's Health Insurance Program, or CHIP, and the federal State Children's
Health Insurance Program, or S-CfflP.
Sec. 14. 22 MRSA §3174-BB, sub-§l, as enacted by PL 2001, c, 450,Pt. A, §4,
is amended to read;
1. Children. In the Medicaid program and the Cub Care pr-egmffl Children's Health
Insurance Program under section 3174"T, the enrollment period for children under 19 years
of age must be 12 months.
Sec. 15. 22 MRSA §3174-NNN is enacted to read:
§31'74-NNN.^ MEaineCare eligibility for oersons under 21 years of age
The department may seek authoritv from the United States Department of Health and
Human Services. Centers for Medicare and IVIedicaid Services using a state plan option or
a waiver through the Medicaid program or the federal State Children's Health Insurance
Program to reduce barriers to coverage or increase MameCare eligibility for oersons under
21 years of age,
Sec. 16. 24 MRSA §2332-A, sub-§2, as amended by PL 2005,c. 683, Ft, A,§38,
is further amended to read:
2. Medicaid and Cub Care programs Children's Health Insurance Proeram.
Nonprofit service organizations may not consider the availability or eligibility for medical
assistance under 42 United States Code, Section 13969, referred to as "Medicaid," or Title
22, section 3174-T, referred to as the "Cub Care program Children's Health Insurance
Program." when considering coverage eligibility or benefit calculations for subscribers and
covered family members,
A. To the extent that payment for coverage expenses has been made under the
Medicaid program or the Cub Care program Children's Health Insurance Program for
health care items or services furnished to an individual, the State is considered to have
acquired the rights of the covered subscriber or family member to payment by the
nonprofit service organization for those health care items or services. Upon
presentation of proof that the Medicaid program or the Cub Care program Children's
Health Insurance Program has paid for covered items or services, the nonprofit service
organization shall make payment to the Medicaid program or the Cub Care program
Children's Health Insurance Program according to the coverage provided in the
contract or certificate,
B, A nonprofit service organization may not impose requirements on a state agency
that has been assigned the rights of an mdividual eligible for Mfidicaid or Cub Care
Children's Health Insurance Program coverage and covered by a subscriber contract
that are different from requirements applicable to an agent or assignee of any other
covered individual.
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rf>s
Sec. 17. 24-A MRSA §2844, sub-§2, as amended by PL 2005, c, 683, Ft. A,§41,
is further amended to read:
2. IVIedicaid and Cub Care programs Children's Health Insurance Proeram.
Insurers may not consider the availability or eligibility for medical assistance under 42
United States Code, Section 13969, referred to as "Medicaid," or Title 22, section 3174-T,
referred to as the "Cub Care program Children's Health Insurance Program," when
considering coverage eligibility or benefit calculations for insureds and covered family
members,
A, To the extent that payment for coverage expenses has been made under the
Medicaid program or the Cub Care program Children's Health Insurance Program for
health care items or services furnished to an individual, the State is considered to have
acquired the rights of the insured or family member to payment by the insurer for those
health care items or services, Upon presentation of proof that the Medicaid program
or the Cub Care program Children's Health Insurance Program has paid for covered
items or services, the insurer shall make payment to the Medicaid program or the €ub
Care program Children's Health Insurance Program according to the coverage provided
in the contract or certificate.
B, An insurer may not impose requirements on a state agency that has been assigned
the rights of an individual eligible for Medicaid or Cub Care Children's Health
Insurance Program coverage and covered by a subscriber contract that are different
from requirements applicable to an agent or assignee of any other covered individual,
Sec. 18. 24-A MRSA §2849-B, sub-§3, ^[C-l, as amended by PL 2005, c, 683,
Ft. A, §42, is further amended to read:
C-l. That person was covered by the Cub Care program Children's Health Insurance
Program under Title 22, section 3174-T, and the request for replacement coverage is
made while coverage is in effect or within 30 days from the termination of coverage;
or
Sec. 19. 32MRSA§18377,sub-§4,asamendedbyPL2019,c,388,§10,isfurther
amended to read;
4. Dental coverage and reimbursement. Notwithstanding Title 24-A, section 2752,
any service performed by a dentist, dental assistant or dental hygienist licensed in this State
that is reimbursed by private insurance, a dental service corporation, the MaineCare
program under Title 22 or the Cub Care program Children's Health Insurance Program
under Title 22, section 3174-T must also be covered and reimbursed when performed by a
dental therapist authorized to practice under this chapter,
Amend the bill by rel'ettering or renumbering any nonconsecutive Part letter or section
number to read consecutively.
SUMMARY
This amendment replaces the bill, which is a concept draft, and changes the title, The
amendment updates language in the laws regarding Maine's federally approved state plan
for Medicaid and the Children's Health Insurance Program filed pursuant to Public Law
2021, chapter 635, Part CCC by making the following modifications to statutory language.
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|.OC? COMMITTEE AMENDMENT "^j" to H.P, 197, L,D, 299
1. It removes the Children's Health Insurance Program references to higher family
income and lower family income limits for infants and children under 19 years of age to
provide the department with future flexibility to maximize funding sources through the
Children's Health Insurance Program,
2, It standardizes language for Medicaid coverage for persons 19 and 20 years of age
to be consistent with current policy,
3, It changes the name of the Cub Care program to the Children's Health Insurance
Program.
4. It updates cross-references,
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