An Act to Eliminate Waiting Lists for Community-based Services for People with Autism Spectrum Disorder, Intellectual Disability, Brain Injury or Other Related Conditions
Maine Legislature, Session 131, LD 0464
Committee: Health and Human Services
Sponsors: OSHER, MOORE, GATTINE, JAUCH, PERRY, SHAGOURY, WARREN, WILLIAMS, TIPPING

Legislative Document
No. 464
H.P. 281
House of Representatives, February 7, 2023
An Act to Eliminate Waiting Lists for Community-based Services 
for People with Autism Spectrum Disorder, Intellectual Disability, 
Brain Injury or Other Related Conditions
(EMERGENCY)
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative OSHER of Orono.
Cosponsored by Senator MOORE of Washington and
Representatives: GATTINE of Westbrook, JAUCH of Topsham, PERRY of Bangor, 
SHAGOURY of Hallowell, WARREN of Scarborough, WILLIAMS of Bar Harbor, Senator: 
TIPPING of Penobscot.
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 to establish one Human Services Casework Supervisor 
position, 2 Human Services Caseworker positions, one Social Services Program Specialist 
II position, 3 DD Resource Coordinator positions and one Office Specialist position to 
handle the influx of members entering the waiver programs.
GENERAL FUND
2023-24
2024-25
POSITIONS - LEGISLATIVE COUNT
8.000
8.000
Personal Services
$353,879
$370,648
All Other
$39,360
$39,360
__________
__________
GENERAL FUND TOTAL
$393,239
$410,008
Developmental Services Waiver - MaineCare Z211
Initiative: Provides appropriations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under the department's rule Chapter 101: MaineCare Benefits Manual, Chapters 
II and III, Section 21, Home and Community Benefits for Members with Intellectual 
Disabilities or Autism Spectrum Disorder.
GENERAL FUND
2023-24
2024-25
All Other
$7,412,627
$28,629,652
__________
__________
GENERAL FUND TOTAL
$7,412,627
$28,629,652
Developmental Services Waiver - Supports Z212
Initiative: Provides appropriations to provide services to individuals with developmental 
disabilities or autism spectrum disorder on the waiting list for community-based services 
provided under the department's rule Chapter 101: MaineCare Benefits Manual, Chapters 
II and III, Section 29, Support Services for Adults with Intellectual Disabilities or Autism 
Spectrum Disorder.
GENERAL FUND
2023-24
2024-25
All Other
$167,640
$773,691
__________
__________
GENERAL FUND TOTAL
$167,640
$773,691
Long Term Care - Office of Aging and Disability Services 0420
Initiative: Provides funding to eliminate the waiting lists for services provided under the 
department's rule Chapter 10-149: Office of Aging and Disability Services, Chapter 5, 
Office of Aging and Disability Services Policy Manual, Section 63, In-Home and 
Community Support Services for Elderly and Other Adults, and Chapter 14-197: Office of 
Aging and Disability Services, Chapter 11, Consumer Directed Personal Assistance 
Services.
GENERAL FUND
2023-24
2024-25
All Other
$11,331,377
$29,525,711
__________
__________
GENERAL FUND TOTAL
$11,331,377
$29,525,711
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 the department's rule Chapter 101: MaineCare Benefits Manual, Chapters 
II and III, Section 21, Home and Community Benefits for Members with Intellectual 
Disabilities or Autism Spectrum Disorder, and Section 29, Support Services for Adults with 
Intellectual Disabilities or Autism Spectrum Disorder.
OTHER SPECIAL REVENUE FUNDS
2023-24
2024-25
All Other
$1,841,497
$5,880,372
__________
__________
OTHER SPECIAL REVENUE FUNDS TOTAL
$1,841,497
$5,880,372
Medicaid Waiver for Brain Injury Residential /Community Serv Z218
Initiative: Provides appropriations to provide services to individuals with brain injury on 
the waiting list for community-based services provided under the department's rule Chapter 
101: MaineCare Benefits Manual, Chapters II and III, Section 18, Home and Community-
Based Services for Adults with Brain Injury.
GENERAL FUND
2023-24
2024-25
All Other
$1,278,409
$2,782,752
__________
__________
GENERAL FUND TOTAL
$1,278,409
$2,782,752
Medicaid Waiver for Other Related Conditions Z217
Initiative: Provides appropriations to provide services to individuals with other related 
conditions on the waiting list for community-based services provided under the 
department's rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 
20, Home and Community-Based Services for Adults with Other Related Conditions.
GENERAL FUND
2023-24
2024-25
All Other
$327,242
$801,972
__________
__________
GENERAL FUND TOTAL
$327,242
$801,972
Medical Care - Payments to Providers 0147
Initiative: Provides allocations to provide services to individuals with developmental 
disabilities, autism spectrum disorder, brain injury or other related conditions on the 
waiting list for community-based services provided under the department's rule Chapter 
101: MaineCare Benefits Manual, Chapters II and III, Section 21, Home and Community 
Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder; Section 
29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder; 
Section 18, Home and Community-Based Services for Adults with Brain Injury; and 
Section 20, Home and Community-Based Services for Adults with Other Related 
Conditions.
FEDERAL EXPENDITURES FUND
2023-24
2024-25
All Other
$25,624,695
$70,084,781
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$25,624,695
$70,084,781
OTHER SPECIAL REVENUE FUNDS
2023-24
2024-25
All Other
$312,448
$556,548
__________
__________
OTHER SPECIAL REVENUE FUNDS TOTAL
$312,448
$556,548
Office of MaineCare Services 0129
Initiative: Provides allocations to establish one Human Services Casework Supervisor 
position, 2 Human Services Caseworker positions, one Social Services Program Specialist 
II position, 3 DD Resource Coordinator positions and one Office Specialist position to 
handle the influx of members entering the waiver programs.
FEDERAL EXPENDITURES FUND
2023-24
2024-25
Personal Services
$353,879
$370,648
All Other
$48,408
$48,794
__________
__________
FEDERAL EXPENDITURES FUND TOTAL
$402,287
$419,442
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF
DEPARTMENT TOTALS
2023-24
2024-25
GENERAL FUND
$20,910,534
$62,923,786
FEDERAL EXPENDITURES FUND
$26,026,982
$70,504,223
OTHER SPECIAL REVENUE FUNDS
$2,153,945
$6,436,920
__________
__________
DEPARTMENT TOTAL - ALL FUNDS
$49,091,461
$139,864,929
Emergency clause.  In view of the emergency cited in the preamble, this legislation 
takes effect when approved.
SUMMARY
This bill provides funding to provide services to individuals with brain injury, other 
related conditions, developmental disabilities or autism spectrum disorder on the waiting 
lists for community-based services provided under the Department of Health and Human 
Services rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 21, 
Home and Community Benefits for Members with Intellectual Disabilities or Autism 
Spectrum Disorder; Section 29, Support Services for Adults with Intellectual Disabilities 
or Autism Spectrum Disorder; Section 18, Home and Community-Based Services for 
Adults with Brain Injury; and Section 20, Home and Community-Based Services for Adults 
with Other Related Conditions. It also provides funding to eliminate the waiting lists for 
state-funded services provided under Department of Health and Human Services rule 
Chapter 10-149: Office of Aging and Disability Services, Chapter 5, Office of Aging and 
Disability Services Policy Manual, Section 63, In-Home and Community Support Services 
for Elderly and Other Adults and for services provided under Chapter 14-197: Office of 
Aging and Disability Services, Chapter 11, Consumer Directed Personal Assistance 
Services.