An Act to Improve the Health of Mame Residents by Removmg Exclusions to the MameCa1e Ptogiam
Maine Legislature, Session 131, LD 0199
Committee Amendment CA_A_HA_A_H719 (House)
Amends: 22 MRSA §3174, 22 MRSA §3174-F

HOUSE AMENDMENT "A,, to COMMITTEE AMENDMENT "A" to H P 123, 
L D 199, "An Act to Improve the Health of Mame Residents by Removmg Exclusions to 
the MameCa1e Ptogiam" 
Amend the amendment m the fit st mstt uct1onal pat ag1 aph by st11kmg out the followmg 
11in sect10n 1 m the blocked pa1agraph m the fast hne (page I, lme 4 m L D) by st11kmg 
out the following 
Janua1 y" and mse1tmg the followmg I July"' and mse11mg the following 
'by st1ikmg out everything afte1 the enactmg clause and mse11mg the followmg 
'Sec. 1. 22 MRSA §3174 .. FFF, sub-§1-A 1s enacted to 1ead 
1-A. 
Additional coverage provided for parents and caretake1 relatives. 
Notw1thstandmg any prov1s10n of law to the contrary, effective July I, 2024, and sub1ect 
to admstment by the com1111ss1one1 pmsuant to this subsection. the parent 01 caietake1 
relative of a child who 1s unde1 18 yea1s of age and ehg1ble fot coverage th1ough the 
MameCa1e p1ogram 01 the ch1ld1en's health msmance p1og1am as defined m section 
l 74"X, subsect10n 1. paiagrnph A 01 unde1 subsection 1 1s eltgtble fot the same scope of 
medical assistance p10v1ded unde1 section 3174-G fot compaiable emollment g1oups to a 
pe1son who would be eligible for assistance unde1 the fedetal Med1ca1d progiam unde1 
Title XIX of the fede1 al Social Seem tty Act but fm the pe1 son's 1mm1g1 at1011 status In 
accordance with 8 Umted States Code, Section 1621, the State shall app10pnate funds m 
the state budget to p10v1de state-funded medical assistance th1ough the MameCa1e p10g1am 
for nonc1ttzens who ate parents 01 ca1etake1 relatives unde1 this subsection who 1es1de m 
the State and ate mehgtble f01 covet age due to fede1 al 1 estnctmns 1 elatmg to imm1g1 at10n 
status m the fedeial Med1ca1d pt ogram 
MameCate services p1ov1ded under this subsection must be p10v1ded withm the lumts of 
funds app10priated fot those services, mcludmg an annual mflat1on admstment eqmvalent 
to the 1 ate of mflat1on m the Med1ca1d p1 ogiam On a qua11eily basts, the comnuss1one1 
shall determme the fiscal status of p1og1am eA.pend1tmes unde1 this subsection If the 
comm1ss1one1 det~rmines that expenditmes will exceed the funds available to p10v1de 
MameCme coverage pmsuant to this subsection, the cornm1ss1one1 shall adrnst the mcome 
ehg1b11ity lumt fo1 new apphcants to the extent 11ecessa1y to p10v1de MameCaie services 
unde1 tlus subsection w1thm funds appropuated 
If. afte1 an adrnstment has occu11ed 
pmsuant to tlus subsection. expend1tmes fall below the funds apptopllated, the 
Page I - 131LR0509(05) 
HOUSE AMENDMENT 
ROS 
HOUSE AMENDMENT" A" to COMMITTEE AMENDMENT "A" to HP 123, L D 199 
com1111ss1one1 shall I a1se the income ehg1b1hty lim rt to the extent necessaiy to pt ovtde 
set vices to as many ehg1ble persons as possible w1thm the funds apptopuated 
By July 1, 2024, the department shall adopt 1 ules to unplement this subsection Rules 
adopted pursuant to tlus subsectmn are 1outme technical 1ules as defined m Title 5, chapte1 
375. subchapter 2-A 
Sec. 2. 22 MRSA §3174-FFF, sub-§1-B 1s enacted to 1ead 
1-B. Maximization of fedeial funds. The department shall maxn111ze the t ece1pt of 
avatlable fede1al matchmg funds for coveiage p10v1ded unde1 subsections I and 1-A 
Sec. 3. Federal Medicaid waivers or state plan amendments; fundmg, The 
Department of Health and Human Services shall establish coveiage undet the Mame 
Revised Statutes, Title 22, sectron 3174-FFF, subsection 1-A as of July 1, 2024 using state 
funds The depatiment may seek to acqmre matchmg fede1 al funds unde1 the Med1ca1d 
program by subm1ttmg to the Umted States Department of Health and Human Services, 
Cente1s fot Med1ca1e and Med1ca1d Services any wa1ve1s 01 state plan amendments 
dete1mmed necessary Implementatmn of coverage 1equ11ed by Title 22, section 3174-FFF, 
subsectmn 1-A 1s not contmgent on fedetal app1oval of any wa1ve1s 01 amendments to the 
state Med1ca1d plan 01 fedeial fund mg f01 this pm pose 
Sec. 4. 
Appropriations and allocations. The followmg app1op11ahons and 
allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative· P10v1des fundmg fo1 MameCaie program coveiage fo1 nonc1t1zen 1es1dents of 
this State who are pa1ents or caietake1 relatives of a cluld under 18 yeats of age with 
quahfymg low mcom'.es who a1e mehg1ble f01 coveiage undei the fedetal Medicaid 
ptogiam due to then 11nm1g1at1011 status, begmmng July 1, 2024 
GENERAL FUND 
2023-24 
All Othe1 
$0 
GENERAL FUND TOTAL 
$0 
Office ofMaineCare Services 0129 
ImtJat1ve P1ov1des one-time fundmg for 1equ11ed technology changes 
GENERAL FUND 
All Other 
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 
I 
' \ I 
HOUSE AMENDMENT" A•~to COMMITTbEAMENDMENT"A" to HP 123, L D 199 
DEPARTMENT TOTAL-ALL FUNDS 
$75,001 
$6,165,595 
It 
Amend the amendment by stnkmg out all of the 2nd~ 3rd and 4th mstruct10nal 
paiag1aphs 
Amend the amendment by st11kmg out all of section 5 
Amend the amendment by 1elette1mg or 1enumbe1mg any nonconsecutive Part Iette1 or 
section numbe1 to 1ead consecut1vely 
SUMMARY 
This amendment pl ov1des MaineCa1 e pt og1 am covet age fo1 nonc1t1zen 1 es1den ts of the 
State who ate patents 01 ca1etake1 1elattves with quahfymg low mcomes who ate mehgtble 
for cove1age unde1 the fedetal Med1ca1d p10giam due to then 1mmigiat10n status The 
md1v1dual must be a patent 01 ca1etaker 1elat1ve fot a child undet 18 yea1s of age who 1s 
eligible fot cove1age tluough the MameCa1e p10grnm m the chtld1en
1s health insmance 
p1ogiam 01 unde1 the Mame Revised Statutes, Title 22, section 3174-FFF~ subsection 1 It 
eqmres the covet age to be p1 ov1ded w1thm funds app1 op1 iated fo1 that coverage and 
1equues the C01mmss1one1 of Health and Human Services to adjust ehg1b11tty hm1ts as 
necessary to ensure that the progiam ope1 ates w1thm budget lunits S1m1la1 to the bill, the 
amendment reqmres the Depa11ment of Health and Human Se1v1ces to max1m1ze the 1ece1pt 
of fedeial matchmg funds and autho11zes the comm1ss1one1 to seek to acquu e matchmg 
federal funds 
SPONSORED BY:~~CJ:b:::) 
(Speaker TALBOT ROSS, R.) 
TOWN: Portland 
FISCAL NOTE B.EQfflRED 
{See attached) 
HOUSE AMENDMENT 
App10ved 07/05/23 ;:/;Pae 
LD 199 
LR 509(05) 
An Act to Improve the Health of Maine Residents by Removing Exclusions to the MameCare Program 
Fiscal Note for House Amendment nAt to Committee Amendment ttA" (tt·r\q) 
Sponsor: Spkr. Talbot Ross of Portland 
Net Cost (Savings) 
Genet al Fund 
App1 opriations/Allocations 
Geneial Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2023-24 
$0 
$0 
FY 2024-25 
Pt OJ ections 
FY 2025-26 
Projections 
FY 2026-27 
($7,514,403) 
($4,865,497) 
($4,865,497) 
($7,514,403) 
($4,865,497) 
($4,865,4 ,, 
Th1s amendment changes the Gene1al Fund app1opnat1011s to the Depa1tment of Health and Human Services fiom 
$13,679,998 m fiscal yeai 2024-25 to $6,165,595 111 fiscal yeat 2024-25 to change the requnement fo1 MameCaie 
p1ogiam covet age f01nonc1t1ze111es1dents of the State fiom all nonc1t1zen 1es1dents over 21 with quahfymg low 
mcomes who me mehg1ble fot coveiage unde1 the federal Med1ca1d progiam due to then u111111giat1on status to only 
those who a1e a patent 01 caretaket 1elattve of a child undet 18, begmmng July I, 2024 
LR0509(05) - Fiscal Note w Page l of 1