An Act to Claufy the Reqmrements for Family Caregivers
Maine Legislature, Session 131, LD 0346
Committee Amendment CA_A_H577 (House)
Amends: 22 MRSA §2149-B

COMMITTEE AMENDMENT "A " 
to HP 220, L D 346, "An Act to Claufy the 
Reqmrements for Family Caregivers" 
Amend the bill by stukmg out the title and substituting the followmg 
'An Act to Reimburse Family Caregivers' 
Amend the bill by stnkmg out everythmg after the enactmg clause and msertmg the 
followmg 
'Sec. 1. 22 MRSA §2149-B 1s enacted to read 
§2149-B. Home health aide services to mmors 
Notw1thstandmg sect10n 214 7, subsection 2, a parent of a cl11ld who 1s ehg1ble for home 
health aide services under the MameCare program may receive reimbursement for 
prov1dmg those services to the child pursuant to this section and accordmg to department 
rule Rules adopted pursuant to this section ai e routme techmcal rules as defined m Title 
5, chapter 375. subchapter 2-A 
Sec. 2. State plan amendment. No later than July 1, 2024, the Department of 
Health and Human Set vices shall apply to the Umted States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services for a state plan amendment 
to allow for quahfymg parents of children and youth with m-home personal care needs who 
are ehg1ble for the MameCare program to be re1mbmsed for p10v1ding home health aide 
services under the Medicaid home health benefit 
Sec. 3. Rulemaking. The Department of Health and Human Services shall amend 
its rule Chapter 101 MameCare Benefits Manual, Sect10n 40, Home Health Services, to 
unplement the Mame Revised Statutes, Title 22, section 2149-B, no late1 than 12 months 
after rece1vmg approval of the state plan amendment submitted pm suant to section 2 The 
depal1ment shall seek mput from stakeholders mcludmg home health agencies when 
developmg the 1 ule 
COMMITTEE AMENDMENT 
~os 
COMMITTEE AMENDMENT •A" to HP 220, L D 346 
Sec. 4. Interim report. The Department of Health and Human Services shall submit 
a report to the Joint Standmg Committee on Health and Human Services on its progress m 
1mplementmg the prov1s1ons ofth1s Act no latet than February 1, 2024 
Sec. 5. Appropriations and allocations. The followmg approp1 iations and 
allocations are made 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Imt1ative Provides fundmg for a parent of a child who is ehgible for home health aide 
services under the MameCare program to receive reunbursement for providmg those 
services to the child 
GENERAL FUND 
2023-24 
2024-25 
All Other 
$0 
$54,902 
GENERAL FUND TOTAL 
$0 
$54,902 
FEDERAL EXPENDITURES FUND 
2023-24 
2024-25 
All Othei 
$0 
$91,933 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$91,933 
Sec. 6. Contingent effective date. That section of this Act that enacts the Mame 
Revised Statutes, Title 22, section 2149-B takes effect only 1f the necessary approval 
pursuant to section 2 1s received and rules are adopted pm suant to section 3 
The 
Commissioner of Health and Human Services shall notify the Secretary of State, the 
Secretary of the Senate, the Clerk of the House of Rep1 esentatives and the Rev1sor of 
Statutes when approval sought under section 2 1s received and rules under section 3 are 
completed' 
Amend the bill by relettermg or renumbermg any nonconsecutive Part letter or sect1011 
number to read consecutively 
SUMMARY 
This amendment replaces the bill, which is a concept diaft, and changes the title It 
requires the Department of Health and Human Se1 vices to sub1mt a state plan amendment 
to the Umted States Department of Health and Human Services, Centers for Med1ca1 e and 
Medicaid Services to request approval to reimburse parents of mmo1 children who a1 e 
eligible f01 home health aide services undei the MameCare program f01 prov1dmg those 
services under the Med1ca1d home health benefit Upon approval, the department must 
amend its rule Chaptei 101 MameCare Benefits Manual, Section 40, Home Health 
Services, to implement the requirement no late1 than 12 months aftet iece1vmg federal 
approval The department must consult with home health agencies when developmg the 
rule The amendment 1eqmres the Department of Health and Human Services to submit a 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT 'A "to HP 220, L D 346 
progress report to the Jomt Standmg Committee on Health and Human Services no later 
than February 1, 2024 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 06/14/23 ::k?ae. 
LD346 
LR 1457(02) 
An Act to Clarify the Requirements for Family Caregivers 
Fiscal Note for Bill as Amended by Committee Amendment A:{ H0"f 'J) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
I 
Appropriations/ AllocatiJns 
General Fund 
J 
Federal Expenditures Fund 
Revenue 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2023-24 
$0 
$0 
$0 
$0 
FY2024-25 
$54,902 
$54,902 
$91,933 
$91,933 
Projections 
FY 2025-26 
$54,931 
$54,931 
$91,904 
$91,904 
Projections 
FY 2026-27 
$54,0 ? 1 
I 
$54,931 
$91,904 
$91,904 
Federal Expenditures[' und 
This bill mcludes General Fund appropnat10ns to the Department of Health and Human Services of $54,902 m fiscal 
I 
year 2024-25 for a pa~ent of a child who is ehgible for home health aide services undei the MameCare program to 
receive reimbursement for proVIdmg those services to the child Federal Expenditures Fund allocations are also 
mcluded m this bill fdr the FMAP match 
LR1457(02) - Fiscal Note - Page 1 of 1