An Act to Make Supplemental Appropriations and Allocations from the General Fund and Other
Maine Legislature, Session 132, LD 0209
Committee Amendment CA_A_SA_C_S3 (Senate)
Amends: 22 MRSA §3174

SENATE AMENDMENT " C. " to COMMITTEE AMENDMENT "A" to H.P. 131,
L.D. 209, "Ati Act to Make Supplemental Appropriations and Allocations from the General
Fund and Other Funds for the Expenditures of State Government and to Change Certain
Provisions of the Law Necessary to the Proper Operations of State Government for the
Fiscal Year Ending June 30,2025"
Amend the amendment by inserting after Part X the following:
'PART Y
Sec. Y-l. 22 MRSA §3174, sub-§2, as enacted by PL 1973,c. 790, §2, is amended
to read:
2. Residence. Is living in the State at the date of the application; afi4
Sec. Y-2. 22 MRSA §3174, sub"§3, as corrected by RR 2021, c. 2, Pt. B, §160, is
amended to read:
3. Inmate. Is not an inmate of any public institution, except as a patient in a medical
institution or an inmate during the month in which the applicant becomes an inmate only
to the extent permitted by federal law, but an inmate of such an institution may file
application for aid and any allowance made thereon must take effect and be paid when the
applicant ceases to be an inmate of the institution?: and
Sec. Y"3. 22 MRSA §3174, sub"§4 is enacted to read:
4. Work or community eneaeement requirements. If the aopHcant is 19 years of
age or older and under 65 years of aee. with no dependents and no documented disability.
has completed at least 20 hours per week of the followine work or cQmmunitv engagement
requirements:
A. Employment as defmed under Title 26. section 1043. subsection 11;
B, Participation in job trainine or education proarams; or
C. Volunteering at an approved nonprofit or community oreanization,
The department shall issue a waiver from the requirements of this subsection to an
individual who is preenant or undereoine medical treatment that prevents the individual
from comoletine the work or community engagement reauu'ements.
SENA TE AMENDMENT
^
SENATE AMENDMENT "C. " to COMMHTBE AMENDMENT "A" to H,P. 131, L.D. 209C6";
No iess than once every 4 months, the department shall review and verify that all recipients
of aid, as^t^ or benefits available throueh a proaram of medical assistance
administered pursuant to this chapter are in compliance with the Di'ovisions of this
subsection,
The department shall adopt rules to implement this subsection. Rules adopted under this
subsection are routine technical rules as defined in Title 5, chaotef 375. subohaoter 2-A,
Sec. Y-4. Federal waiver. No later than April 1, 2025, the Department of Health
and Human Services shall request federal approval from the United States Department of
Health and Human Services, Centers for Medicare and Medicaid Services for a Section
1115 demonstration waiver under the United States Social Security Act to the extent
necessary to carry out the Maine Revised Statutes, Title 22, section 3174, subsection 4. If
the waiver is approved, the department shall adopt rules pursuant to Title 22, section 3174,
subsection 4 no later than 90 days after approval. Rules adopted pursuant to this section are
routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
Sec. Y-5. Contingent effective date. That section of this Part that enacts the Maine
Revised Statutes, Title 22, section 3174, subsection 4 takes effect when a Section 1115
demonstration waiver is approved, but no sooner than July 1,2025.
The Commissioner of Health and Human Services shall notify the Secretary of State,
the Secretary of the Senate, the Clerk of the House and the Revisor of Statutes when
approval sought under section 4 is received/
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or
section number to read consecutively.
SUMMARY
This amendment requires recipients of aid, assistance or benefits available through the
MaineCare program who are 19 years of age or older and under 65 years of age to complete
at least 20 hours of work or community engagement activities per week. The amendment
requires the Department of Health and Human Services to issue a waiver to an individual
who is pregnant or undergoing medical treatment that prevents the individual from
completing the work or community engagement requirements.
The amendment requires the department no less than once eveiy 4 months to review
and verify that all recipients are in compliance with the work or engagement requirements.
It also requires the department to request a waiver from the United States Department of
Health and Human Services, Centers for Medicare and Medicaid Services to implement
certain provisions of this amettdmi^taQdjprpvides an effective date.
SPONSORED BY:
(Senator STEWART,T.)
COUNTY: Aroostook
FISCAL NOTE BEQIHRED
(See attached)
Page2-132LR2408(22)
SENA TE AMENDMENT
L.R.L-
Approved: 02/10/25
LD 209 LR 2408(22)
An Act to Make Supplemental Appropriations and Allocations from the General Fund and Other
Funds for the Expenditures of State Government and to Change Certain Provisions of the Law
Necessary to the Proper Operations of State Government for the Fiscal Year Ending June 30, 2025
Fiscal Note for Senate Amendment '^" to Committee Amendment "A" C<>'
Sponsor: Sen. Stewart of Aroostook
Fiscal Note Required: Yes
Fiscal Note
Contingent current biennium savings" General Fund
Fiscal Detail and Notes
The amendment requires the Department of Health and Human Services to, no later than April 1, 2025, request
federal approval from the United States Department of Health and Human Services, Centers for Medicare and
Medicaid Services for a Section 1115 demonstration waiver that would require work and community engagement
requirements for able bodied individuals in order to participate in the Mainecare program. If this waiver is approved,
there would be savings in the Mainecare program, as some currently eligible individuals would not meet the new
requirements and be removed from the program. The amount and timing of these contingent savings are not yet
determined.
LR2408(22) - Fiscal Note - Page I of 1