An Act to Make Supplemental Appropriations and Allocations from the General
Maine Legislature, Session 132, LD 0209
Committee Amendment CA_A_HA_C_H4 (House)
Amends: 22 MRSA §3174, 22 MRSA §317

HOUSE AMENDMENT'' Cu to COMMITTEE AMENDMENT "A'' to H.P. 131, 
L.D. 209, "An Act to Make Supplemental Appropriations and Allocations from the General 
Fund and Other Funds fo1• the Expenditures of State Government and to Change Certain 
Provisions of the Law Necessary to the Proper Operations of State Government for the 
Fiscal Yea1· Ending June 30, 2025,, 
Amend the amendment by inserting after Part X the following: 
'PARTY 
1S 
Sec. Y-1. 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; aftd 
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 01· 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 §317 4, sub-§4 is enacted to read: 
4. Work or community engagement requirements. If the applicant is 19 years of 
age or older and under 65 years of age, with no dependents and no documented disability. 
has completed at least 20 hours per week of the following work or community engagement 
requirements: 
A. Employment as defined under Title 26, section 1043. subsection 11: 
B. Participation in job training or education programs; or 
C. Volunteering at an approved nonprofit or community organization. 
The department shall issue a waiver from the requirements of this subsection to an 
individual who is pregnant or undergoing medical tt'eatment that prevents the individual 
3S 
from completing the work or community engagement l'eguirements. 
Page l " 132LR2408(16) 
HOUSE AMENDMENT 
ROS. 
HOUSE AMENDMENT" C," to COMMITTEE AMENDMENT "A" to H.P. 131, L.D. 209 
No less than once eve1:y 4 months. the department shall review and verify that all recipients 
of aid. assistance or benefits available through a program of medical assistance 
administered pursuant to this chapter are in compliance with the provisions of this 
subsection, 
The department shall adopt rnles to implement this subsection, Rules adopted under this 
subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A. 
Sec. Y-4, Federal waiver. No later than April 1, 2025, the Depaitment of Health 
and Human Services shall 1·equest 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 depa1iment shall adopt rules pursuant to Title 22, section 3174, 
subsection 4 no later than 90 days after approval. Rules adopted pul'suant to this section are 
l'Outine technical rules as defined in Title S, chaptet' 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 
demonstl'ation waiver is approved, but no sooner than July 11 2025. 
The Commissioner of Health and Human Services shall notify the Secretary of State, 
the Secreta1y 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 numbe1· to read consecutively. 
SUMMARY 
This amendment requires recipients of aid, assistance or benefits available through the 
MaineCare prog1·am who are 19 years of age or older and under 65 yea1·s 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 eve1y 4 months to review 
and verify that all recipients are in compliance with the work or engagement requirements. 
It also requires the depat'tment to request a waiver from the United States Department of 
Health and Human 
rvices, Centers fo1• Medicare and Medicaid Services to implement 
certain provision ·o 
P, • 
• des an effective date. 
(Representa 
TOWN: 
FISCAL NOTE REQUIRED 
(See attached) 
HOUSE AMENDMENT 
J 
Approved: 02/10/25 L-RL 
LD209 
LR2408(16) 
An Act to Make Supplemental Appropriations and Allocations from the General Fund and Other 
Funds for tlie 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 House Amendment 'b" to Committee Amendment "A" 1-\-4 
Sponsor: Rep. Ducharme of Madison 
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 progrnm. The amount and timing of these contingent savings are not yet 
detel'mined. 
LR2408(16) - Fiscal Note - Page 1 of 1