reglab/statecodes huggingface dataset:
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-L. Parity among counselors

§3174-L. Parity among counselors
1.  Licensed clinical social workers and licensed clinical professional counselors.
Licensed clinical social workers must be eligible to receive Medicaid reimbursement for counseling services whenever licensed clinical professional counselors are eligible to be reimbursed for those services. Licensed clinical professional counselors must be eligible to receive Medicaid reimbursement for counseling services whenever licensed clinical social workers are eligible to be reimbursed for those services.
[PL 1993, c. 393, §1 (NEW).]
2.  Licensed master social workers and licensed professional counselors.
Licensed master social workers must be eligible to receive Medicaid reimbursement for counseling services whenever licensed professional counselors are eligible to be reimbursed for those services. Licensed professional counselors must be eligible to receive Medicaid reimbursement for counseling services whenever licensed master social workers are eligible to be reimbursed for those services.
[PL 1993, c. 393, §1 (NEW).]
3.  Licensed clinical professional counselors.
A licensed clinical professional counselor, as defined in Title 32, section 13851, subsection 2, must be eligible to receive MaineCare reimbursement for counseling services at the same rate as a licensed clinical social worker, as defined in Title 32, section 7001‑A, subsection 6.
[PL 2017, c. 265, §1 (NEW).]
SECTION HISTORY
RR 1993, c. 1, §53 (COR). PL 1993, c. 393, §1 (NEW). PL 1993, c. 410, §I10 (NEW). PL 2017, c. 265, §1 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-N. Authorization to pursue federal waivers to develop Medicaid managed-care program

§3174-N. Authorization to pursue federal waivers to develop Medicaid managed-care program
The department is authorized to seek all necessary approvals to establish a Medicaid managed-care demonstration project pursuant to 42 United States Code, Social Security Act, Section 1115.   [PL 1993, c. 707, Pt. I, §2 (NEW).]
SECTION HISTORY
PL 1993, c. 707, §I2 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-O. Establish rules

§3174-O. Establish rules
The department shall establish rules recognizing the Medicaid hospital assessment as a reimbursable cost to providers participating in the State's medical assistance program.   [PL 1995, c. 368, Pt. W, §5 (NEW).]
SECTION HISTORY
PL 1995, c. 368, §W5 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-P. Prescription processing service fee (REPEALED)

§3174-P. Prescription processing service fee
(REPEALED)
SECTION HISTORY
PL 1995, c. 665, §EE1 (NEW). PL 1995, c. 665, §EE3 (AFF). PL 1997, c. 795, §6 (RP).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-Q. Medicaid stability

§3174-Q. Medicaid stability
1.  Legislative authorization.
Except as provided in subsection 2, the department, in its administration of the Medicaid program and the federal State Children's Health Insurance Program or any successor program, shall obtain authorization from the Legislature by proper enactment of law before:
A. Implementing changes in eligibility for the Medicaid program that are reasonably likely to cause a decrease in excess of 10% in the percentages of enrollment in any covered group during any year or over any 5-year period unless individuals losing eligibility in a covered group are eligible in any other covered group with substantially similar or greater coverage;   [PL 2019, c. 266, §1 (NEW).]
B. Eliminating, having the effect of significantly limiting or significantly reducing eligibility for a category of service covered under the Medicaid program or the federal State Children's Health Insurance Program without comparable service provided in its place;   [PL 2019, c. 266, §1 (NEW).]
C. Accepting a block grant or any other fundamental alteration in the method of federal funding for the Medicaid program that could result in a substantial decrease in total funding for the program; or   [PL 2019, c. 266, §1 (NEW).]
D. Applying for or amending a waiver, including a waiver pursuant to Section 1115 of the Social Security Act, or adopting a state plan amendment that could significantly reduce the scope of services of or eligibility for the Medicaid program or the federal State Children's Health Insurance Program.   [PL 2019, c. 266, §1 (NEW).]
[PL 2019, c. 266, §1 (RPR).]
2.  Exceptions in the event of federal law changes.
If an action must be taken by the department to comply with federal law and obtaining authorization from the Legislature cannot be achieved timely to comply with federal requirements, the department may act only to the extent necessary to achieve compliance with federal law, pending further action of the Legislature under this section.
[PL 2019, c. 266, §1 (RPR).]
3.  Failure to comply.
A person may not be denied eligibility for the Medicaid program or the federal State Children's Health Insurance Program as the result of a change to those programs as described in subsections 1 and 2 if the department failed to comply with this section.
[PL 2019, c. 266, §1 (NEW).]
SECTION HISTORY
PL 1995, c. 696, §B2 (NEW). PL 2009, c. 571, Pt. PPP, §1 (AMD). PL 2019, c. 266, §1 (RPR).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-R. Medicaid drug rebate program

§3174-R. Medicaid drug rebate program
The department shall enter into a drug rebate agreement with each manufacturer of prescription drugs under the Medicaid program, in accordance with the federal Social Security Act, Section 1927, as long as the agreements are consistent with state and federal law and result in a net increase in rebate revenue available to the Maine Medicaid Program. Individual rebate agreements may vary.   [PL 2005, c. 397, Pt. A, §20 (RPR).]
Revisor's Note: §3174-R. Access to dental services for children under Medicaid (As enacted by PL 1997, c. 667, §1 is REALLOCATED TO TITLE 22, SECTION 3174-S)
Revisor's Note: §3174-R. Cub Care program (As enacted by PL 1997, c. 777, Pt. A, §2 is REALLOCATED TO TITLE 22, SECTION 3174-T)
SECTION HISTORY
RR 1997, c. 2, §§45,46 (RAL). PL 1997, c. 643, §RR5 (NEW). PL 1997, c. 667, §1 (NEW). PL 1997, c. 777, §A2 (NEW). PL 2003, c. 510, §A17 (AMD). PL 2003, c. 611, §2 (AMD). PL 2005, c. 397, §A20 (RPR).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-U. Medicaid reimbursement for dental services

§3174-U. Medicaid reimbursement for dental services
The department shall conduct an annual review of the adequacy of reimbursement rates for dental services for dentists who provide care for a disproportionate number of patients whose care is reimbursed through the Medicaid program and the Cub Care program established in section 3174‑T. By December 31, 1999, the department shall report to the joint standing committee of the Legislature having jurisdiction over health and human services matters on the results of the study, including the costs in General Fund and other money.   [PL 1999, c. 301, §1 (NEW).]
Revisor's Note: §3174-U. Procedure for home health care changes (As enacted by PL 1999, c. 329, §1 is REALLOCATED TO TITLE 22, SECTION 3174-W)
SECTION HISTORY
RR 1999, c. 1, §28 (RAL). PL 1999, c. 301, §1 (NEW). PL 1999, c. 329, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-W. Procedure for home health care changes (REALLOCATED FROM TITLE 22, SECTION 3174-U)

§3174-W. Procedure for home health care changes
(REALLOCATED FROM TITLE 22, SECTION 3174-U)
Rules adopted by the department regarding access to home health care under the Medicaid program are major substantive rules as defined in Title 5, chapter 375, subchapter 2‑A.   [RR 2003, c. 2, §73 (COR).]
SECTION HISTORY
RR 1999, c. 1, §28 (RAL). PL 2001, c. 354, §3 (AMD). RR 2003, c. 2, §73 (COR).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-Y. Prior authorization in Medicaid program

§3174-Y. Prior authorization in Medicaid program
If the commissioner establishes maximum retail prices for prescription drugs pursuant to section 2693, the department shall adopt rules for the Medicaid program requiring additional prior authorization for the dispensing of drugs determined to be priced above the established maximum retail prices. The department shall adopt rules for the Medicaid program requiring additional prior authorization for the dispensing of drugs provided from manufacturers and labelers who do not enter into agreements with the department under section 2681, subsection 3. For the purposes of this section, "labeler" means an entity or person that receives prescription drugs from a manufacturer or wholesaler and repackages those drugs for later retail sale and that has a labeler code from the federal Food and Drug Administration under 21 Code of Federal Regulations, 207.20 (1999).   [PL 1999, c. 786, Pt. B, §3 (NEW).]
SECTION HISTORY
PL 1999, c. 786, §B3 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-Z. Private, nonmedical and board and care institutions

§3174-Z. Private, nonmedical and board and care institutions
Rules concerning the principles for reimbursement for private, nonmedical and board and care institutions must be major substantive rules as defined in Title 5, chapter 375, subchapter II‑A.   [PL 2001, c. 404, §1 (NEW).]
SECTION HISTORY
PL 2001, c. 404, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-AA. Asset limits

§3174-AA. Asset limits
Beginning January 1, 2002, in determining eligibility for medical assistance under the Medicaid program for all individuals and families subject to an asset test, the department shall exempt from consideration all assets exempt pursuant to program rule on January 1, 2001 and shall adopt rules to exempt from consideration certain assets in amounts and under terms the department determines to be reasonable and consistent with the purposes of the Medicaid program as provided in this section. Rules adopted pursuant to this section are routine technical rules as defined in Title 5, chapter 375, subchapter II‑A. The rules must provide exemptions for the following assets:   [PL 2001, c. 450, Pt. A, §4 (NEW).]
1.  Second vehicle.
A 2nd vehicle that is necessary for employment, to secure medical treatment or to provide transportation for essential daily activities or a vehicle that has been modified for operation by or the transportation of a person with a disability; and
[PL 2001, c. 450, Pt. A, §4 (NEW).]
2.  Savings.
An amount up to $8,000 for an individual and up to $12,000 for a household of more than one person.
[PL 2001, c. 450, Pt. A, §4 (NEW).]
Revisor's Note: §3174-AA. Mail order drugs (As amended by PL 2003, c. 451, Pt. XX, §1 is REALLOCATED TO TITLE 22, SECTION 3174-EE)
SECTION HISTORY
PL 2001, c. 450, §A4 (NEW). RR 2003, c. 1, §19 (RAL). PL 2003, c. 20, §K12 (NEW). PL 2003, c. 451, §XX1 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-BB. Enrollment periods

§3174-BB. Enrollment periods
The department shall establish enrollment periods for medical assistance as provided in this section. Prior to the end of the enrollment period, the department shall determine continuing eligibility for the next enrollment period and notify the enrollee of the determination.   [PL 2001, c. 450, Pt. A, §4 (NEW).]
1.  Children.
In the Medicaid program and the Cub Care program under section 3174‑T, the enrollment period for children under 19 years of age must be 12 months.
[PL 2001, c. 450, Pt. A, §4 (NEW).]
2.  Adults.
In the Medicaid program, the enrollment period must be the longest period allowed by federal law or regulation but may not exceed 12 months.
[PL 2001, c. 450, Pt. A, §4 (NEW).]
SECTION HISTORY
PL 2001, c. 450, §A4 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-DD. Dirigo health coverage

§3174-DD. Dirigo health coverage
The department may contract with one or more health insurance carriers or the Dirigo Health Self-administered Plan established pursuant to Title 24‑A, section 6981 to purchase Dirigo Health Program coverage for MaineCare members who seek to enroll through their employers pursuant to Title 24‑A, section 6910, subsection 4, paragraph B. A MaineCare member who enrolls in the Dirigo Health Program as a member of an employer group receives full MaineCare benefits through the Dirigo Health Program. The benefits are delivered through the employer-based health plan, subject to nominal cost sharing as permitted by 42 United States Code, Section 1396o(2003) and additional coverage provided under contract by the department.   [PL 2007, c. 447, §2 (AMD).]
SECTION HISTORY
PL 2003, c. 469, §A6 (NEW). PL 2005, c. 400, §C2 (AMD). PL 2007, c. 447, §2 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-EE. Mail order drugs (REALLOCATED FROM TITLE 22, SECTION 3174-AA)

§3174-EE. Mail order drugs
(REALLOCATED FROM TITLE 22, SECTION 3174-AA)
The department shall require MaineCare members to purchase maintenance drugs by mail order when substantial cost efficiencies can be obtained by doing so. Any savings measures implemented by the department in fiscal year 2003-04 that are of a temporary nature may remain in effect only until a permanent savings measure or measures are implemented.   [RR 2003, c. 1, §19 (RAL).]
SECTION HISTORY
RR 2003, c. 1, §19 (RAL).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-HH. Coordination of services

§3174-HH. Coordination of services
For the purposes of maximizing coverage for prescription drugs for members who are enrolled in the MaineCare program, the department may provide prescription drug services for MaineCare members through the elderly low-cost drug program established under section 254‑D.   [PL 2005, c. 401, Pt. B, §1 (NEW).]
Revisor's Note: §3174-HH. MaineCare reimbursement for ambulance services (As enacted by PL 2005, c. 386, Pt. FF, §1 is REALLOCATED TO TITLE 22, SECTION 3174-JJ)
SECTION HISTORY
RR 2005, c. 1, §6 (RAL). PL 2005, c. 386, §FF1 (NEW). PL 2005, c. 401, §B1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-II. Relationship to federal Medicare program

§3174-II. Relationship to federal Medicare program
1.  Authorization.
To the extent permitted by federal law, with regard to the Medicare Part D benefit established in the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Public Law 108-173, the department may:
A. Serve as an authorized representative for MaineCare members for the purpose of enrollment into a Medicare Part D plan;   [PL 2005, c. 401, Pt. B, §1 (NEW).]
B. Apply for Medicare Part D benefits and subsidies on behalf of MaineCare members;   [PL 2005, c. 401, Pt. B, §1 (NEW).]
C. Establish rules by which MaineCare members may opt out of the procedures under paragraphs A and B;   [PL 2005, c. 401, Pt. B, §1 (NEW).]
D. At its discretion, file exceptions and appeals on behalf of MaineCare members who are beneficiaries under Medicare Part D. The department may identify a designee for this function; and   [PL 2005, c. 401, Pt. B, §1 (NEW).]
E. Identify objective criteria for evaluating Medicare Part D plans for the purposes of assisting or enrolling MaineCare members in Medicare Part D plans.   [PL 2005, c. 401, Pt. B, §1 (NEW).]
Revisor's Note: §3174-II. MaineCare Stabilization Fund (As enacted by PL 2005, c. 457, Pt. JJJ, §1 is REALLOCATED TO TITLE 22, SECTION 3174-KK)
[PL 2005, c. 401, Pt. B, §1 (NEW).]
SECTION HISTORY
RR 2005, c. 1, §7 (RAL). PL 2005, c. 401, §B1 (NEW). PL 2005, c. 457, §JJJ1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-JJ. MaineCare reimbursement for ambulance services (REALLOCATED FROM TITLE 22, SECTION 3174-HH)

§3174-JJ. MaineCare reimbursement for ambulance services
(REALLOCATED FROM TITLE 22, SECTION 3174-HH)
The department shall reimburse for ambulance services under MaineCare at a level that is not less than the average allowable reimbursement rate under Medicare for such services or at the highest percent of that level that is possible within resources appropriated for those purposes. Beginning March 1, 2015, the department shall reimburse for ambulance services under MaineCare at a level that is not less than 65% of the average allowable reimbursement rate under Medicare for such services. Beginning January 1, 2020, the department shall reimburse for ambulance services under MaineCare at a level that is not less than the average allowable reimbursement rate under Medicare for such services and shall reimburse for neonatal transport services under MaineCare at the average rate for critical care transport services under Medicare.   [PL 2019, c. 530, Pt. B, §1 (AMD).]
SECTION HISTORY
RR 2005, c. 1, §6 (RAL). PL 2013, c. 441, §1 (AMD). PL 2019, c. 530, Pt. B, §1 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-LL. Inpatient services reimbursement based on diagnosis-related groups

§3174-LL. Inpatient services reimbursement based on diagnosis-related groups
Beginning April 1, 2010, the Department of Health and Human Services shall begin to phase in a system to reimburse noncritical access hospitals for inpatient services under the MaineCare program an amount per discharge that is based on diagnosis-related groups modeled on the system used by the federal Medicare program. The new diagnosis-related groups payment system must be budget neutral, based on MaineCare hospital payments for the year prior to the year of implementation. The new payment system must be implemented for each noncritical access hospital at the beginning of the hospital's first fiscal year that commences on or after April 1, 2010. The Department of Health and Human Services shall adopt rules to implement this section. Rules adopted pursuant to this section are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.   [PL 2009, c. 213, Pt. CC, §3 (NEW).]
SECTION HISTORY
PL 2009, c. 213, Pt. CC, §3 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-MM. Outpatient services reimbursement under the MaineCare program based on ambulatory payment classifications

§3174-MM. Outpatient services reimbursement under the MaineCare program based on ambulatory payment classifications
Beginning April 1, 2010, the Department of Health and Human Services shall begin to phase in a system to reimburse noncritical access hospitals for outpatient services under the MaineCare program an amount per patient service based on ambulatory payment classifications modeled on the system used by the federal Medicare program. The new ambulatory payment classifications must be budget neutral based on MaineCare payments for the same services in the year prior to the year of implementation. The new payment system must be implemented for each hospital at the beginning of the hospital's first fiscal year that commences on or after April 1, 2010. The Department of Health and Human Services shall adopt rules to implement this section. Rules adopted pursuant to this section are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.   [PL 2009, c. 213, Pt. CC, §4 (NEW).]
SECTION HISTORY
PL 2009, c. 213, Pt. CC, §4 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-NN. Inpatient services reimbursement for critical access hospitals based on diagnosis-related groups (REPEALED)

§3174-NN. Inpatient services reimbursement for critical access hospitals based on diagnosis-related groups
(REPEALED)
SECTION HISTORY
PL 2009, c. 213, Pt. CC, §5 (NEW). PL 2011, c. 657, Pt. H, §2 (RP). PL 2011, c. 657, Pt. H, §5 (AFF).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-OO. Outpatient services reimbursement for critical access hospitals under the MaineCare program based on ambulatory payment classifications (REPEALED)

§3174-OO. Outpatient services reimbursement for critical access hospitals under the MaineCare program based on ambulatory payment classifications
(REPEALED)
SECTION HISTORY
PL 2009, c. 213, Pt. CC, §6 (NEW). PL 2011, c. 657, Pt. H, §3 (RP). PL 2011, c. 657, Pt. H, §5 (AFF).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-PP. Medicaid reimbursement for eligible services provided through the Child Development Services System and school administrative units

§3174-PP. Medicaid reimbursement for eligible services provided through the Child Development Services System and school administrative units
1.  Consultation.
Prior to adopting or amending any rule that pertains to the administration of a program of Medicaid coverage established by the department pursuant to this chapter for services that qualify for reimbursement and are provided through the auspices of the Child Development Services System and school administrative units in accordance with the federal Individuals with Disabilities Education Act, 20 United States Code, Section 1400 et seq., the Office of MaineCare Services shall consult with the following interested parties on the proposed adoption or amendment of rules:
A. The Commissioner of Education or the commissioner's designee;   [PL 2009, c. 643, §1 (NEW).]
B. The Executive Director of the Maine School Management Association or the executive director's designee;   [PL 2009, c. 643, §1 (NEW).]
C. The executive director of a statewide organization of administrators of services for children with disabilities or the executive director's designee;   [PL 2009, c. 643, §1 (NEW).]
D. The executive director of a statewide organization for disability rights or the executive director's designee; and   [PL 2009, c. 643, §1 (NEW).]
E. The Executive Director of the Maine Developmental Disabilities Council or the executive director's designee.   [PL 2009, c. 643, §1 (NEW).]
[PL 2009, c. 643, §1 (NEW).]
2.  Monthly report.
The Office of MaineCare Services shall prepare and submit at the beginning of each month a report that includes a detailed statement of the status of any proposed adoption or amendment of rules that pertain to the Medicaid programs specified in subsection 1 to the joint standing committee of the Legislature having jurisdiction over education matters and the joint standing committee of the Legislature having jurisdiction over health and human services matters.
[PL 2009, c. 643, §1 (NEW).]
SECTION HISTORY
PL 2009, c. 643, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-QQ. Care for children with life-threatening conditions

§3174-QQ. Care for children with life-threatening conditions
The department shall make decisions approving or disapproving care or services for children with life-threatening conditions who are members in the MaineCare program within one working day of receiving a complete urgent request or order from the health care provider or providers for the child.   [PL 2011, c. 35, §1 (NEW).]
Revisor's Note: §3174-QQ. Dental hygienist reimbursement (Section 3174-QQ as enacted by PL 2011, c. 457, §1 is REALLOCATED TO TITLE 22, SECTION 3174-RR)
SECTION HISTORY
RR 2011, c. 1, §32 (RAL). PL 2011, c. 35, §1 (NEW). PL 2011, c. 457, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-RR. Dental hygienist reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-QQ)

§3174-RR. Dental hygienist reimbursement
(REALLOCATED FROM TITLE 22, SECTION 3174-QQ)
1.  Reimbursement.
By October 1, 2012, the department shall provide for the reimbursement under the MaineCare program of independent practice dental hygienists practicing as authorized under Title 32, section 18375 for the following procedures:
A. Prophylaxis performed on a person who is 21 years of age or younger;   [RR 2011, c. 1, §32 (RAL).]
B. Topical application of fluoride performed on a person who is 21 years of age or younger;   [RR 2011, c. 1, §32 (RAL).]
C. Provision of oral hygiene instructions;   [RR 2011, c. 1, §32 (RAL).]
D. The application of sealants;   [RR 2011, c. 1, §32 (RAL).]
E. Temporary fillings; and   [RR 2011, c. 1, §32 (RAL).]
F. X-rays.   [RR 2011, c. 1, §32 (RAL).]
Reimbursement must be provided to independent practice dental hygienists directly or to a federally qualified health center pursuant to section 3174‑V when an independent practice dental hygienist is employed as a core provider at the center.
[PL 2015, c. 429, §4 (AMD).]
2.  Rulemaking.
The department shall adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.
[RR 2011, c. 1, §32 (RAL).]
SECTION HISTORY
RR 2011, c. 1, §32 (RAL). PL 2015, c. 429, §4 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-SS. Calculation of 24 months (REPEALED)

§3174-SS. Calculation of 24 months
(REPEALED)
SECTION HISTORY
PL 2011, c. 477, Pt. I, §1 (NEW). PL 2019, c. 4, Pt. B, §1 (RP).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-TT. Limitation on reimbursement for opioids (REPEALED)

§3174-TT. Limitation on reimbursement for opioids
(REPEALED)
SECTION HISTORY
PL 2011, c. 477, Pt. O, §1 (NEW). PL 2011, c. 657, Pt. O, §1 (RP).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-VV. Methadone reimbursement limitations (REALLOCATED FROM TITLE 22, SECTION 3174-UU) (REPEALED)

§3174-VV. Methadone reimbursement limitations
(REALLOCATED FROM TITLE 22, SECTION 3174-UU)
(REPEALED)
SECTION HISTORY
RR 2011, c. 2, §27 (RAL). PL 2017, c. 407, Pt. A, §78 (AMD). PL 2019, c. 4, Pt. C, §1 (RP).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-WW. Tobacco cessation

§3174-WW. Tobacco cessation
1.  Coverage.
The department shall provide coverage for comprehensive tobacco cessation treatment to a MaineCare member who is 18 years of age or older or who is pregnant. Coverage must include, at a minimum:
A. Coverage for all pharmacotherapy that is approved by the federal Food and Drug Administration for tobacco dependence treatment or is recommended as effective in the United States Public Health Service clinical practice guideline on treating tobacco use and dependence; and   [PL 2013, c. 444, §1 (NEW).]
B. Coverage for tobacco cessation counseling, to be available in individual and group forms.   [PL 2013, c. 444, §1 (NEW).]
[PL 2013, c. 444, §1 (NEW).]
2.  Conditions of coverage.
Coverage under this section must be provided with no copayments or other out-of-pocket cost sharing, including deductibles. The department may not impose annual or lifetime dollar limits or annual or lifetime limits on attempts to quit and may not require a MaineCare member to participate in counseling to receive medications.
[PL 2013, c. 444, §1 (NEW).]
3.  Federal reimbursement.
The department shall pursue all opportunities to maximize available federal reimbursement, including available administrative Medicaid match rates for telephonic counseling services, federal pharmacology purchasing agreements or other opportunities to maximize state resources for tobacco cessation medications and services.
[PL 2013, c. 444, §1 (NEW).]
SECTION HISTORY
PL 2013, c. 444, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-XX. Dental therapy reimbursement

§3174-XX. Dental therapy reimbursement
1.  Reimbursement.
By October 1, 2015, the department shall provide for the reimbursement under the MaineCare program of dental therapists practicing as authorized under Title 32, section 18377 for the procedures identified in their scope of practice. Reimbursement must be provided to dental therapists directly or to a federally qualified health center pursuant to section 3174‑V when a dental therapist is employed as a core provider at the center.
[PL 2019, c. 388, §1 (AMD).]
2.  Rulemaking.
The department shall adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.
[PL 2013, c. 575, §1 (NEW); PL 2013, c. 575, §10 (AFF).]
SECTION HISTORY
PL 2013, c. 575, §1 (NEW). PL 2013, c. 575, §10 (AFF). PL 2015, c. 429, §5 (AMD). PL 2019, c. 388, §1 (AMD).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-YY. State educational Medicaid officer

§3174-YY. State educational Medicaid officer
The commissioner shall designate an appropriate employee within the department as the state educational Medicaid officer to work in coordination with the Department of Education and school administrative units to maximize reimbursement for Medicaid services provided by school administrative units.   [PL 2015, c. 359, §1 (NEW).]
SECTION HISTORY
PL 2015, c. 359, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-ZZ. Reimbursement for hearing aids

§3174-ZZ. Reimbursement for hearing aids
1.  Hearing aid; definition.
For purposes of this section, "hearing aid" means a nonexperimental, wearable instrument or device designed for the ear and offered for the purpose of aiding or compensating for impaired human hearing.
[PL 2017, c. 237, §1 (NEW).]
2.  Required reimbursement.
The department shall provide reimbursement for a hearing aid for one hearing-impaired ear of an individual enrolled in the MaineCare program in accordance with the following requirements:
A. The hearing loss must be documented by a primary care provider or an audiologist licensed pursuant to Title 32, chapter 137;   [PL 2017, c. 237, §1 (NEW).]
B. The hearing aid must be provided by an audiologist or a hearing aid dealer licensed pursuant to Title 32, chapter 137; and   [PL 2017, c. 237, §1 (NEW).]
C. The hearing loss must meet the requirements established by the department in rule regarding the individual's severity of hearing loss.   [PL 2017, c. 237, §1 (NEW).]
The department shall provide reimbursement for a hearing aid for the 2nd hearing-impaired ear of an individual enrolled in the MaineCare program if the individual meets requirements established by the department by rule regarding the individual's severity of hearing loss, enrollment in school, enrollment in vocational training, employment needs or the needs identified by a primary care provider.
[PL 2017, c. 237, §1 (NEW).]
3.  Rulemaking.
The department shall adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.
[PL 2017, c. 237, §1 (NEW).]
SECTION HISTORY
PL 2017, c. 237, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-AAA. Reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals (WHOLE SECTION TEXT EFFECTIVE UNTIL 12/31/23) (WHOLE SECTION TEXT REPEALED 12/31/23)

§3174-AAA. Reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals
(CONTAINS TEXT WITH VARYING EFFECTIVE DATES)
(WHOLE SECTION TEXT EFFECTIVE UNTIL 12/31/23)
(WHOLE SECTION TEXT REPEALED 12/31/23)
Beginning January 1, 2019, the department shall provide reimbursement to hospitals other than critical access hospitals for each day after the 10th day that a MaineCare-eligible individual is in the care of a hospital while awaiting placement in a nursing facility. The department shall reimburse hospitals prospectively at the statewide average rate per MaineCare member day for nursing facility services. The department shall compute the statewide average rate per MaineCare member day based on the simple average of the nursing facility rate per MaineCare member day for the applicable state fiscal year or years prorated for the hospital's fiscal year. Reimbursement for days awaiting placement pursuant to this section is limited to a maximum of $500,000 of combined General Fund funds and federal funds for each year. For purposes of this section, "critical access hospital" has the same meaning as in section 7932, subsection 10.   [PL 2017, c. 454, §1 (NEW).]
This section is repealed December 31, 2023.   [PL 2017, c. 454, §1 (NEW).]
Revisor's Note: §3174-AAA. Chiropractic services reimbursement as enacted by PL 2017, c. 421, §1 is REALLOCATED TO TITLE 22, SECTION 3174-CCC
SECTION HISTORY
PL 2017, c. 454, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-BBB. Coverage for parents participating in rehabilitation and reunification efforts (WHOLE SECTION TEXT EFFECTIVE ON CONTINGENCY: See PL 2019, c. 130, §5)

§3174-BBB. Coverage for parents participating in rehabilitation and reunification efforts
(CONTAINS TEXT WITH VARYING EFFECTIVE DATES)
(WHOLE SECTION TEXT EFFECTIVE ON CONTINGENCY: See PL 2019, c. 130, §5)
Notwithstanding any other provision of law to the contrary, a parent receiving benefits under this chapter as a parent of one or more dependent minor children who have been removed from the home of that parent pursuant to section 4036‑B continues to be eligible for benefits under this chapter until either the department discontinues rehabilitation and reunification efforts pursuant to section 4041 or parental rights have been terminated pursuant to section 4055, whichever occurs first. The department shall adopt rules to implement this section. Rules adopted pursuant to this section are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.   [PL 2019, c. 130, §1 (NEW); PL 2019, c. 130, §5 (AFF).]
Beginning January 1, 2021, the department shall provide annually by January 1st to the joint standing committee of the Legislature having jurisdiction over health and human services matters a report on the number of individuals and families who continue MaineCare coverage pursuant to the requirements of this section.   [PL 2019, c. 130, §1 (NEW); PL 2019, c. 130, §5 (AFF).]
Revisor's Note: §3174-BBB. Coverage for conversion therapy as enacted by PL 2019, c. 165, §3 is REALLOCATED TO TITLE 22, SECTION 3174-DDD
SECTION HISTORY
PL 2019, c. 130, §1 (NEW). PL 2019, c. 130, §5 (AFF).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-CCC. Chiropractic services reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-AAA)

§3174-CCC. Chiropractic services reimbursement
(CONTAINS TEXT WITH VARYING EFFECTIVE DATES)
(REALLOCATED FROM TITLE 22, SECTION 3174-AAA)
1.  (TEXT EFFECTIVE UNTIL CONTINGENCY: See PL 2023, c. 454, §4) Reimbursement.
The department shall reimburse under the MaineCare program for chiropractic evaluation and management examinations performed by a chiropractic doctor licensed under Title 32, chapter 9 that are within the scope of practice of chiropractic doctors. This subsection does not limit reimbursements under the MaineCare program that may be available for other chiropractic services or affect any limits that may apply to reimbursements such as limits relating to numbers of visits.
[PL 2019, c. 421, §1 (NEW); RR 2019, c. 1, Pt. A, §24 (RAL).]
1.  (TEXT EFFECTIVE ON CONTINGENCY: See PL 2023, c. 454, §4) Reimbursement.
The department shall reimburse under the MaineCare program for certain chiropractic services, as described in this section and defined in department rules, performed by a chiropractic doctor licensed under Title 32, chapter 9 that are within the scope of practice of chiropractic doctors. Services that are reimbursed are the following:
A. Treatment by means of manual manipulation of the spine;   [PL 2023, c. 454, §1 (NEW); PL 2023, c. 454, §4 (AFF).]
B. Evaluation and management examinations; and   [PL 2023, c. 454, §1 (NEW); PL 2023, c. 454, §4 (AFF).]
C. Physical therapy when the service is otherwise covered by MaineCare when performed by a physical therapist licensed under Title 32, chapter 45-A.   [PL 2023, c. 454, §1 (NEW); PL 2023, c. 454, §4 (AFF).]
This subsection does not affect any limits that may apply to reimbursements such as limits on the number of visits.
[PL 2023, c. 454, §1 (RPR); PL 2023, c. 454, §4 (AFF).]
2.  Rulemaking.
The department may adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A.
[PL 2019, c. 421, §1 (NEW); RR 2019, c. 1, Pt. A, §24 (RAL).]
SECTION HISTORY
PL 2019, c. 421, §1 (NEW). RR 2019, c. 1, Pt. A, §24 (RAL). PL 2023, c. 454, §1 (AMD). PL 2023, c. 454, §4 (AFF).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-DDD. Coverage for conversion therapy (REALLOCATED FROM TITLE 22, SECTION 3174-BBB)

§3174-DDD. Coverage for conversion therapy
(REALLOCATED FROM TITLE 22, SECTION 3174-BBB)
The department may not provide MaineCare reimbursement for conversion therapy as defined in Title 32, section 59‑C, subsection 1 administered to a minor.   [PL 2019, c. 165, §3 (NEW); RR 2019, c. 1, Pt. A, §25 (RAL).]
SECTION HISTORY
PL 2019, c. 165, §3 (NEW). RR 2019, c. 1, Pt. A, §25 (RAL).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-EEE. Prior authorization of treatment for opioid use disorder

§3174-EEE. Prior authorization of treatment for opioid use disorder
1.  Medication-assisted treatment.
For the purposes of this section, "medication-assisted treatment" means an evidence-based practice that combines pharmacological interventions with substance use disorder counseling.
[PL 2019, c. 645, §1 (NEW).]
2.  Prior authorization limitation.
The department may not require under the MaineCare program prior authorization for the following:
A. The prescription of at least one drug for each therapeutic class of medication used for medication-assisted treatment for opioid use disorder; or   [PL 2019, c. 645, §1 (NEW).]
B. Intensive outpatient therapy services for a diagnosis of opioid use disorder.   [PL 2019, c. 645, §1 (NEW).]
[PL 2019, c. 645, §1 (NEW).]
3.  Prior authorization for pregnant women.
In addition to the prior authorization limits imposed in subsection 2, the department may not require under the MaineCare program any prior authorization requirements with respect to a pregnant woman for medication-assisted treatment for opioid use disorder or for intensive outpatient therapy services for a diagnosis of opioid use disorder.
[PL 2019, c. 645, §1 (NEW).]
4.  Dosage increases.
Notwithstanding subsections 2 and 3, the department may impose prior authorization requirements under the MaineCare program for dosage increases that exceed the department's dosing criteria as identified on the department's MaineCare preferred drug list.
[PL 2019, c. 645, §1 (NEW).]
5.  Rulemaking.
The department may adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.
[PL 2019, c. 645, §1 (NEW).]
The requirements of this section must be applied in a manner that is not inconsistent with the requirements of the Medicaid drug rebate program.   [PL 2019, c. 645, §1 (NEW).]
SECTION HISTORY
PL 2019, c. 645, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-FFF. State-funded medical program for noncitizens

§3174-FFF. State-funded medical program for noncitizens
1.  Coverage provided.
Effective July 1, 2022, a person is eligible for the same scope of medical assistance provided under section 3174‑G if the person is a child under 21 years of age who would be eligible for assistance under the federal Medicaid program under Title XIX of the federal Social Security Act but for the person's immigration status. In accordance with 8 United States Code, Section 1621, the State shall appropriate funds in the state budget to provide state-funded medical assistance through the MaineCare program and the children's health insurance program as defined in section 3174‑X, subsection 1, paragraph A for noncitizen individuals who reside in the State and are ineligible for coverage due to federal restrictions relating to immigration status in the federal Medicaid program and the children's health insurance program.
[PL 2021, c. 398, Pt. DDD, §1 (NEW).]
2.  Rulemaking.
The department shall adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.
[PL 2021, c. 398, Pt. DDD, §1 (NEW).]
Revisor's Note: §3174-FFF. Palliative care reimbursement (As enacted by PL 2021, c. 438, §1 is REALLOCATED TO TITLE 22, SECTION 3174-GGG)
Revisor's Note: §3174-FFF. Ostomy equipment reimbursement (As enacted by PL 2021, c. 467, §1 is REALLOCATED TO TITLE 22, SECTION 3174-HHH)
SECTION HISTORY
PL 2021, c. 398, Pt. DDD, §1 (NEW).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-GGG. Palliative care reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-FFF)

§3174-GGG. Palliative care reimbursement
(REALLOCATED FROM TITLE 22, SECTION 3174-FFF)
1.  Reimbursement.
The department shall provide reimbursement under the MaineCare program for palliative care for the entire interdisciplinary team as appropriate to the plan of care, regardless of setting, including hospitals, nursing homes, outpatient clinics and home care providers. For the purposes of this section, "palliative care" has the same meaning as in section 1726.
[PL 2021, c. 438, §1 (NEW); RR 2021, c. 1, Pt. A, §21 (RAL).]
2.  Rules.
The department shall adopt rules to implement this section. The rules must include, but are not limited to, reimbursement policies and quality control measures that ensure and promote high-value palliative care under the MaineCare program. The department shall use national standards for quality palliative care in the development of the rules. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.
[PL 2021, c. 438, §1 (NEW); RR 2021, c. 1, Pt. A, §21 (RAL).]
3.  Stakeholder group.
The department shall periodically convene a stakeholder group that includes the Palliative Care and Quality of Life Interdisciplinary Advisory Council established in Title 5, section 12004‑I, subsection 47‑I and representatives of organizations representing palliative care, home care and hospice providers to advise the department on educational materials and outreach related to this section.
[PL 2021, c. 438, §1 (NEW); RR 2021, c. 1, Pt. A, §21 (RAL).]
SECTION HISTORY
PL 2021, c. 438, §1 (NEW). RR 2021, c. 1, Pt. A, §21 (RAL).
2023 Maine Revised Statutes › TITLE 22: HEALTH AND WELFARE › Subtitle 3: INCOME SUPPLEMENTATION › Part 1: ADMINISTRATION › Chapter 855: AID TO NEEDY PERSONS › 22 §3174-HHH. Ostomy equipment reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-FFF)

§3174-HHH. Ostomy equipment reimbursement
(REALLOCATED FROM TITLE 22, SECTION 3174-FFF)
Beginning January 1, 2022, the department shall reimburse under the MaineCare program for ostomy equipment and supplies when that equipment or those supplies have been prescribed or recommended by a health care practitioner authorized to prescribe or recommend such equipment or supplies. The department shall adopt rules to implement this section. Rules adopted pursuant to this section are routine technical rules as defined by Title 5, chapter 375, subchapter 2‑A. For purposes of this section, "health care practitioner" has the same meaning as in Title 24, section 2502, subsection 1‑A.   [PL 2021, c. 467, §1 (NEW); RR 2021, c. 1, Pt. A, §22 (RAL).]
SECTION HISTORY
PL 2021, c. 467, §1 (NEW). RR 2021, c. 1, Pt. A, §22 (RAL).