PART A
‘Sec. A-1. 22 MRSA §3174-G, sub-§1, ¶F, as amended by PL 2011, c. 380, Pt. KK, §2, is further amended to read:
(2) If the commissioner reasonably anticipates the cost of the program to exceed the budget of the population described in this paragraph, the commissioner shall lower the maximum eligibility level to the extent necessary to provide coverage to as many persons as possible within the program budget.
(3) The commissioner shall give at least 30 days' notice of the proposed change in maximum eligibility level to the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs and the joint standing committee of the Legislature having jurisdiction over health and human services matters; and
Sec. A-2. 22 MRSA §3174-G, sub-§1, ¶G, as enacted by PL 2011, c. 380, Pt. KK, §3, is amended to read:
(1) A woman during her pregnancy and up to 60 days following delivery; or
(2) A child under 21 years of age . ;
Sec. A-3. 22 MRSA §3174-G, sub-§1, ¶¶H and I are enacted to read:
Sec. A-4. Contingent repeal. The Maine Revised Statutes, Title 22, section 3174-G, subsection 1, paragraphs H and I are repealed if:
1. Enhanced Federal Medical Assistance Percentage. The enhanced Federal Medical Assistance Percentage with respect to amounts expended for medical assistance for newly eligible Medicaid individuals described in 42 United States Code, Section 1396a(a)(10)(A)(i)(VIII) is reduced below one of the following amounts in effect for the period specified:
2. Reduction in enhanced Federal Medical Assistance Percentage effective. The reduction in the enhanced Federal Medical Assistance Percentage described in subsection 1 has taken effect; and
3. Legislative session of at least 30 days. After the reduction of the enhanced Federal Medical Assistance Percentage as described in subsections 1 and 2, the Legislature has convened and conducted a session of at least 30 calendar days.
PART B
Sec. B-1. Obtaining federal approval for enhanced federal match. The Commissioner of Health and Human Services shall take all steps necessary to secure an enhanced Federal Medical Assistance Percentage for services provided to the MaineCare childless adult waiver population in the State equal to that available under the federal Patient Protection and Affordable Care Act for newly eligible Medicaid individuals. If required, by October 1, 2013, the commissioner shall prepare and submit to the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services an analysis of the benefits available under the MaineCare childless adult waiver population as of December 1, 2009. In preparing and submitting this analysis, the commissioner shall compare these services to those of the 3 benchmark plans specified by the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Sec. B-2. Report. The Commissioner of Health and Human Services shall report no later than November 1, 2013 to the Joint Standing Committee on Appropriations and Financial Affairs and the Joint Standing Committee on Health and Human Services on efforts to secure the maximum Federal Medical Assistance Percentage under section 1, including any correspondence with the federal Department of Health and Human Services regarding these efforts.
PART C
Sec. C-1. Evaluation of programs. The Commissioner of Health and Human Services, the Commissioner of Corrections and the Executive Director of the State Board of Corrections shall evaluate the impact of the MaineCare expansion authorized in Part A on programs and services that do not currently receive Federal Medical Assistance Percentage matching funds or do not qualify for enhanced Federal Medical Assistance Percentage matching funds under the federal Patient Protection and Affordable Care Act, with the goal of identifying and maximizing General Fund savings. In evaluating the programs and services under this Part, the commissioners and the executive director shall at a minimum evaluate the impact on the following programs and services: the state-funded Mental Health Services - Community, Office of Substance Abuse and General Assistance - Reimbursement to Cities and Towns programs; services provided for individuals between 21 and 64 years of age who are currently eligible for MaineCare under medically needy, spend-down criteria; services provided under the Maine HIV/AIDS Section 1115 Demonstration Waiver; services provided for parents participating in family reunification activities; services provided for disabled individuals between 21 and 64 years of age with incomes below 139% of the federal poverty level; services provided to individuals awaiting a MaineCare disability determination for whom the applications are subsequently granted; services provided to individuals who would have been considered eligible on the basis of a disability but for whom the full determination process was not completed; and medical services provided to persons in the care and custody of the Department of Corrections or a county correctional facility.
Sec. C-2. Report. The Commissioner of Health and Human Services, the Commissioner of Corrections and the Executive Director of the State Board of Corrections shall report no later than March 1, 2014 to the Joint Standing Committee on Appropriations and Financial Affairs, the Joint Standing Committee on Health and Human Services and the Joint Standing Committee on Criminal Justice and Public Safety on the amount of General Fund savings resulting from the MaineCare expansion authorized in Part A and identified in section 1. The report must include the amount of savings realized during fiscal year 2013-14 by service area or program and the amount of savings projected to be achieved during the remainder of that fiscal year and during fiscal year 2014-15 by service area or program.
Sec. C-3. Calculation and transfer. Notwithstanding any other provision of law, the State Budget Officer shall calculate the amount of savings identified in this Part that applies against each General Fund account statewide as a result of the expansion of MaineCare eligibility authorized in Part A and shall transfer the amounts up to the amounts specified in section 4 by financial order upon the approval of the Governor. These transfers are considered adjustments to appropriations in fiscal year 2013-14 and fiscal year 2014-15. The State Controller shall transfer any amounts identified under this Part greater than the amounts specified in section 4 to the MaineCare Stabilization Fund established under the Maine Revised Statutes, Title 22, section 3174-KK. The State Budget Officer shall provide a report of the transferred amounts to the Joint Standing Committee on Appropriations and Financial Affairs no later than June 30, 2014 for fiscal year 2013-14 and to the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs no later than June 30, 2015 for fiscal year 2014-15.
Sec. C-4. Appropriations and allocations. The following appropriations and allocations are made.
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF
Executive Branch Departments and Independent Agencies - Statewide 0017
Initiative: Deappropriates funds on a statewide basis for savings to be identified under this Part in existing state programs that result from the expansion of MaineCare eligibility.
| GENERAL FUND | 2013-14 | 2014-15 |
|
Unallocated
|
($2,700,000) | ($5,900,000) |
 |
|
|
| GENERAL FUND TOTAL | ($2,700,000) | ($5,900,000) |
PART D
Sec. D-1. Appropriations and allocations. The following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Bureau of Family Independence - Regional 0453
Initiative: Provides funding for 6 Family Independence Unit Supervisor positions, 13 Office Assistant II positions and 64 Eligibility Specialist positions in the Office for Family Independence program and for related All Other costs necessary to implement and administer the MaineCare eligibility changes. This assumes the Eligibility Specialist positions are funded 25% General Fund and 75% Other Special Revenue Funds and the other positions are funded 50% General Fund and 50% Other Special Revenue Funds.
| GENERAL FUND | 2013-14 | 2014-15 |
|
POSITIONS - LEGISLATIVE COUNT
|
83.000 | 83.000 |
|
Personal Services
|
$1,842,615 | $1,896,901 |
|
All Other
|
$167,534 | $167,534 |
|
|
|
| GENERAL FUND TOTAL | $2,010,149 | $2,064,435 |
| OTHER SPECIAL REVENUE FUNDS | 2013-14 | 2014-15 |
|
Personal Services
|
$4,185,245 | $4,308,290 |
|
All Other
|
$322,362 | $326,739 |
|
|
|
| OTHER SPECIAL REVENUE FUNDS TOTAL | $4,507,607 | $4,635,029 |
Medical Care - Payments to Providers 0147
Initiative: Provides funds for the costs of MaineCare coverage for newly eligible adults under 139% of the federal poverty line.
| FEDERAL EXPENDITURES FUND | 2013-14 | 2014-15 |
|
All Other
|
$62,851,289 | $263,724,061 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $62,851,289 | $263,724,061 |
Medical Care - Payments to Providers 0147
Initiative: Provides funds for the costs of MaineCare coverage for the childless adult waiver population.
| FEDERAL EXPENDITURES FUND | 2013-14 | 2014-15 |
|
All Other
|
$29,301,300 | $61,474,140 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $29,301,300 | $61,474,140 |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) | ||
| DEPARTMENT TOTALS | 2013-14 | 2014-15 |
|
GENERAL FUND
|
$2,010,149 | $2,064,435 |
|
FEDERAL EXPENDITURES FUND
|
$92,152,589 | $325,198,201 |
|
OTHER SPECIAL REVENUE FUNDS
|
$4,507,607 | $4,635,029 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $98,670,345 | $331,897,665 |