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set in paragraph A to the extent necessary to bring | | the program within the program budget. |
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| | | (3)__If program expenditures are reasonably | | anticipated by the commissioner to fall below the | | program budget, the commissioner shall raise the | | maximum eligibility level set in paragraph A to the | | extent necessary to provide coverage to as many | | persons as possible within the fiscal constraints of | | the program budget. |
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| | | (4) 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. |
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| | | C.__Subject to the other requirements in this subsection, | | a person who is resident in the State is eligible for the | | program unless that person: |
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| | | (1)__Is eligible for coverage under the MaineCare | | program; |
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| | | (2)__Is covered under a group health insurance plan | | or under health insurance, as defined in Section 2791 | | of the federal Public Health Service Act, 42 United | | States Code, Section 300gg(c) (Supp. 1997); or |
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| | | (3)__Is eligible under Title 5, section 285 for | | health coverage under the state employee health | | insurance program as an individual or as a member of | | a family. |
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| | | D.__Notwithstanding changes in the maximum eligibility | | level determined under paragraphs A and B, the following | | requirements apply to enrollment and eligibility: |
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| | | (1)__A program participant must be enrolled for a 12- | | month enrollment period. Prior to the end of each 12- | | month enrollment period the department shall | | redetermine eligibility for continuing coverage; and |
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| | | (2) Persons of higher family income may not be covered unless | | persons of lower family income are also covered.__This | | subparagraph may not be applied to disqualify a person during | | the 12-month enrollment period.__A person of higher family | | income may be disqualified at the end of the 12-month | | enrollment |
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