LD 1611
pg. 3
Page 2 of 47 An Act To Provide Affordable Health Insurance to Small Businesses and Individua... Page 4 of 47
Download Bill Text
LR 2137
Item 1

 
possible within the fiscal constraints of the program budget,
as long as the income limit does not exceed 150% 200% of the
nonfarm income official poverty line; and

 
F. A person 20 to 64 years of age who is not otherwise
covered under paragraphs A to E when the person's family

 
income is below or equal to 100% 125% of the nonfarm income
official poverty line, provided that the commissioner shall
adjust the maximum eligibility level in accordance with the
requirements of the paragraph.

 
(1) If, on October 1, 2003 and annually thereafter,
expenditures for the population described in this
paragraph are reasonably anticipated to fall below the
program budget, the commissioner shall raise the
maximum eligibility level to the extent necessary to
provide coverage to as many persons with income below
125% of the nonfarm income official poverty line as
possible within the fiscal constraints of the Maine
Health Access Fund described in section 260.

 
(2) If the maximum eligibility level is raised above
100% of the poverty level pursuant to this paragraph
and subsequently 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.

 
(4) The department must begin offering coverage 3
months after obtaining approval of a waiver of coverage
from the United States Department of Health and Human
Services or on October 1, 2002, whichever is later.

 
For the purposes of this subsection, the "nonfarm income official
poverty line" is that applicable to a family of the size
involved, as defined by the federal Department of Health and
Human Services and updated annually in the Federal Register under
authority of 42 United States Code, Section 9902(2). For
purposes of this subsection, "program budget" means the amounts


Page 2 of 47 Top of Page Page 4 of 47