| | (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. |
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| | (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. |
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| | | (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. |
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| | (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. |
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| | | 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 | | available from both federal and state sources to provide | | federally approved Medicaid services. |
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| | | Sec. A-6. 22 MRSA §3174-DD is enacted to read: |
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| | | §3174-DD.__Dirigo health coverage |
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| | | The department may contract with one or more health insurance | | carriers to purchase Dirigo Health Insurance 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 a Dirigo Health Insurance plan |
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