LD 1611
pg. 4
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LR 2137
Item 1

 
(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
available from both federal and state sources to provide
federally approved Medicaid services.

 
Sec. A-6. 22 MRSA §3174-DD is enacted to read:

 
§3174-DD.__Dirigo health coverage

 
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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