An Act To Facilitate Access to the MaineCare Family Planning Benefit

Sec. 1. 22 MRSA §3173-G,  as enacted by PL 2015, c. 356, §1 and affected by §4, is repealed and the following enacted in its place:

§ 3173-G.  Medicaid coverage for reproductive health care and family planning services

SUMMARY

This bill establishes presumptive eligibility for individuals who are likely to qualify for the family planning benefit under the Maine Revised Statutes, Title 22, section 3173-G and requires the Department of Health and Human Services to provide for presumptive eligibility. It requires the department to automatically review an individual's eligibility for the family planning benefit if, upon application, the individual is found ineligible under Title 22, section 3174-G, subsection 1, paragraph A, C, D, E, F, G or H and to enroll the individual if found eligible for the family planning benefit. It requires the department to automatically review an individual's eligibility for the family planning benefit after an individual loses eligibility for the MaineCare pregnancy benefit under Title 22, section 3174-G, subsection 1, paragraph A due to the birth of a child or an increase in income and to enroll the individual, if found eligible, for the family planning benefit. It also requires the department to use a single application form for individuals applying for eligibility for the family planning benefit under Title 22, section 3173-G and under the adult expansion provisions under Title 22, section 3174-G, subsection 1, paragraph H. The bill directs the Department of Health and Human Services to adopt rules to carry out these requirements.