129th MAINE LEGISLATURE
		LD 1360		LR 1744(01)
	Resolve, To Expand Eligibility for Presumptive Eligibility Determinations by Hospitals
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Fecteau of Biddeford
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
Potential loss of Federal Funding Potential current biennium cost increase - General Fund
Fiscal Detail and Notes
	This resolve directs the Department of Health and Human Services (DHHS) to amend its rule for Presumptive Eligibility Determined by Hospitals. - Subsection 3 allows 20 days for hospitals to submit a copy of a completed MaineCare hospital presumptive eligibility card to the Department of Health and Human Services, compared to the current 5 days. To the extent this change does not align with the federal regulations in 42 U.S.C on presumtive eligibility, which require a 5 working day notice for certain populations, this subsection would put federal funding at risk. Any reduction in federal funding will require General Fund appropriations to make up the difference. - Subsection 2 expands hospital presumptive eligibility to certain individuals receiving acute care in a hospital and subsection 5 requires the DHHS to amend certain performance standards for qualified hospitals. Any additional costs/savings to the DHHS to implement these two subsections of the resolve are expected to be minor and can be absorbed within existing budgeted resources. - The DHHS is already in the process of amending the rule to reference the Medicaid Expansion population, and therefore subsection 1 will not generate additional costs. - Subsection 4 will have no fiscal impact because these items are already in current rule.