130th MAINE LEGISLATURE
		LD 1773		LR 2429(02)
	An Act To Make MaineCare Rules Pertaining to Global Home and Community-based Services Waiver Programs and Person-centered Planning and Settings Major Substantive Rules
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
Potential current biennium revenue decrease - Federal Expenditures Fund Potential current biennium cost increase - General Fund
Fiscal Detail and Notes
	This bill  prohibits the Department of Health and Human Services from enforcing the routine technical rules adopted on January 19, 2022 relating to an adult MaineCare member with a disability or an adult who is elderly who is receiving MaineCare services under a waiver granted by the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services, until January 1, 2023. There is a federal requirement that the department must be in compliance with the federal Home and Community Based Services settings rule, by March 17, 2023. Delaying the enforcement of the department's rule could impact it's ability to show compliance by March 17, 2023. If the department is not in compliance by this date, federal funds of around $100 million annually would be at risk. Any federal funds lost would need to be replaced by General Fund appropriations, as the related expenses would still be incurred.