PART A

Sec. A-1. 22 MRSA §3174-G, sub-§1, ¶¶D and E, as enacted by PL 1999, c. 731, Pt. OO, §1, are amended to read:

D. A child one year of age or older and under 19 years of age when the child's family income is equal to or below 150% of the nonfarm income official poverty line; and

E. The parent or caretaker relative of a child described in paragraph B or D when the child's family income is equal to or below 150% 200% of the nonfarm income official poverty line, subject to adjustment by the commissioner under this paragraph. Medicaid services provided under this paragraph must be provided within the limits of the program budget. Funds appropriated for services under this paragraph must include an annual inflationary adjustment equivalent to the rate of inflation in the Medicaid program. On a quarterly basis, the commissioner shall determine the fiscal status of program expenditures under this paragraph. If the commissioner determines that expenditures will exceed the funds available to provide Medicaid coverage pursuant to this paragraph, the commissioner must adjust the income eligibility limit for new applicants to the extent necessary to operate the program within the program budget. If, after an adjustment has occurred pursuant to this paragraph, expenditures fall below the program budget, the commissioner must raise the income eligibility limit to the extent necessary to provide services to as many eligible persons as possible within the fiscal constraints of the program budget, as long as the income limit does not exceed 150% 200% of the nonfarm income official poverty line.

The following provisions apply to coverage of persons above 150% of the nonfarm income official poverty line.

(1)__The department shall administer coverage together with coverage provided under section 3174-T.

(2)__The department must use the same enrollment and eligibility procedures and the same benefit package and outreach as used under section 3174-T, except that the limitation imposed by section 3174-T, subsection 2, paragraph C, subparagraph (3) does not apply.

(3)__The department shall charge a premium for coverage.__For the purposes of section 3174-T, subsection 5, premiums charged under this paragraph