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Amend the bill by striking out the title and substituting the following:
‘An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autism Spectrum Disorder’
Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1.  22 MRSA §3174-F, sub-§3  is enacted to read:
 
3.  Dental services for adult with intellectual disability or autism spectrum disorder.     Notwithstanding subsection 1, by December 31, 2017, the department shall provide for reimbursement under the MaineCare program for dental services to a person 21 years of age or older who has an intellectual disability or autism spectrum disorder and who received home and community-based support benefits under the MaineCare program pursuant to a waiver granted under the Social Security Act, Section 1915(c). This reimbursement must be provided in addition to any home and community-based support benefits provided to the person and may not be included in any cap or other limitation on the home and community-based support benefits that the person may receive. Dental services provided to a person under this subsection must be the same as those dental services provided under the MaineCare program to an eligible person under 21 years of age. The department shall adopt rules to implement this subsection. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2-A.
Sec. 2. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Developmental Services Waiver - MaineCare 0987
 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of age or older who receives home and community-based support benefits under the MaineCare program pursuant to a 1915(c) waiver.

GENERAL FUND	2017-18	2018-19	
All Other	$75,561	$151,121	
			
GENERAL FUND TOTAL	$75,561	$151,121	

Developmental Services Waiver - Supports Z006
 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of age or older who receives home and community-based support benefits under the MaineCare program pursuant to a 1915(c) waiver.

GENERAL FUND	2017-18	2018-19	
All Other	$47,904	$95,809	
			
GENERAL FUND TOTAL	$47,904	$95,809	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to expand MaineCare dental services to a person 21 years of age or older who receives home and community-based support benefits under the MaineCare program pursuant to a 1915(c) waiver.

FEDERAL EXPENDITURES FUND	2017-18	2018-19	
All Other	$222,763	$445,526	
			
FEDERAL EXPENDITURES FUND TOTAL	$222,763	$445,526	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2017-18	2018-19	
			
GENERAL FUND	$123,465	$246,930	
FEDERAL EXPENDITURES FUND	$222,763	$445,526	
			
DEPARTMENT TOTAL - ALL FUNDS	$346,228	$692,456	
 
’
 
SUMMARY
This amendment, which is the majority report of the committee, clarifies the application of the bill, which requires reimbursement under the MaineCare program for dental services to an adult with an intellectual disability or autism spectrum disorder, by:
1. More clearly defining the requirement that the persons be eligible under the so-called Sections 21 and 29 waivers, without referring to departmental rule citations that may change over time; and
2. Providing that reimbursement is in addition to any home and community-based support benefits provided to a person and may not be included in any cap or other limitation on the home and community-based support benefits that the person may receive.
The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)