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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, Brain Injuries and Other Related Conditions’
Amend the bill by striking out everything after the enacting clause and inserting the following:
‘Sec. 1.  22 MRSA §3174-F, sub-§3  is enacted to read:
 
3.  Services for adult with intellectual disability or autism spectrum disorder, brain injury or other related condition.     Notwithstanding subsection 1, by December 31, 2019, 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, a brain injury or any other related condition and who received services under the MaineCare program pursuant to a home and community-based services waiver granted under the United States 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. Waiver amendments. The Department of Health and Human Services shall submit any necessary waiver amendments to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for approval to implement the requirements of this Act.
Sec. 3. Appropriations and allocations. The following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides appropriations and allocations to extend MaineCare dental services to a person 21 years of age or older who receives support services for adults with intellectual disabilities or autism spectrum disorder, brain injuries and other related conditions.

GENERAL FUND	2019-20	2020-21	
All Other	$616,962	$1,252,097	
			
GENERAL FUND TOTAL	$616,962	$1,252,097	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$1,087,352	$2,200,059	
			
FEDERAL EXPENDITURES FUND TOTAL	$1,087,352	$2,200,059	
 
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Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment expands the adult dental benefit proposed in the bill to include individuals receiving home-based or community-based services under the brain injury and other related conditions waivers under Medicaid. It requires the Department of Health and Human Services to seek any necessary amendments to the waivers from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. It also reallocates the provisions of the bill to the existing section in the Maine Revised Statutes governing adult dental services under the MaineCare program. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)