PLEASE NOTE: Legislative Information cannot perform research, provide legal advice, or interpret Maine law. For legal assistance, please contact a qualified attorney.
Amend the bill in section 1 in §16001 by striking out all of subsection 1 (page 1, lines 6 to 11 in L.D.) and inserting the following:
 
‘1.  Services provided.    The department shall provide comprehensive home and community-based services to support children up to 21 years of age with intellectual disabilities or autism spectrum disorder and their families.’
Amend the bill in section 2 in the first line (page 1, line 28 in L.D.) by striking out the following: "Waiver application." and inserting the following: 'Federal approval.'
Amend the bill in section 2 in the 2nd and 3rd lines (page 1, lines 29 and 30 in L.D.) by striking out the following: "a waiver pursuant to Section 1915(c) of the United States Social Security Act" and inserting the following: 'any waiver or state plan amendment necessary'
Amend the bill in section 3 in the first line (page 1, line 34 in L.D.) by striking out the following: "approval of the waiver" and inserting the following: 'federal approval'
Amend the bill in section 3 in the next to last line (page 1, line 36 in L.D.) by striking out the following: "under the waiver"
Amend the bill by inserting after section 3 the following:
‘Sec. 4. 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 for a home and community-based waiver to provide services to children up to 21 years of age with intellectual disabilities or autism spectrum disorder.

GENERAL FUND	2019-20	2020-21	
All Other	$2,294,549	$4,597,972	
			
GENERAL FUND TOTAL	$2,294,549	$4,597,972	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$4,043,985	$8,079,095	
			
FEDERAL EXPENDITURES FUND TOTAL	$4,043,985	$8,079,095	

Office of MaineCare Services 0129
 
Initiative: Provides a one-time appropriation and allocation for required technology updates.

GENERAL FUND	2019-20	2020-21	
All Other	$44,411	$0	
			
GENERAL FUND TOTAL	$44,411	$0	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$133,235	$0	
			
FEDERAL EXPENDITURES FUND TOTAL	$133,235	$0	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF			
DEPARTMENT TOTALS	2019-20	2020-21	
			
GENERAL FUND	$2,338,960	$4,597,972	
FEDERAL EXPENDITURES FUND	$4,177,220	$8,079,095	
			
DEPARTMENT TOTAL - ALL FUNDS	$6,516,180	$12,677,067	
 
’
Amend the bill in section 4 in the 2nd line (page 2, line 2 in L.D.) by striking out the following: "the waiver" and inserting the following: 'any waiver or state plan amendment'
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment removes the requirement for the Department of Health and Human Services to request a waiver pursuant to Section 1915(c) of the United States Social Security Act for services to children with intellectual disabilities or autism spectrum disorder and allows the department to apply for any waiver or state plan amendment that would accomplish this purpose. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)