An Act To Expand Services to Persons Who Are Disabled or Elderly on Wait Lists by Reducing Revenue Sharing

Sec. 1. 30-A MRSA §5681, sub-§5-C,  as amended by PL 2013, c. 368, Pt. J, §1, is further amended to read:

Sec. 2. Legislative intent for future allocations. Notwithstanding any provision of law to the contrary, it is the intent of the Legislature that, beginning with the 2016-2017 biennium, funding above the level of funding provided in fiscal year 2013-14 for the following come from the savings achieved by eliminating eligibility for the MaineCare program for parents with a household income equal to or greater than 100% of the nonfarm income official federal poverty level:

1. Community-based services provided under Chapter 101: MaineCare Benefits Manual, Chapter II, Sections 21 and 29 and Chapter III, Sections 21 and 29;

2. Homemaker services, home-based care and consumer-directed home-based care; and

3. Brain injury residential and community services waiver in the MaineCare program.

Sec. 3. Appropriations and allocations. The following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)

Developmental Services Waiver - MaineCare 0987

Initiative: Provides funding on an ongoing basis for the community-based services provided under Department of Health and Human Services Rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21 and Chapter III, Section 21.

GENERAL FUND	2013-14	2014-15
All Other	$0	$11,235,400
GENERAL FUND TOTAL	$0	$11,235,400

Developmental Services Waiver - Supports Z006

Initiative: Provides funding on an ongoing basis for the community-based services provided under Department of Health and Human Services Rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29 and Chapter III, Section 29.

GENERAL FUND	2013-14	2014-15
All Other	$0	$4,000,000
GENERAL FUND TOTAL	$0	$4,000,000

Medicaid Waiver for Brain Injury Residential /Community Serv Z160

Initiative: Provides funding on an ongoing basis for the brain injury residential and community services waiver in the MaineCare program.

GENERAL FUND	2013-14	2014-15
All Other	$0	$1,000,000
GENERAL FUND TOTAL	$0	$1,000,000

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
DEPARTMENT TOTALS	2013-14	2014-15
GENERAL FUND	$0	$16,235,400
DEPARTMENT TOTAL - ALL FUNDS	$0	$16,235,400

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Consumer-directed Services Z043

Initiative: Provides funding on an ongoing basis for consumer-directed home-based care.

GENERAL FUND	2013-14	2014-15
All Other	$0	$264,600
GENERAL FUND TOTAL	$0	$264,600

Long Term Care - Office of Aging and Disability Services 0420

Initiative: Provides funding on an ongoing basis for the independent support services, homemaker services, program.

GENERAL FUND	2013-14	2014-15
All Other	$0	$500,000
GENERAL FUND TOTAL	$0	$500,000

Long Term Care - Office of Aging and Disability Services 0420

Initiative: Provides funding on an ongoing basis for home-based care.

GENERAL FUND	2013-14	2014-15
All Other	$0	$1,000,000
GENERAL FUND TOTAL	$0	$1,000,000

Medical Care - Payments to Providers 0147

Initiative: Provides funding on an ongoing basis for the community-based services provided under Department of Health and Human Services Rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 29 and Chapter III, Section 29.

FEDERAL EXPENDITURES FUND	2013-14	2014-15
All Other	$0	$6,470,519
FEDERAL EXPENDITURES FUND TOTAL	$0	$6,470,519

Medical Care - Payments to Providers 0147

Initiative: Provides funding on an ongoing basis for the community-based services provided under Department of Health and Human Services Rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 21 and Chapter III, Section 21.

FEDERAL EXPENDITURES FUND	2013-14	2014-15
All Other	$0	$18,174,717
FEDERAL EXPENDITURES FUND TOTAL	$0	$18,174,717

Medical Care - Payments to Providers 0147

Initiative: Provides funding on an ongoing basis for the brain injury residential and community services waiver in the MaineCare program.

FEDERAL EXPENDITURES FUND	2013-14	2014-15
All Other	$0	$1,617,630
FEDERAL EXPENDITURES FUND TOTAL	$0	$1,617,630

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2013-14	2014-15
GENERAL FUND	$0	$1,764,600
FEDERAL EXPENDITURES FUND	$0	$26,262,866
DEPARTMENT TOTAL - ALL FUNDS	$0	$28,027,466

SECTION TOTALS	2013-14	2014-15
GENERAL FUND	$0	$18,000,000
FEDERAL EXPENDITURES FUND	$0	$26,262,866
SECTION TOTAL - ALL FUNDS	$0	$44,262,866

summary

This bill increases funding on an ongoing basis for developmental services waivers under Department of Health and Human Services Rule Chapter 101: MaineCare Benefits Manual, Chapter II, Sections 21 and 29 and Chapter III, Sections 21 and 29 for consumer-directed home-based care and for the brain injury residental and community services waiver. In fiscal year 2014-15, the increased funding is offset by a reduction in the General Fund for municipal revenue sharing. The bill states that, after fiscal year 2014-15, it is the intent of the Legislature that funding for these allocations be paid for by savings achieved in the MaineCare budget as a result of the elimination of eligibility for parents with a household income equal to or greater than 100% of the nonfarm income official federal poverty level.