128th MAINE LEGISLATURE
		LD 1708		LR 2622(02)
	An Act To Allow Qualifying Medicaid Recipients To Hire Relatives and Legal Guardians for Consumer-directed Attendant Services
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2017-18	FY 2018-19	Projections  FY 2019-20	Projections  FY 2020-21
Net Cost (Savings)
	General Fund		$0	$592,968	$789,831	$789,831
Appropriations/Allocations
	General Fund		$0	$592,968	$789,831	$789,831
	Federal Expenditures Fund		$0	$974,985	$1,300,771	$1,300,771
Revenue
	Federal Expenditures Fund		$0	$974,985	$1,300,771	$1,300,771
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of $592,968 in fiscal year 2018-19 to amend the existing 1915 (c) waiver that provides home and community based services under the Department of Health and Human Services rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 19, to allow eligible members to receive services provided by relatives, including spouses, or legal guardians and for the fiscal intermediary service required to provide payments for eligible members receiving services to relatives, including spouses or legal guardians. Federal Expenditures Fund allocations are also included for the FMAP match.