129th MAINE LEGISLATURE
		LD 1453		LR 1664(02)
	An Act To Improve Dental Health for Maine Children and Adults with Low Incomes
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2019-20	FY 2020-21	Projections  FY 2021-22	Projections  FY 2022-23
Net Cost (Savings)
	General Fund		$2,077,596	$6,458,383	$6,153,037	$6,153,037
Appropriations/Allocations
	General Fund		$2,077,596	$6,458,383	$6,153,037	$6,153,037
	Federal Expenditures Fund		$5,626,588	$17,286,794	$16,748,642	$16,748,642
Revenue
	Federal Expenditures Fund		$5,626,588	$17,286,794	$16,748,642	$16,748,642
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of  $2,077,596 in fiscal year 2019-20 and $6,458,383 in fiscal year 2020-21 for the state share of the net costs of  providing access to comprehensive medically necessary preventive, diagnostic and restorative dental services for MaineCare eligible adults 21 years of age and older. This assumes 70,128 MaineCare eligible adults (37.4% of those eligible) would use this service annually at a cost of $436.36 per person.  Offsetting against these costs are assumed savings in the MaineCare emergency services and the current adult dental services provided outside of the emergency room used annually by this population. The bill's additional spending is assumed to be fully phased in during the biennium while offsetting savings are assumed to phase-in over a longer period of time. Federal Expenditures Fund allocations are also included for the FMAP match.