HP0311
LD 423
First Regular Session - 124th Maine Legislature
C "A", Filing Number H-88
Text: MS-Word, RTF or PDF
LR 1055
Item 2
Bill Tracking Chamber Status

Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:

Sec. 1. 34-B MRSA §5605, sub-§14-D  is enacted to read:

14-D Reimbursement provided.   Notwithstanding any other provision of law, the department shall provide reimbursement within available resources for durable medical equipment that provides a safe sleeping environment for individuals under 16 years of age if:
A The durable medical equipment is necessary to correct or ameliorate a behavioral health condition;
B The durable medical equipment is the least restrictive alternative for the treatment of the behavioral health condition;
C The durable medical equipment is approved on a case-by-case basis by a review team composed of the same representatives as the team conducting children's behavioral treatment reviews under subsection 13, paragraph B, subparagraph (3); and
D The department determines that the durable medical equipment is cost-effective in comparison to the provision of other covered services or equipment that can sufficiently correct or ameliorate the behavioral health condition.

The department may adopt rules as necessary to implement this subsection. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

summary

This amendment changes the requirement to fund certain durable medical equipment from a MaineCare requirement to a requirement that the Department of Health and Human Services fund it within available resources. It also lowers the maximum eligible age to under 16.

FISCAL NOTE REQUIRED
(See attached)


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