An Act To Strengthen the Economic Stability of Qualified Maine Citizens by Expanding Coverage of Reproductive Health Care and Family Services

Sec. 1. 22 MRSA §3173-G  is enacted to read:

§ 3173-G.  Medicaid coverage for reproductive health care and family planning services

The department shall provide for the delivery of federally approved Medicaid services to a qualified adult or adolescent when the adult's or adolescent's individual income is equal to or below 209% of the nonfarm income official poverty line for reproductive health care and family planning services, including pregnancy prevention, testing and treatment for sexually transmitted infection or cancer and access to contraception, in accordance with the federal Patient Protection and Affordable Care Act, Public Law 111-148, as amended by the federal Health Care and Education Reconciliation Act of 2010, Public Law 111-152.

Sec. 2. Medicaid state plan amendment. The Department of Health and Human Services shall prepare and submit a Medicaid state plan amendment to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services that, effective October 1, 2015, provides Medicaid coverage for reproductive health care and family planning services for adults and adolescents who have individual incomes less than or equal to 209% of the nonfarm income official poverty line, as defined by the federal Department of Health and Human Services and updated annually in the Federal Register under authority of 42 United States Code, Section 9902(2), and who are not otherwise eligible for Medicaid.

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

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Provides funds for additional claims activity due to expanded eligibility for family planning services.

GENERAL FUND	2015-16	2016-17
All Other	$158,778	$479,325
GENERAL FUND TOTAL	$158,778	$479,325

FEDERAL EXPENDITURES FUND	2015-16	2016-17
All Other	$1,429,001	$4,313,926
FEDERAL EXPENDITURES FUND TOTAL	$1,429,001	$4,313,926

Medical Care - Payments to Providers 0147

Initiative: Deappropriates funds for savings achieved through a reduction in MaineCare costs for pregnancies.

GENERAL FUND	2015-16	2016-17
All Other	$0	($1,900,844)
GENERAL FUND TOTAL	$0	($1,900,844)

FEDERAL EXPENDITURES FUND	2015-16	2016-17
All Other	$0	($3,191,156)
FEDERAL EXPENDITURES FUND TOTAL	$0	($3,191,156)

Office for Family Independence Z020

Initiative: Provides funds for Automated Client Eligibility System technology updates to handle the changes to eligibility and services due to expanded eligibility for family planning services.

GENERAL FUND	2015-16	2016-17
All Other	$44,800	$0
GENERAL FUND TOTAL	$44,800	$0

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17
All Other	$44,800	$0
OTHER SPECIAL REVENUE FUNDS TOTAL	$44,800	$0

Office of Family Independence - District 0453

Initiative: Provides funds for 14 Eligibility Specialist positions and one Family Independence Supervisor position to handle the increased caseload for newly eligible individuals and services due to expanded eligibility for family planning services.

GENERAL FUND	2015-16	2016-17
POSITIONS - LEGISLATIVE COUNT	15.000	15.000
Personal Services	$374,318	$510,007
All Other	$35,315	$47,087
GENERAL FUND TOTAL	$409,633	$557,094

OTHER SPECIAL REVENUE FUNDS	2015-16	2016-17
Personal Services	$374,318	$510,007
All Other	$35,315	$47,087
OTHER SPECIAL REVENUE FUNDS TOTAL	$409,633	$557,094

Office of MaineCare Services 0129

Initiative: Provides funds for Maine Integrated Health Management Solution technology updates to handle the changes to eligibility and services due to expanded eligibility for family planning services.

GENERAL FUND	2015-16	2016-17
All Other	$23,731	$0
GENERAL FUND TOTAL	$23,731	$0

FEDERAL EXPENDITURES FUND	2015-16	2016-17
All Other	$71,193	$0
FEDERAL EXPENDITURES FUND TOTAL	$71,193	$0

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2015-16	2016-17
GENERAL FUND	$636,942	($864,425)
FEDERAL EXPENDITURES FUND	$1,500,194	$1,122,770
OTHER SPECIAL REVENUE FUNDS	$454,433	$557,094
DEPARTMENT TOTAL - ALL FUNDS	$2,591,569	$815,439

Sec. 4. Contingent effective date. That section of this Act that enacts the Maine Revised Statutes, Title 22, section 3173-G takes effect only if:

1. The Commissioner of Health and Human Services receives written approval of the state plan amendment submitted in accordance with section 2 from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services; and

2. The Commissioner of Health and Human Services notifies the Secretary of State, the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of Statutes that written approval of the state plan amendment has been received.