131st MAINE LEGISLATURE
		LD 1114		LR 305(01)
	An Act to Eliminate the Annual Medical Eligibility Determinations of Need for Families of Children with Disabilities
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Jauch of Topsham
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
Potential current biennium cost increase - General Fund
Fiscal Detail and Notes
	This bill removes the requirement for a child with a disability who had been determined eligible for MaineCare or under the Katie Beckett option to undergo any additional medical or disability determinations unless a parent or guardian requests a new determination based on a belief that there has been a change in the child's medical situation. This could be a failure to comply with federal rules, specifically 20 Code of Federal Regulations (CFR) §416.994, which could lead to penalty exposure. Additionally, this could lead to individuals who would have been deemed ineligibile by the normal redetermination process to remain on the program. As it is unknown what the potential penalty amounts would be and how many ineligible individuals would remain on the program, no estimate of the cost is made at this time.