131st MAINE LEGISLATURE
		LD 1522		LR 611(02)
	An Act to Provide Economic Justice to Historically Disadvantaged Older Citizens by Amending the Laws Governing the Medicare Savings Program
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2023-24	FY 2024-25	Projections  FY 2025-26	Projections  FY 2026-27
Net Cost (Savings)
	General Fund		$4,426,831	$33,095,019	$40,038,913	$40,041,331
Appropriations/Allocations
	General Fund		$4,426,831	$33,095,019	$40,038,913	$40,041,331
	Federal Expenditures Fund		$5,848,798	$43,261,931	$51,656,840	$51,656,840
	Other Special Revenue Funds		$300,447	$287,914	$295,345	$302,775
Revenue
	Other Special Revenue Funds		$300,447	$287,914	$295,345	$302,775
Fiscal Detail and Notes
	This bill includes General Fund appropriations to the Department of Health and Human Services of $4,426,831 in fiscal year 2023-24 and $33,095,019 in fiscal year 2024-25 to remove the asset test for eligibility and increase the household income level to 250% of the federal poverty level in the Elderly Low-cost Drug Program, to update income eligibility for Qualified Medicare Beneficiaries to no more than 185% of the federal poverty level and to update the Qualified Individuals to more than 185% and no more than 250% of the federal poverty level. The funding also establishes 4 Eligibility Specialist positions to handle increased caseload and provides one-time funding for required technology changes. Federal Expenditures Fund and Other Special Revenue Funds allocations are also included in this bill for the FMAP match.