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ME LD279

ME LD279
An Act to Address the Shortage of Direct Care Workers for Children with Disabilities in Maine


summary

Introduced
01/28/2025
In Committee
01/28/2025
Crossed Over
Passed
Dead
05/14/2025

Introduced Session

132nd Legislature

Bill Summary

This bill allows for the reimbursement of a parent providing in-home personal care services to the parent's child by allowing the parent to register as a personal care agency if the parent has made reasonable but unsuccessful efforts to obtain regular in-home personal care services and has passed a background check. The child must be eligible for the MaineCare program. An individual who is not a parent of the child must be designated as the employer and must be approved as the employer by both the parent and the Department of Health and Human Services. The department is required to request the necessary state plan amendments or waivers from the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services and adopt routine technical rules within 6 months of federal approval.

AI Summary

This bill addresses the shortage of direct care workers for children with disabilities in Maine by creating a pathway for parents to be reimbursed for providing in-home personal care services to their own children through MaineCare (Maine's Medicaid program). Under the bill, parents can register as a personal care agency if they have made reasonable but unsuccessful efforts to find regular in-home care and have passed a required background check. An important requirement is that another individual who is not a parent must be designated as the child's employer and must be approved by both the parent and the Department of Health and Human Services. The bill requires the department to seek necessary federal approvals from the Centers for Medicare and Medicaid Services (CMS) and adopt supporting rules within 6 months of receiving federal approval. The legislation is designed to help families struggling to find care for children with disabilities, prevent parents from having to leave paid employment to provide care, and ensure that children receive critical in-home personal care services. The bill includes an emergency clause, indicating the urgency of addressing the direct care worker shortage, and will only take effect after receiving the required federal approvals.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD) (on 05/14/2025)

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