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ME LD563

ME LD563
Resolve, Directing the Department of Health and Human Services to Apply for a Waiver from the Federal Government for the Medicaid Limitation on Payment to a Facility with More than 16 Inpatient Beds for Psychiatric Treatment

summary

Introduced
02/19/2025
In Committee
02/19/2025
Crossed Over
Passed
Dead
05/14/2025

Introduced Session

132nd Legislature

Bill Summary

This resolve requires the Department of Health and Human Services, within 9 months of the effective date of this resolve, to apply to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for a waiver of the prohibition against the provision of Medicaid-covered services to individuals who are inpatients in a hospital, nursing facility or other institution with more than 16 beds that is primarily engaged in providing diagnosis, treatment or care to persons with mental disease. The resolve also requires the department to inform the joint standing committee of the Legislature having jurisdiction over health and human services matters of its submission of the waiver application and to report to the joint standing committee, by January 1, 2027, on the status of the waiver request and its implementation of any services provided pursuant to authorities granted by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services.

AI Summary

This bill directs the Maine Department of Health and Human Services (DHHS) to apply for a federal waiver within 9 months of the bill's effective date to modify a current Medicaid restriction known as the "institutions for mental disease" (IMD) exclusion. Specifically, the current federal regulation (42 CFR 435.1009) prevents Medicaid from covering services for patients in hospitals, nursing facilities, or other institutions with more than 16 beds that primarily provide mental health treatment. By seeking this waiver, the state aims to expand Medicaid coverage for individuals receiving inpatient mental health care in larger facilities. The bill requires the DHHS to notify the state Legislature's health and human services committee when the waiver application is submitted and to provide a report by January 1, 2027, detailing the status of the waiver request and any new services that might be implemented as a result of receiving the waiver. This effort could potentially improve access to mental health treatment for Medicaid beneficiaries in Maine by allowing coverage for patients in larger psychiatric facilities.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

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

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