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ME LD842

ME LD842
An Act to Improve the Health of Maine Residents by Amending the Laws Governing the MaineCare, Maine Rx Plus and Emergency MaineCare Programs


summary

Introduced
03/04/2025
In Committee
03/04/2025
Crossed Over
Passed
Dead
05/20/2025

Introduced Session

132nd Legislature

Bill Summary

This bill provides Maine Rx Plus Program coverage for noncitizen residents of this State with qualifying low incomes who are currently ineligible for coverage under the federal Medicaid program due to their immigration status and who have a diagnosis of cardiovascular disease, hypertension or type 2 diabetes. The bill provides MaineCare program coverage for noncitizen residents of this State 21 years of age or older with qualifying low incomes who are currently ineligible for coverage under the federal Medicaid program due to their immigration status and who meet one or more of the following criteria: 1. The person would be eligible for the federal supplemental security income program but for their immigration status; or 2. The person has a diagnosis of cancer, organ failure or type 1 diabetes. The bill directs the Department of Health and Human Services, Office of MaineCare Services to convene a stakeholder group to review and make recommendations to improve the emergency MaineCare program and maximize available federal matching funds for services provided. It also directs the office to adopt rules implementing those changes.

AI Summary

This bill expands healthcare coverage for noncitizen residents in Maine by creating new eligibility pathways for MaineCare (Maine's Medicaid program) and Maine Rx Plus Program. Specifically, the bill provides Maine Rx Plus Program coverage for noncitizen residents with low incomes who have cardiovascular disease, hypertension, or type 2 diabetes and are currently ineligible for federal Medicaid due to immigration status. For MaineCare, the bill extends coverage to noncitizen residents aged 21 and older who either would qualify for Supplemental Security Income if not for their immigration status, or have a diagnosis of cancer, organ failure, or type 1 diabetes. The bill mandates that these expansions be implemented using state funds starting July 1, 2026, and allows the state to seek federal matching funds when possible. Additionally, the bill directs the Department of Health and Human Services to convene a stakeholder group to review emergency Medicaid programs and make recommendations for improving coverage, including potentially expanding the types of emergency medical conditions covered. The stakeholder group will include representatives from community organizations, legal experts, and the Medicaid ombudsman program, with the goal of adopting new rules to expand emergency MaineCare services by July 1, 2026.

Committee Categories

Health and Social Services

Sponsors (10)

Last Action

Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD) (on 05/20/2025)

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