Bill

Bill > LD896


ME LD896

An Act to Provide Young Children Stable Access to Health Care


summary

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

Introduced Session

132nd Legislature

Bill Summary

This bill requires the Department of Health and Human Services to apply, by December 31, 2025, to the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services for a waiver or demonstration project or to amend a pending or current waiver or demonstration project to provide continuous eligibility to a child from birth through 5 years of age who is eligible for and enrolls in the Medicaid program. Upon the approval of such a waiver or demonstration project, it requires the department to adopt rules to establish the continuous eligibility of a child from birth through 5 years of age who is eligible for and enrolls in the Medicaid program, regardless of the child's family's change in income. Continuous eligibility must be maintained through the end of the month in which the child attains 6 years of age, but a child's eligibility to receive continuous coverage must be redetermined or terminated if the child is no longer a resident of the State, the child's parent or legal guardian requests termination of the child's eligibility, the child dies or the department determines that the child's eligibility was erroneously granted at the most recent determination, redetermination or renewal of eligibility because of agency error, fraud, abuse or perjury.

AI Summary

This bill requires the Maine Department of Health and Human Services to apply for federal approval by December 31, 2025, to establish continuous Medicaid or Children's Health Insurance Program (CHIP) coverage for children from birth to 5 years old, regardless of changes in the family's income. Once approved, the department will implement rules ensuring that eligible children maintain their health insurance coverage continuously until the end of the month they turn 6 years old. The child's coverage can only be terminated in specific circumstances, such as moving out of state, parent request for termination, the child's death, or if the department determines the eligibility was originally granted through error, fraud, or perjury. This legislation aims to provide stable health care access for young children by reducing coverage disruptions that can occur due to minor fluctuations in family income, which can otherwise lead to gaps in medical care and potential health complications.

Committee Categories

Health and Social Services

Sponsors (9)

Last Action

Reported Out: OTP-AM/ONTP (on 05/29/2025)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...