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ME LD1070

ME LD1070
Resolve, to Study a Medicaid Forward Plan for Maine


summary

Introduced
03/14/2025
In Committee
03/14/2025
Crossed Over
Passed
Dead
04/29/2025

Introduced Session

132nd Legislature

Bill Summary

This resolve requires the Office of Affordable Health Care to study the impact of implementing a Medicaid Forward plan and amending the MaineCare state plan to provide medical assistance to residents who are under 65 years of age, who have a household income exceeding 138% of the federal poverty level and who are not otherwise eligible for and enrolled in health care coverage. The office is required to propose a plan to implement a Medicaid Forward plan. The resolve requires the office to submit a report to the Joint Standing Committee on Health Coverage, Insurance and Financial Services by January 1, 2026 detailing the office's study of and program design for the Medicaid Forward plan.

AI Summary

This bill requires the Office of Affordable Health Care to conduct a comprehensive study on implementing a Medicaid Forward plan in Maine, which would expand medical assistance to residents under 65 with household incomes above 138% of the federal poverty level who currently lack health care coverage. The study will examine potential impacts on health insurance markets, healthcare providers, operational requirements, funding strategies, and fiscal implications. The office must develop a detailed implementation plan that includes a phased expansion approach, starting with residents at lower income levels (below 200% of the federal poverty level) and progressively expanding to those with incomes up to and above 400% of the federal poverty level. The plan will also explore federal waivers to maximize funding and ensure affordability, develop a financing strategy with recommended state and federal funding sources, and propose a sliding scale for premiums and cost-sharing based on household income. By January 1, 2026, the office is required to submit a comprehensive report of its findings and proposed program design to the Joint Standing Committee on Health Coverage, Insurance and Financial Services, providing a roadmap for potentially expanding healthcare access in Maine.

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD) (on 04/29/2025)

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