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ME LD1745

ME LD1745
An Act to Stabilize Residential Treatment Capacity for Children and Youth in Maine


summary

Introduced
04/22/2025
In Committee
04/22/2025
Crossed Over
06/12/2025
Passed
06/13/2025
Dead

Introduced Session

Potential new amendment
132nd Legislature

Bill Summary

This bill does the following. 1. It requires the Department of Health and Human Services to notify the joint standing committee of the Legislature having jurisdiction over health and human services matters whenever a children's residential care facility closes. The notification must include the name of the facility, the services provided, the number of beds and employees and the reasons for closure. The notification must be within 2 weeks of closure. 2. It requires the Department of Health and Human Services to convene a stakeholder group of child residential treatment providers to identify the short-term and long-term staffing and resources needs to ensure the sustainability of child residential treatment providers and report to the joint standing committee of the Legislature having jurisdiction over health and human services matters. 3. It requires the Department of Health and Human Services to assess the costs associated with children and youth with long stays in hospital emergency departments and out-of-state placements of children and youth with behavioral health care needs or developmental disabilities and submit a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters. 4. It requires the Department of Health and Human Services to amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 97, Private Non-Medical Institution Services, Appendix D, no later than December 3, 2025, to establish a payment model for aftercare services attempts on a per member, per month basis. The payment model must include travel costs and require minimum standards for service delivery attempts, with a maximum of 2 reimbursable unsuccessful delivery attempts per case. The rules must also allow for delivery of aftercare services by staff who have qualifications below a bachelor's degree but have experience with the family, as long as the family provides consent. 5. It provides funding of $1,000,000 to establish an emergency sustainability fund to stabilize child residential treatment providers in danger of closing a facility or closing beds in a facility.

AI Summary

This bill addresses challenges in Maine's children's residential treatment system through several key provisions. First, it requires the Department of Health and Human Services (DHHS) to notify the Legislature's health committee within two weeks of any children's residential care facility closure, providing detailed information about the facility's services, beds, employees, and reasons for closure. Second, the bill mandates that DHHS convene a stakeholder group of child residential treatment providers to identify short-term and long-term staffing and resource needs, with a report due by December 3, 2025. Third, the DHHS must conduct a comprehensive cost analysis of children's long-term hospital emergency department stays and out-of-state placements for those with behavioral health or developmental disability needs, submitting a report with detailed cost information. Fourth, the bill requires DHHS to modify MaineCare (Maine's Medicaid) rules to establish a new payment model for aftercare services, allowing for per-member monthly payments, including travel costs, with a maximum of two reimbursable unsuccessful service delivery attempts and permitting staff with family experience but without a bachelor's degree to provide services with family consent. Finally, the bill provides a one-time $1,000,000 emergency fund to help stabilize children's residential treatment facilities at risk of closing beds or entire facilities, demonstrating a comprehensive approach to addressing gaps in Maine's child welfare and mental health treatment infrastructure.

Committee Categories

Health and Social Services

Sponsors (9)

Last Action

HELD BY THE GOVERNOR. (on 07/08/2025)

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