Vetoed by Governor Paul LePage

Vote Smart's Synopsis:

Vote to pass a bill that expands Medicaid eligibility and establishes a managed care system.

Highlights:

• Establishes a commercial managed care system for the MaineCare program, in which the Department of Health and Human Services will pay monthly private managed care plans for enrolled members (Sec. A).

• Expands MaineCare coverage to individuals who qualify under federal law with incomes up to 133 percent of the nonfarm income official poverty line, plus 5 percent for the applicable family size, on the following dates (Sec. B):
• Beginning July 1, 2014, for adults between 21 and 64 years of age; and
• Beginning October 1, 2019, for adults between 19 and 20 years of age. 

• Specifies that Medicaid expansion is automatically repealed if the following conditions are met (Sec. B):
• If federal funding is reduced below 100% for any calendar quarter in 2014, 2015, or 2016;
• If the legislature has convened and conducted a session of at least 30 calendar days; and
• December 31, 2016 (Sec. B).

• Requires the Health and Human Services Department to conduct studies that will evaluate the cost and health impacts of Medicaid expansion (Sec. C).

• Establishes a savings plan to ensure that waiting lists for adults with intellectual disabilities and autism to receive applicable Medicaid services do not exceed 6 months, effective January 15, 2015 (Sec. G).

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that expands Medicaid eligibility and establishes a managed care system.

Highlights:

• Establishes a commercial managed care system for the MaineCare program, in which the Department of Health and Human Services will pay monthly private managed care plans for enrolled members (Sec. A).

• Expands MaineCare coverage to individuals who qualify under federal law with incomes up to 133 percent of the nonfarm income official poverty line, plus 5 percent for the applicable family size, on the following dates (Sec. B):
• Beginning July 1, 2014, for adults between 21 and 64 years of age; and
• Beginning October 1, 2019, for adults between 19 and 20 years of age. 

• Specifies that Medicaid expansion is automatically repealed if the following conditions are met (Sec. B):
• If federal funding is reduced below 100% for any calendar quarter in 2014, 2015, or 2016;
• If the legislature has convened and conducted a session of at least 30 calendar days; and
• December 31, 2016 (Sec. B).

• Requires the Health and Human Services Department to conduct studies that will evaluate the cost and health impacts of Medicaid expansion (Sec. C).

• Establishes a savings plan to ensure that waiting lists for adults with intellectual disabilities and autism to receive applicable Medicaid services do not exceed 6 months, effective January 15, 2015 (Sec. G).

Full Bill Text