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LD 2117

Resolve, Directing The Department Of Health And Human Services To Amend Its Rule Chapter 101: Mainecare Benefits Manual, Chapter Ii, Section 21, Home And Community Benefits For Members With Intellectual Disabilities Or Autism Spectrum Disorder

132nd Legislature (2025-2026) Introduced by Poppy Arford and 8 co-sponsors

Maine directs health department to amend MaineCare regulations on home and community services for individuals with intellectual disabilities and autism spectrum disorder.

Died in Possession of the Senate when the Legislature adjourned Sine Die and was PLACED IN THE LEGISLATIVE FILES. (DEAD)
#homeandcommunitybenefits #mainecare #medicaid
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Bill Summary · LD 2117

Legislative bill overview

LD 2117 directs Maine's Department of Health and Human Services to amend regulations governing MaineCare benefits for individuals with intellectual disabilities or autism spectrum disorder, specifically addressing home and community-based services. The bill is procedurally a "Resolve," meaning it requests regulatory changes rather than creating new law directly. The specific amendments sought are not detailed in the provided information, pending committee review.

Why is this important

Home and community-based services are critical alternatives to institutional care for individuals with intellectual disabilities and autism spectrum disorder, affecting quality of life, independence, and family support systems. Regulatory amendments could expand access, change eligibility criteria, modify service coverage, or adjust reimbursement rates—each with significant implications for affected individuals, families, and state budgets. Maine's MaineCare program serves thousands of vulnerable residents, making benefit structure changes consequential.

Potential points of contention

  • Fiscal impact unclear: The bill's cost implications are unknown; expanded benefits increase state expenditures while restricted benefits may limit access
  • Specificity of requested changes: The resolve doesn't specify which regulations need amendment, leaving implementation discretion to the agency and raising questions about legislative intent
  • Service access vs. sustainability: Balancing comprehensive home and community services against MaineCare program sustainability and provider capacity

Compiled from official sources — confirm details with the bill’s official record.

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