| Be it enacted by the People of the State of Maine as follows: |
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| | Sec. 1. 22 MRSA §3174-T, sub-§2, śC, as reallocated by RR 1997, c. 2, | §46, is amended by adding at the end a new paragraph to read: |
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| C. All children resident in the State are eligible except a | child who: |
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| (1) Is eligible for coverage under the Medicaid | program; |
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| (2) Is covered under a group health insurance plan or | under health insurance, as defined in Section 2791 of | the federal Public Health Service Act, 42 United States | Code, Section 300gg(c) (Supp. 1997); |
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| (3) Is a member of a family that is eligible under | Title 5, section 285 for health coverage under the | state employee health insurance program; |
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| (4) Is an inmate in a public institution or a patient | in an institution for mental diseases; or |
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| (5) Within the 3 months prior to application for | coverage under the Cub Care program, was insured or | otherwise provided coverage under an employer-based | health plan for which the employer paid 50% or more of | the cost for the child's coverage, except that this | subparagraph does not apply if: |
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| (a) The cost to the employee of coverage for the | family exceeds 10% of the family's income; |
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| (b) The parent lost coverage for the child because | of a change in employment, termination of coverage | under the Consolidated Omnibus Budget | Reconciliation Act of 1985, COBRA, of the Employee | Retirement Income Security Act of 1974, as | amended, 29 United States Code, Sections 1161 to | 1168 (Supp. 1997) or termination for a reason not | in the control of the employee; or |
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| (c) The department has determined that grounds | exist for a good-cause exception. |
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| Notwithstanding this paragraph, a child may not be deemed | ineligible for coverage under the Cub Care program solely | because the child is covered under a privately provided | catastrophic insurance policy or contract designed to | supplement coverage under the Cub Care program. |
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