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Amend the amendment by inserting after Part QQQQ the following:
PART RRRR
‘
Sec. RRRR-1.  22 MRSA §3174-G, sub-§4  is enacted to read:
 
4.  Medicaid income eligibility levels adjustment; report.     Notwithstanding any law to the contrary, upon receipt by the State of a waiver from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services from the maintenance of effort requirement under the federal Patient Protection and Affordable Care Act to adjust the income eligibility levels for the persons specified in subsection 1, the commissioner may adjust the income eligibility levels to an amount that is no less than that stated in the waiver.
 
No later than 30 days following receipt of the waiver, the commissioner shall submit a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters and the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs that includes suggested legislation implementing the reduced levels of income eligibility. The joint standing committees may report out legislation regarding the income eligibility levels for the delivery of federally approved Medicaid services.
Sec. RRRR-2. Contingent effective date. That section of this Part that enacts the Maine Revised Statutes, Title 22, section 3174-G, subsection 4 takes effect only if the Commissioner of Health and Human Services receives a waiver from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services from the maintenance of effort requirement under the federal Patient Protection and Affordable Care Act to adjust the income eligibility levels for the persons specified in Title 22, section 3174-G, subsection 1. The commissioner shall transmit a copy of the waiver to the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of Statutes.’
Amend the amendment by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment allows the Commissioner of Health and Human Services, upon receipt of a waiver from the Federal Government, to decrease the income eligibility levels for the delivery of federally approved Medicaid services. The commissioner is required to submit a report and suggested legislation changing the income eligibility levels to the joint standing committee of the Legislature having jurisdiction over health and human services matters and the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs.